Should A Tingling, Itchy Feeling On My Left Ear And Neck Area Behind The Ear Be Given Immediate Medical Attention?

Posted on Tue, 9 Mar 2021

Question: For a couple weeks, I have had a tingling, itchy feeling on my left ear and neck area behind this ear. I am a 59 year old male, 5'6", 185 pounds, work out every weekday morning playing basketball and had shingles in 2016. Been under some stress at work for months so thought maybe this could be the problem. Doctor subscribed a steroid and an antiviral(acyclovir 800 mg). Just not sure if these symptoms are something else.
I am scheduled to return to the doctor on Friday XXXXXXX 16th.

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
Herpes Zoster

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your elaborate description, the most likely diagnosis is Herpes Zoster. No lab investigations are usually done and the treatment is advised based on history and physical exam findings. The episodes of herpes zoster are usually self limiting but early treatment prevents the development of post herpetic neuralgia.

Steroid use in herpes zoster is a bit controversial. I usually avoid steroid treatment for herpes zoster in my patients and just stick to antivirals with neuroactive agents like TCAs and topical calamine / alluminium acetate dressings. NSAIDs and tramadol can also be used.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

Dr. M.S. Khalil

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Above answer was peer-reviewed by : Dr. Raju A.T