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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ear Pain, Sore Throat, Sinus Pain, Coughing, Tired. Prescribed Zyrtec

I have had ear pain (bad) (possibly fluid) back of my throat is really sore, sinus pain (very little congestion), some coughing, tired. I was in urgent care 2 weeks ago and they diagnosed me with fluid behind the ears. Prescribed me Zyrtec. I took some of this but it is not working. Throat is really sore and red with a bump on the right side.
Mon, 4 Mar 2013
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ENT Specialist,  's  Response
Hello
Thanks for writing to us about your query.
I have gone through your query regarding your headache, sore throat and ear pain.
Considering all aspects of your symptoms it appears that you are having acute upper respiratory tract infection with acute otitis media.
Initially you were having nasal infection which had given rise to sinusitis and headache, infection from sinus came to throat as a post nasal drip and thus soreness in throat developed. From throat one tubular connection joins the middle ear called as Eustachian tube , which is responsible for giving way for infection to reach the ear and thus acute otitis media developed which is a painful disease of ear.
You are now advice for these investigations-
(1) C.T.scan of paranasal sinuses.
(2) Culture and sensitivity of throat swab.
(3) Blood - CBC, ESR, blood sugar- Fasting & P.P.
(4) Audiometery.
(5) Urine- Routine & Microscopic.
After this much work thorough examination is must to get clinical finding and their co-relation with investigation result will give us final diagnosis which is than be planed for treatment.
In the meanwhile you may take antibiotic tab, anti histaminics, decongestant and steam inhalations.

With Regards.
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Ear Pain, Sore Throat, Sinus Pain, Coughing, Tired. Prescribed Zyrtec

Hello Thanks for writing to us about your query. I have gone through your query regarding your headache, sore throat and ear pain. Considering all aspects of your symptoms it appears that you are having acute upper respiratory tract infection with acute otitis media. Initially you were having nasal infection which had given rise to sinusitis and headache, infection from sinus came to throat as a post nasal drip and thus soreness in throat developed. From throat one tubular connection joins the middle ear called as Eustachian tube , which is responsible for giving way for infection to reach the ear and thus acute otitis media developed which is a painful disease of ear. You are now advice for these investigations- (1) C.T.scan of paranasal sinuses. (2) Culture and sensitivity of throat swab. (3) Blood - CBC, ESR, blood sugar- Fasting & P.P. (4) Audiometery. (5) Urine- Routine & Microscopic. After this much work thorough examination is must to get clinical finding and their co-relation with investigation result will give us final diagnosis which is than be planed for treatment. In the meanwhile you may take antibiotic tab, anti histaminics, decongestant and steam inhalations. With Regards.