[20F] With severe ear pain and jaw pain following middle ear infection

Patient Description

A 20-year-old female reports severe ear pain and jaw pain that started approximately five days ago after swimming in a chlorinated pool. The patient initially used Equate Homeopathic Earache Drops and Ear Pain MD Pain Relieving Drops, along with Ibuprofen and Acetaminophen, and applied a heat pad. Despite these measures, the pain has worsened, and the patient describes it as sharp and constant, rating it a 10 out of 10. The patient also tried using peroxide in the ear, which exacerbated the pain. Additional symptoms include yellow ear discharge, mild dizziness, headaches, and neck stiffness. There is no fever, chills, or hearing loss reported. The patient has no history of ear infections or other ear problems and has not been using tobacco, alcohol, or recreational drugs. No recent travel to different climates or water sources. The patient is not on any prescription medications, over-the-counter supplements, vitamins, topical medications, creams, inhalers, nasal sprays, birth control, or hormone therapy.

Show More

Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Acute Otitis Externa (Swimmer's Ear): This is an infection of the outer ear canal, often caused by water remaining in the ear after swimming, creating a moist environment that aids bacterial growth. Symptoms include ear pain, itching, discharge, and sometimes hearing loss.

    • Treatment: Typically involves prescription ear drops containing antibiotics and steroids to reduce inflammation. Over-the-counter pain relievers can help manage pain.
  • Acute Otitis Media: This is an infection of the middle ear, which can occur after water enters the ear and causes bacterial or viral growth. Symptoms include ear pain, discharge, hearing loss, and sometimes fever.

    • Treatment: Often involves antibiotics if a bacterial infection is suspected. Pain management with over-the-counter medications like Ibuprofen and Acetaminophen is also common.
  • Perforated Eardrum: Using peroxide in your ear might have caused or worsened a perforation (tear) in your eardrum, leading to severe pain, discharge, and hearing loss.

    • Treatment: This usually heals on its own, but keeping the ear dry and avoiding inserting anything into the ear is crucial. A doctor may prescribe antibiotics to prevent infection.

What you can do

  1. Seek Medical Attention: Given the severity of your pain and the presence of yellow discharge, it's important to see a healthcare provider as soon as possible. They can examine your ear, confirm the diagnosis, and prescribe the appropriate treatment.
  2. Avoid Further Irritation: Do not put any more substances, including peroxide, into your ear. This can worsen the condition.
  3. Pain Management: Continue taking Ibuprofen and Acetaminophen as directed for pain relief. However, avoid taking them simultaneously without medical advice, as this can increase the risk of side effects.
  4. Keep the Ear Dry: Avoid swimming or getting water in your ear until you see a healthcare provider. You can use a cotton ball lightly coated with petroleum jelly to protect your ear while showering.
  5. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in managing your condition effectively.

What you should look out for

  • Increased Pain or Swelling: If the pain worsens or you notice increased swelling around the ear, seek medical attention immediately.
  • Fever or Chills: If you develop a fever (temperature over 100.4°F) or chills, this could indicate a more serious infection that requires prompt medical treatment.
  • Hearing Loss: If you experience significant hearing loss, this should be evaluated by a healthcare provider.
  • Persistent or Worsening Symptoms: If your symptoms do not improve or worsen despite treatment, consult a healthcare provider.

Remember, while I can provide information and suggestions, I am not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

Show More

1
 Hugs
0
 Comments

Save

5 mo ago


People Also Ask


What is swimmer's ear and how is it treated?

Swimmer's ear, or acute otitis externa, is an infection of the outer ear canal often caused by water remaining in the ear, creating a moist environment for bacteria to grow. Treatment typically involves prescription ear drops containing antibiotics and steroids to reduce inflammation, along with over-the-counter pain relievers.


Can using peroxide in the ear cause damage?

Yes, using peroxide in the ear can cause irritation or damage, especially if the eardrum is already compromised. It can exacerbate pain and potentially lead to a perforated eardrum.


What are the symptoms of a perforated eardrum?

Symptoms of a perforated eardrum include severe ear pain, discharge from the ear, hearing loss, and sometimes dizziness. It is important to keep the ear dry and avoid inserting anything into it.


How can I manage ear pain at home before seeing a doctor?

To manage ear pain at home, you can take over-the-counter pain relievers like Ibuprofen or Acetaminophen, apply a warm compress to the affected ear, and keep the ear dry. However, avoid putting any substances into the ear and seek medical attention if the pain is severe or persistent.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback