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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Frequent Ear Infections, Smelly Fluid Leaking, Problems With Hearing. Is Fluid Drain From Tube Causing These Problems?

Hi, I'm prone to Ear Infections as this is my fourth/fifth of the year. I've got an appointment to see my Doctor on the 15 of November, to be refered to an ENT. My Ear has been constantly leaking Smelly sometimes clear sometimes dirty fluid. I've had this for a week now and it's really getting to me and affecting my abilty to hear. Not being able to hear I can hear a heart beat if this makes sense.. possibly the fluid draining from the tube?
Fri, 8 Nov 2013
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General & Family Physician 's  Response
Hello there!
Sounds like an infection of the middle ear(Otitis Media) with effusion OME. Complicating the auditory system and vestibular syestem And as you said its 4th or 5th time its a recurrent Otitis media and it needs to be addressed and worked up for the etiology and cause.
Do you have any
Ear Pain(Otalgia)
Headache
Fever
Irritability
Loss of appetite
Vomiting
Diarrhea
Buzzing in ear Tinnitus?

If you have these symptoms then i am afraid antibiotics wont be enough.Intervention would be necessary.But before you need Pneumatic otoscopy, examining the entire head and neck region,documented examination of the external ear and tympanic membrane (TM) for these four things
1)Color – A normal TM is a translucent pale gray; an opaque yellow or blue TM is consistent with middle ear effusion (MEE)
2)Position – In AOM, the TM is usually bulging; in OME, the TM is typically retracted or in the neutral position
3)Mobility – Impaired mobility is the most consistent finding in patients with OME
4)Perforation – Single perforations are most common

You would need
Antimicrobials
Antihistamine-decongestants
Intranasal and systemic steroids
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Mucolytics
Aggressive management of allergic symptoms

Might need interventions but examination will decide.they are
Tympanocentesis
Tympanic tube insertion
Adnoidectomy and tonsillectomy etc.

So see your nearby OtorhinoLaryngologist sooner to avoid complications.

I wish you very good health.Get well soon.

Cheers
Dr Khan
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Frequent Ear Infections, Smelly Fluid Leaking, Problems With Hearing. Is Fluid Drain From Tube Causing These Problems?

Hello there! Sounds like an infection of the middle ear(Otitis Media) with effusion OME. Complicating the auditory system and vestibular syestem And as you said its 4th or 5th time its a recurrent Otitis media and it needs to be addressed and worked up for the etiology and cause. Do you have any Ear Pain(Otalgia) Headache Fever Irritability Loss of appetite Vomiting Diarrhea Buzzing in ear Tinnitus? If you have these symptoms then i am afraid antibiotics wont be enough.Intervention would be necessary.But before you need Pneumatic otoscopy, examining the entire head and neck region,documented examination of the external ear and tympanic membrane (TM) for these four things 1)Color – A normal TM is a translucent pale gray; an opaque yellow or blue TM is consistent with middle ear effusion (MEE) 2)Position – In AOM, the TM is usually bulging; in OME, the TM is typically retracted or in the neutral position 3)Mobility – Impaired mobility is the most consistent finding in patients with OME 4)Perforation – Single perforations are most common You would need Antimicrobials Antihistamine-decongestants Intranasal and systemic steroids Nonsteroidal anti-inflammatory drugs (NSAIDs) Mucolytics Aggressive management of allergic symptoms Might need interventions but examination will decide.they are Tympanocentesis Tympanic tube insertion Adnoidectomy and tonsillectomy etc. So see your nearby OtorhinoLaryngologist sooner to avoid complications. I wish you very good health.Get well soon. Cheers Dr Khan