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Been having ear pain. Inflammation in mastoid bone. What can help?

for the last 5 months i have been having ear pain. The last three weeks it is everyday. The pain is like a throbbing sensation then a burning one. It is always there. Tylenol and advil does not help. An Mri was done with only a slight inflammation of the mastoid bone showing However, according to my ent it is so insignificant that it would not explain my ear pain. In addition, i have been experiencing debilitating dizzinees, neck and cheek pain. I went to the dentist to see if my tmj was okay. X-rays show everything is normal. So much pain for so long makes me very tired all the time and cannot carry on with my dAily activities. Ent is suspecting meniere s disease to account for the loss of balance and dizziness but it would not explain the ear pain. Can you help?
Tue, 25 Mar 2014
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ENT Specialist 's  Response

Welcome in H.C.M.

I have gone through your query regarding ear pain, inflammation in mastoid bone and dizziness.

As MRI of ear shows only slight haziness in mastoid region than probably this is not responsible for pain. Therefore a thorough examination is necessary to find out the real fact and here I would like to tell you there are few other sites which give rise to reffered pain in ear like-

1- Teeth- Impacted last molar or carius last molar causes pain in ear especially during clinching the mouth.

2- Tongue- Infective and neoplastic lesions of base of tongue also give rise to referred pain in ear.

3- Tonsil- Some times tonsillar diseases give rise to pain in ear.

4- Dysfunction of eustachian tube als give rise to pain in ear.

5- Temporomandibular joint- it is well known for referred pain in ear.

Therefore a thorough examination and relevent investigations is must in your case to find out the disease and than only treatment may be plan.

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