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Infection Of The Bone In Ear Is Shown In MRI. Taking Iron Supplements. Suggest The Treatment?

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Posted on Tue, 3 Sep 2013
Question: I had mri last tuesday been a week, they are telling me I have infection of the bone in my left ear just got off of antibodies a week ago after 2 weeks, he put me on another for 7 days just never had anything like this before could you please explain the type of treatment I should be getting, and how do they know whether it healed or what. shpould I make appt with my nose throat and ear doctor or what should I do at this point oh my the way my iron is very low as well taking iron. From what I have read they are saying my ear could have a rupture, what do I do if this happens
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Answered by Dr. Sumit Bhatti (1 hour later)
Hi,

Thank you for your query.

1. You probably have an ear infection including a 'mastoiditis' (inflammation or infection in the mastoid part of the temporal bone). This is very common. Is your hearing normal or decreased in the left ear?

2. You should get your ear examined as the state of the ear drum and the type of ear discharge will determine the exact treatment. In addition to antibiotics you will require anti-inflammatory, anti-allergic, decongestant, mucolytic medications and steam inhalation. Ear drops may be added if the ear drum has ruptured (the type of ear discharge will change to a mucoid type). Ear drum ruptures are also common and routine treatment will help make the ear dry. After this episode heals, further treatment may be discusses along with a hearing test.

3. Healing may be judged by the decrease in symptoms and mastoid tenderness, if any. Repeat X-rays or a CT Scan may help. You may share the MRI images here.

4. Since bone has a poor blood supply, mastoiditis may take many weeks to settle. If there are recurrent attacks or if this persists, it may be necessary to check why only one side is involved.

5. Low iron (anemia) will delay healing and lower your immunity. This must be corrected.

I hope that I have answered your queries. If you have any further questions, I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Infection Of The Bone In Ear Is Shown In MRI. Taking Iron Supplements. Suggest The Treatment?

Hi,

Thank you for your query.

1. You probably have an ear infection including a 'mastoiditis' (inflammation or infection in the mastoid part of the temporal bone). This is very common. Is your hearing normal or decreased in the left ear?

2. You should get your ear examined as the state of the ear drum and the type of ear discharge will determine the exact treatment. In addition to antibiotics you will require anti-inflammatory, anti-allergic, decongestant, mucolytic medications and steam inhalation. Ear drops may be added if the ear drum has ruptured (the type of ear discharge will change to a mucoid type). Ear drum ruptures are also common and routine treatment will help make the ear dry. After this episode heals, further treatment may be discusses along with a hearing test.

3. Healing may be judged by the decrease in symptoms and mastoid tenderness, if any. Repeat X-rays or a CT Scan may help. You may share the MRI images here.

4. Since bone has a poor blood supply, mastoiditis may take many weeks to settle. If there are recurrent attacks or if this persists, it may be necessary to check why only one side is involved.

5. Low iron (anemia) will delay healing and lower your immunity. This must be corrected.

I hope that I have answered your queries. If you have any further questions, I will be available to answer them.

Regards.