Hi,
Noted the history about a female of 67 having throbbing pulsating sensation in left ear, little tender below ear, since a week, disappeared but came back again, no pain but balance is not brilliant.
The commonest cause can think about are one of the following:
Inflammation of the middle ear with fluid accumulation called
otitis media.
Glomus Jugalare is another condition and is serious and difficult to treat.
Hence I would advise you hte following in such a situation:
Consult an ENT Surgeon as soon as possible so that you can have proper examination of Ears, nose and throat, have
endoscopy of ear and if required would be sent for
CT scan of the mastoids so that an appropriate additional diagnosis can be made.
If the cause is fluid then a course of an antibiotic, anti-inflammatory medicine and antihistamine will help to resolve over 3 weeks. Oral
steroid if you are not diabetic can help early resolution.
But if the cause is glomus jugulare then surgery is needed.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, ENT and General Surgeon