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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Pressure, Fullness And Orange Discharge From Ear. Have Recovered From Flu. Remedy?

Hi, My right ear has the following symptoms: pressure, fullness (unilateral), orange/yellow/brown discharge . I do NOT have any external or internal pain or fever . I have also noticed some slight hearing loss x past week that is worse after showering. I have recently recovered from a 2 week viral/ flu infection. Also, I have a history of psoriasis and my psoriatic sx are currently well managed ( scalp ), but I have noticed external inflammation in the upper ear lobes. I am ambivalent about whether I should take antibiotics given that I do not have pain, bright blood, or fever. What is your recommendation? Thank you for your assistance.
Wed, 6 Mar 2013
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ENT Specialist,  's  Response
Hello
Thanks for writing to H.C.M. for your query.
I have gone through your clinical history, and after considering all aspects of your symptoms I am suspecting that you are suffering from acute upper respiratory tract infection with acute otitis media.
Development of disease process as under-
You were suffering from flu for about 2 weeks which left behind your upper respiratory tract infection as a sequlae, here your throat had infection which than progress to ear via Eustachian tube thus giving you feeling of fullness in ear , and lateron this came out to external ear canal after making a hole in ear drum, this fluid is having some blood in it therefore it is pinkish in color. Because of fluid in middle ear and simultaneously perforation of ear drum are responsible for hard of hearing.
For its proper management you should do these basic investigations-
(1) C.T.scan of paranasal sinuses.
(2) Culture and sensitivity of ear pus.
(3) Audiometery.
(4) Blood - CBC, ESR, blood sugar- F & P.P.
(5) Urine - R & M.
Till the reports of investigations comes you can take - Antibiotics, Anti inflammatory, Decongestant and steam inhalation. Please don't put any drop in ear and try to make ear clean and dry. Once the report of investigation comes than a good clinical examination and co-relation with investigation makes clear about diagnosis wich will be accordingly manage.

With Regards.
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Have Pressure, Fullness And Orange Discharge From Ear. Have Recovered From Flu. Remedy?

Hello Thanks for writing to H.C.M. for your query. I have gone through your clinical history, and after considering all aspects of your symptoms I am suspecting that you are suffering from acute upper respiratory tract infection with acute otitis media. Development of disease process as under- You were suffering from flu for about 2 weeks which left behind your upper respiratory tract infection as a sequlae, here your throat had infection which than progress to ear via Eustachian tube thus giving you feeling of fullness in ear , and lateron this came out to external ear canal after making a hole in ear drum, this fluid is having some blood in it therefore it is pinkish in color. Because of fluid in middle ear and simultaneously perforation of ear drum are responsible for hard of hearing. For its proper management you should do these basic investigations- (1) C.T.scan of paranasal sinuses. (2) Culture and sensitivity of ear pus. (3) Audiometery. (4) Blood - CBC, ESR, blood sugar- F & P.P. (5) Urine - R & M. Till the reports of investigations comes you can take - Antibiotics, Anti inflammatory, Decongestant and steam inhalation. Please don t put any drop in ear and try to make ear clean and dry. Once the report of investigation comes than a good clinical examination and co-relation with investigation makes clear about diagnosis wich will be accordingly manage. With Regards.