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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes pulsing and pain in ears?

I have a pulsing in r ear been like this for nearl 1 yr now had gromet put. 9mths ago made symptoms worse. Feels like head underwater had 2 bouts of sinus prob & cold since dec . Had antibiotics twice , did,nt work pain almost all the time very bad when. Air conduit tender in neck area at glands on R side. Have deviated septum with impingement to sinus area which was found at MRI scan lost lots of weight as i Have v little sleep, and an totally exhausted by the whole thing will this ever get any btr .
Wed, 20 Jan 2021
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Otolaryngologist / ENT Specialist 's  Response
Hello,

Brief Response: Chronic otitis media with chronic rhinosinusitis

Detailed Response: Your symptoms are part of the bigger picture where chronic rhinitis (nose infection), leads to chronic sinusitis and these two ultimately affects the ear causing chronic otitis media with fluid in the middle ear for which you had grommet insertion. No one treatment will relieve you since all three are inter related and must be treated hand in hand in order to have a long lasting relief. You must treat your sinuses by a modern day endoscopic sinus surgery to make sure that your sinuses are well ventilated and well drained. This will help your ear to drain and heal.

Similarly, nose needs to be patent so your ears can have sufficient drainage by eustachian tube. While you visit your local ENT surgeon to investigate and plan for deviated septum and endoscopic sinus surgery, please follow the below mentioned conservative management for 4 weeks:
1) Fluticasone nasal spray 2 puffs both nostrils twice a day
2) Vicks for steam inhalation twice a day
3) Zyrtec tablet 10mg once a day
4) Nasal flushing with normal saline (can be done by over the counter equipment available)
5) Keep ears plugged to avoid entry into the ear while taking a shower / swimming

On step at a time for your Nose, sinuses and Ear problems will help you get back to your normal and healthy life. If you have any questions, I will be more than happy to respond.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Omair Choudhry, Otolaryngologist / ENT Specialist
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What causes pulsing and pain in ears?

Hello, Brief Response: Chronic otitis media with chronic rhinosinusitis Detailed Response: Your symptoms are part of the bigger picture where chronic rhinitis (nose infection), leads to chronic sinusitis and these two ultimately affects the ear causing chronic otitis media with fluid in the middle ear for which you had grommet insertion. No one treatment will relieve you since all three are inter related and must be treated hand in hand in order to have a long lasting relief. You must treat your sinuses by a modern day endoscopic sinus surgery to make sure that your sinuses are well ventilated and well drained. This will help your ear to drain and heal. Similarly, nose needs to be patent so your ears can have sufficient drainage by eustachian tube. While you visit your local ENT surgeon to investigate and plan for deviated septum and endoscopic sinus surgery, please follow the below mentioned conservative management for 4 weeks: 1) Fluticasone nasal spray 2 puffs both nostrils twice a day 2) Vicks for steam inhalation twice a day 3) Zyrtec tablet 10mg once a day 4) Nasal flushing with normal saline (can be done by over the counter equipment available) 5) Keep ears plugged to avoid entry into the ear while taking a shower / swimming On step at a time for your Nose, sinuses and Ear problems will help you get back to your normal and healthy life. If you have any questions, I will be more than happy to respond. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Omair Choudhry, Otolaryngologist / ENT Specialist