Brief Answer:
Descriptive

Detailed Answer:
Hi,

Thanks for the query.

From your history it is not very clear but what I can infer is that the ear drum of your right ear is perforated and that has led to a persistent infection in middle ear with the entry of water in the middle ear. If it is so, you need to get your ear cleaned by an ENT, get a culture sensitivity of the discharge done and use a specific antibiotic depending upon the sensitivity report. As and when your ear gets dry, the hearing should return to the pre infection level. Then, the perforation can be closed by surgery. This should help in getting the air bone gap in your audiometry closed a bit and hearing should improve.

If there is no perforation, then entry of water leading to decrease in hearing is usually due to debris in ear canal or fungal infection which increases with entry of water. This will resolve with cleaning of ear canal along with some antibiotics and anti-inflammatory drugs.

For left ear, retracted ear drum can be corrected by ventilation tube insertion of the ear drum is still not adherent to the promontory. If it is already adherent, then a tympanoplasty creating a middle ear space should help in closing some part of conductive hearing loss. But the results are not that good in many cases as far as hearing improvement is concerned.

In the both the ears, the neural part of hearing loss is reversible by routine surgery. Sensori-neural loss can be compensated by a hearing aid or a cochlear implant with former a better and more viable choice than the latter.

But a retracted membrane has an underlying eustachian tube dysfunction as an underlying condition and needs to be assessed for good long term results. A tympanometry will put more light on this.

So, in brief, you need a proper ENT examination and then based on the clinical findings and the options need to be discussed.

Feel free to ask another query.

Regards

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Brief Answer:
descriptive

Detailed Answer:
Thanks for the query.

You need to tell me the examination findings of your ear after discussing with your doctor or attach the prescription slip after requesting your doctor to write examination findings on it.

Infection takes variable time to heal depending upon the findings of your ear.

In XXXXXXX you can visit PGI and see Dr. XXXXXXX XXXXXXX or can visit me at XXXXXXX if you plan to come to XXXXXXX in near future. Nothing to feel depressed as hearing loss which you are having is correctable at least with hearing aid.

Also please write down any other symptoms which you are having otherthan hearing loss.

Feel free to ask another query.

Regards

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Brief Answer:
descriptive

Detailed Answer:
Thanks for the query.

Presceription shows that you have perforation in right ear and if that is not drying up, please go for ear swab and culture of pus. That will help in finding a specific antibiotic.

When ear gets dry, a surgical closure of perforated drum will help keeping it dry for the future.

Post surgery, depending upon the hearing, you can or need not use a hearing aid.

Feel free to ask another query.

Regards

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Brief Answer:
descriptive

Detailed Answer:
Hi,

Thanks for the query.

You having improved hearing when you put ear drops in right ear most likely will be because of ear drops forming a bubble/membrane like thing over the perforation. This acts as a membrane and temporarily repairs the perforation. So hearing improves.

Vertigo can be because of entry of ear drops in to middle ear.

If what I am hypothesizing is correct, the surgical repair of ear drum perforation will partially improve your hearing.

You can discuss this with your doctor.

If ear has become dry, that means infection has resolved as of now. You can plan surgical repair of perforated drum now.

Feel free to ask another query.

Regards

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Brief Answer:
Wait as your doctor said

Detailed Answer:
Thanks for the query.

You should wait for six weeks at least, post the drying of ear. This will give sufficient time for self healing. Self healing usually occurs when the perforation is small.

You can safely use hearing aid in an ear with perforation but perforated ear usually becomes intermittently wet and it is bothersome to use an aid in a wet ear. That's why it is advisable to get the perforation closed if there is no self healing.

Only thing which can be of some help in left ear would be a myringotomy with grommet insertion if clinically there is a possibility. This may improve hearing a bit but the doctor who is examining your ear regularly will be in position to decide the possibility.

There is no role of laser in the condition you have described.

Feel free to ask another query.

Regards

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Brief Answer:
most welcome

Detailed Answer:
It was pleasure answering you. Please close and rate my answer

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