I Have Ear Fluid In Both My Ears I Feel A Bubble Sensation In My Right

Posted on 5 days ago

Question: I have ear fluid in both my ears. I feel a bubble sensation in my right ear very frequently. I saw a doctor here and he gave me montelukast 10 mg and fluticasone propionate nasal spray to use for 3 months. I also had allergies for some months, I would wake up with congested nose and sneezing and it would get better during the day.
I wanted to get a second opinion because I don’t want to use montelukast because of certain side effects I read about with prolonged use.

Answered by Dr. Dr. Naveen Kumar Nanjasetty (3 hours later)

Brief Answer:
Monteleukast can be stopped, it is not of much value at present

Detailed Answer:
Hi

Thanks for posting the query

According to your history, you seem to be suffering from three issues. Allergic rhinitis, Eustachian tube (the tube connecting nose and the ear) block and the serous otitis media (accumulation of fluid in the middle ear).

The problem in the ears are secondary to the nasal allergy and nasal congestion. Unless the nasal congestion doesn’t get relieved, the Eustachian tube would not open up and the fluid built up in the middle ear will not clear off.

My suggestions to you are:
1. Use Xylometazoline nasal spray or drops, followed by steam inhalation after 10 minutes. This would help in relieving the nasal congestion and opening up of the Eustachian tube. The above medicine should not be used for more than 5 days. And, it’s available over the counter.
2. Continue using Fluticasone nasal spray 2 times a day, without fail.
3. A mucolytic such as bromhexine can be used to lighten the secretions in the middle ear and easy clearance of the same.
4. Do steam inhalation 3-4 times a day for 3-5 minutes. Drink frequent sips of warm water.
5. Avoid smoking, coffee, chilled food and beverages.
6. Avoid sleeping in front of the AC blower or directly under the fan.
7. Please stop Monteleukast, as it is not of much value in this condition.

Hope this answers your query; revert back to me if you have any follow up queries.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. Naveen Kumar Nanjasetty (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Naveen Kumar Nanjasetty (37 minutes later)

Dear Dr. XXXXXXX
Thank you.
1)Will otrivine xylometazoline hydochrolide 10 ml do? For how long should I use it?
2) could you recommend any over the counter bromhexine mucolytic I can find here in the United States?

Regards,
RM

Follow up: Dr. Dr. Naveen Kumar Nanjasetty (0 minute later)

Answered by Dr. Dr. Naveen Kumar Nanjasetty (10 minutes later)

Brief Answer:
I’m not aware of the brand names for bromhexine in US

Detailed Answer:
Hi XXXXXXX

Welcome back

1. Otrivin should be fine. You can use it for maximum 5 days. If you buy the drops, then use it 3 drops 3 times a day, followed by the steam inhalation after 10 minutes. If it’s a spray you can use 1-2 puff in each nostril.

2. I’m sorry! I’m not aware of the brand names for bromhexine in US. You can buy either in a tablet or syrup form. If it’s a tablet, then it should be taken 1 tab 3 times a day x 5 days, after food. If it’s in syrup form, then 10ml 3 times a day would suffice.

Hope this clarifies your doubts. Wish you good health.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. Naveen Kumar Nanjasetty (0 minute later)