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Suffers chronic sinus allergies, has running nose, itching in ears, drainage after quipping ear. What should I do ?

My 6 year old was picking at his ear. He has chronic sinus allergies & has had a running/stuffy nose for a few weeks now. He is taking decongestant but not doing much. Tonight, I tried to swab his ear because he said it itched & hurt. I was able to work out a wax plug but upon trying to get the plug completely out of his ear, my son jumped & ended up causing the quip & wax to go back into his ear. He said ouch & grabbed his ear too. I tried to look but couldn t see the wax plug & when I worked the quip out, it had blood on it. I flushed his ear 1 time with 3% Hydrogen Peroxide & got some brown drainage but wasn t sure it was the wax or if it was blood. He did fine on the 1st attempt. The 2nd time, he cried & said it really hurt. I put cotton in his ear & had him lay on the ear to try o help it drain but nothing came out the 2nd time. I am hoping the wax plug didn t get impacted or pushed through the ear drum causing perforation? What should I do?
Asked On : Fri, 22 Feb 2013
Answers:  1 Views:  41
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ENT Specialist 's  Response
Welcome in H.C.M. for consultation.
I have gone through your query regarding perforation in ear drum of your child during cleaning of his ear, your son is also suffering from chronic sinusitis and nasal allergy.
As your son is suffering from chronic sinus infection and associated allergy which is manifested as watery nasal discharge nose itching and post nasal drip which is creating sore throat. Infection from throat reaches to ear via Eustachian tube, giving rise to blockade in ear and later hurt and lastly followed by discharge.
For management point of view some basic investigations are necessary -
(1) C.T.scan of paranasal sinuses.
(2) Culture and sensitivity of throat swab.
(3) C.T. scan of Ear ( HRCT ).
(4) Audiometery.
(5) Blood- CBC, ESR, blood sugar,
(6) Urine - Routine & Microscopic
Depending on clinical findings and there co-relation with investigations one should plan for treatment. But usually such cases are treated conservatively with excellent results, unfortunately if conservative treatment fails than surgical intervention becomes necessary.

With Regards.
Answered: Mon, 25 Feb 2013
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