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Ear pain, swelling, use of injectible analgesics - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   i have pain in my ear, it feels very swollen there is no discharge
User :   no fever
Doctor :   Ok
User :   had these symptoms for about 2 days now i have an appointment at 10:30 but the pain is starting to get to me
Doctor :   May I know your age?
User :   im wondering if it can be bad to wait for another 5 hours
User :   23
Doctor :   Do you have other symptoms such as nasal congestion, sorethroat, headache?
Doctor :   Is the pain in both ears?
User :   the pain has progressed over the course of these 2 days, no, it just feels very swollen there it ringing and i get sharp pain
User :   no its just in my right ear
Doctor :   Are you able to hear well through your right ear when compared to the left?
Doctor :   Do you have history of diabetes?
User :   at first i could hear but now there is ringing and last night my hearing seemed to be worse
Doctor :   Ok
User :   not me personally but I have had family with diabetes
Doctor :   Have you had similar symptoms in the past?
User :   is it ok to wait 5 hours on my doctors appointment or should i go to an emergency room
User :   no, never before
Doctor :   Let me explain to you.
User :   this is the first time i feel like this
Doctor :   Your symptoms look like an external ear problem - probably otitis externa or may be a wax collection.
Doctor :   Both of these are not harmful condition and can be treated effectively.
User :   even after 2 days
Doctor :   Since you do not report of symptoms such as fever, headache, ear discharge
Doctor :   I do not find any reasons to suggest that it may be a serious problem
Doctor :   Right now, you can try a pain killer such as Ibuprofen 400mg.
Doctor :   This should help in reducing the pain.
User :   the pain is pretty heavy, and i feel on the outside of my ea
Doctor :   If the pain is very severe, then you can consider visiting the ER.
User :   well i had an appendectomy about 3 weeks ago and i still had some of the hydrocone/apap so i took one hoping it would calm my pain
Doctor :   Injectable analgesics are known to reduce the pain more effectively and earlier than oral medications.
Doctor :   How long ago did you take hydrocone?
User :   its severe but i have an appointment in about five hours i mean, if its not life threatening or something thats going to cause to be deaf then i will wait until 10:30 am
Doctor :   * I mean injectable medications are more effective than oral medications.
User :   about 15 minutes ago
Doctor :   Based on your description, I do not find any reason to cause hearing loss.
Doctor :   My only concern is the pain.
User :   ok so basically its just swollen pretty bad
Doctor :   The swelling outside is due to inflammation which is seen in otitis externa.
User :   well the pain feels somewhat inner but it I apply presure on the flap in front of the whole i feel a little pain
User :   and on the back side of the ear as well
Doctor :   Avoid inserting foreign body into the ear.
User :   also i can hear myself fine from inside but from the outside in its very strained to hear
User :   so is it just "swimmers ear" you think
Doctor :   Go to the ER if the pain is not relieved with the hydrocodone that you used or if swelling progresses to increase in size.
Doctor :   Based on your description, I can think of 2 causes
User :   ok, what can it be
Doctor :   1. Otitis externa
Doctor :   2. Impacted wax.
Doctor :   Both these conditions can be treated effectively with almost no complications.
Doctor :   Watch out for progress in the size of the swelling and other symptoms such as ear discharge and fever.
User :   is there anything i can do to help it out other than pain meds
Doctor :   keep the ear clean and dry.
Doctor :   Do not apply any drops or water into the ear.
User :   the good thing is I have felt this for the last day or so and I haven't had fever of discharge
Doctor :   And a strictly avoid inserting foreign bodies.
User :   I showered yesterday and tried seeing if taking out the earwax worked to that probably irritated my ear
Doctor :   Yes, You may have induced harm by doing that.
Doctor :   Nevertheless, no need to worry.
Doctor :   Your doctors will probably put you on a course of antibiotics
User :   also i covered my nose and blew air, this cause the air pressure come out of my ear
Doctor :   which should take care of the infection (if any)
User :   that also more than likely irritated it
User :   ok so its fine to wait
User :   thank you so much just wanted to make sure it wasn't an infection that would spread and get to my brain of something
Doctor :   The problem looks on the outside - located to the external ear.
User :   ok thank you so much
Doctor :   There could be a small possibility of infection as you report that you tried
Doctor :   to remove the wax.
Doctor :   This could be treated by using appropriate antibiotics.
Doctor :   You should be fine in a few days with appropriate medications.
Doctor :   Do you have any other query?
User :   last question would it be ok to work
User :   i work in a warehouse
Doctor :   Both the possible conditions should not stop you from working. But you can rest for a day or 2, if you have severe pain or if you ear discharge develops later.
Doctor :   Hope I have answered your query.
Doctor :   Do you have any more query?
User :   yes thank you so much
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye
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