What is the cause and treatment for ear pain?

default
Posted on Mon, 17 Nov 2014 in Ear, Nose and Throat Problems
Question: Hello I am writing on behalf of my 14 year old son. He had severe ear pain 1.5 months ago in one ear only. His pediatrician called it swimmer's ear and a middle ear infection, placing him on antibiotics for 2 weeks. There was some relief but the pain continued. A second pediatrician put him on a different antibiotic, but it did not ease the pain, nor feeling of swelling in the ear and pain in front/behind the ear. We subsequently consulted an ENT physician who did a variety of tests (blowing air in the ear, a hearing test) and said there was nothing wrong with my son's ears. A follow up check revealed the same thing. Meanwhile, my son has pain when he hiccups, and feels as thought the ear is crunching/crumpling up and the ear drum is bouncing when he hiccups. He also had pain in front of the ear, going down the neck a little. We consulted his dentist, who said there was nothing obvious, just perhaps a mild need for him to get braces. At this point, as a parent, I don't know where to turn. I know my child and he never complains about anything and is generally quite healthy. He really feels there is something wrong with his ear. I am now considering taking him to an oral surgeon for a TMJ evaluation, as I have no other ideas. Any advice deeply appreciated.He also has ringing in the ear that does not go away.
doctor
Answered by Dr. Naveen Kumar 45 minutes later
Brief Answer:
Eustachian tube block/dysfunction...

Detailed Answer:
Hi

Thanks for posting the query and an elaborate history. I have understood the problem and will try my best to guide you accordingly.

1. The description given by you indicates that the child is suffering from sinusitis with Eustachian tube (the tube connecting nose and the ear) block/dysfunction. The earache is because of the pressure created in the middle ear by the Eustachian tube block. Tinnitus is also one of the commonest symptoms of Eustachian tube block/dysfunction.

2. Antibiotics alone will not be sufficient enough to treat his condition. He will require the following:
a. Continue with the steroid nasal spray to reduce the sinus congestion and relieve the Eustachian tube block. A saline nasal spray to keep the nasal mucosa moist and keep the sinus and Eustachian tube patent.
b. A mucolytic such as ambroxol or bromhexine for thinning out the secretions, if any, in the sinuses.
c. Encourage him to do steam inhalation and drink lots of warm water
d. Avoid giving him coffee/chilled food or beverages.

3. You can definitely take an opinion from the maxilo-facial surgeon to rule out TMJ issues and impacted molar tooth if any.

If the symptoms are not getting better, get a CT scan of the paranasal sinuses done.

Hope this clarifies the doubts. I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Naveen Kumar

ENT Specialist

Practicing since :2001

Answered : 2434 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,  
Medical Topics ,  

Recent questions on  Mucolytic

doctor1 MD

Upon waking, my 11 year old daughter coughs on and off for about 45 minutes. After that, the coughing stops and she doesn't cough for the rest of...

doctor1 MD

What should I do? Chest congested, hard cough but nothing coming loose. Head ache, body aches and just measured almost 100 degrees.

doctor1 MD

Hi doctor! My baby s 4 months old. She has nose blockage and cough . Bcas of tat she s not sleeping. Some times while coughing, she is taking vomit...

doctor1 MD

i went to an ear nose and throat doc because my ear was clogged and had an off and on wooshing sound. he put me on steroids along with 2 once a...

doctor1 MD

First thanks a lot for your online service Sir, I have 2 and 3 months girl child. She is having throat infection from last one month, now little...

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2