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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Ear Pain?

I have a chronic (comes and goes) deep inside my ear. My family doctor has checked for infection but found none. Today I went bowling and my ear was fine but whenever I begin to move around and bowl, my ear deep inside started to hurt, a stabbing pain. It is gone now but I know it will return.
Wed, 8 Jul 2015
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General & Family Physician,  's  Response
Hello dear,

There is a connecting tract (known as Eustachian tube) between the nasopharynx & middle ear through which infection can spread to ear.
Also obstruction to this Eustachian tube, secondary to an upper respiratory tract infection, sinusitis, cold & congestion, can lead to ear pain/ blockage by causing un-equalisation of pressure between the nasopharynx & middle ear.

Management includes:
1. Antihistamine preparations like Allegra.
2. Decongestant nasal drops.
3. Antibiotics based on culture & sensitivity reports.
4. Warm salt water gargle and Steam inhalation.
5. Chewing gum and practice of Valsalva maneuver is also helpful is equalizing the pressure.
6. Maintenance of adequate hydration & nutrition status of the body.
7. Protection from cold, dust & other allergens.

Wish you good health & a speedy recovery.
Take care.
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What Causes Chronic Ear Pain?

Hello dear, There is a connecting tract (known as Eustachian tube) between the nasopharynx & middle ear through which infection can spread to ear. Also obstruction to this Eustachian tube, secondary to an upper respiratory tract infection, sinusitis, cold & congestion, can lead to ear pain/ blockage by causing un-equalisation of pressure between the nasopharynx & middle ear. Management includes: 1. Antihistamine preparations like Allegra. 2. Decongestant nasal drops. 3. Antibiotics based on culture & sensitivity reports. 4. Warm salt water gargle and Steam inhalation. 5. Chewing gum and practice of Valsalva maneuver is also helpful is equalizing the pressure. 6. Maintenance of adequate hydration & nutrition status of the body. 7. Protection from cold, dust & other allergens. Wish you good health & a speedy recovery. Take care.