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7 year old with ear infection. Yellowish discharge. History of adenoid and tonsils removed

hi, My son is 7 years old. last May 2012 he had left ear infections(yellow discharge ) with antibiotics that problem solved.Again in Dec-2012 he complained that there is sensation of water in left ear. Doctor gave some ear drop . Again last month he complained about sensation of water in left ear..his adenoid and tonsile had been removed begore 3 years . Guide us.
Asked On : Thu, 7 Mar 2013
Answers:  1 Views:  27
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ENT Specialist 's  Response
thanks for writing to H.C.M. for your query.
I read clinical history of your son who had already being operated for his tonsils and adenoids about three years back now since may 2012 he had 3 episodes of ear ache and ear infection. As you said that your child got response to conservative treatment in the form of antibiotic ear drops. Now I am suspecting for two possibilities in your son-
(1) He may having perforation in his ear drum and therefore infection reaches through perforation into middle ear which give rise to ear discharge.
(2) He may be having sinusitis thus time to time infection comes to throat and from here it passes to ear via Eustachian tube.
To manage this few basic investigations are necessary.-
(1) C.T.scan of paranasal sinuses.
(2) C.T.scan of left ear.
(3) culture and sensitivity of ear pus.
(4) Audiometery- Pure tone & Impedance.
(5) X-Ray chest - P.A. view.
(6) blood - CBC, ESR, blood sugar- F & P.P., Serum creatinin.
(7) Urine R & M.
In this way one can find out real pathology responsible for recurrent middle ear infection and their co-relation with clinical findings as obtained by thorough examination one plan for correct treatment.

With Regards.
Answered: Thu, 7 Mar 2013
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