[25F] With severe ear pain and decreased hearing

What might be happening

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

• Ear Infection (Otitis Media or Otitis Externa): Ear infections can cause deep ear pain, pressure, and hearing loss. Otitis media affects the middle ear, while otitis externa (swimmer's ear) affects the outer ear canal. Both can cause throbbing pain and may worsen with jaw movement.

  • Treatment: Ear infections often require antibiotics or antifungal medications prescribed by a doctor. Over-the-counter pain relievers like ibuprofen can help manage pain.

• Temporomandibular Joint (TMJ) Disorder: TMJ disorders can cause pain in the jaw joint and muscles, which can radiate to the ear. Symptoms include jaw pain, clicking sounds, and difficulty swallowing.

  • Treatment: TMJ disorders can be managed with pain relievers, muscle relaxants, physical therapy, and sometimes dental appliances. Avoiding hard or chewy foods can also help.

• Eustachian Tube Dysfunction: This condition occurs when the tube connecting the middle ear to the back of the nose becomes blocked, causing pressure and pain in the ear.

  • Treatment: Decongestants, antihistamines, and nasal steroids can help relieve symptoms. In some cases, a doctor may need to perform a procedure to open the tube.

• Dental Issues: Sometimes, dental problems such as impacted teeth or infections can cause referred pain to the ear.

  • Treatment: Addressing the underlying dental issue with the help of a dentist can alleviate the pain.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment, here are some steps you can take to manage your symptoms in the meantime:

1. Pain Relief: Continue taking over-the-counter pain relievers like ibuprofen as directed to manage pain and inflammation.
2. Warm Compress: Applying a warm compress to the affected ear can help alleviate pain and pressure.
3. Jaw Exercises: Gentle jaw exercises and avoiding hard or chewy foods can help if TMJ disorder is suspected.
4. Stay Hydrated: Drink plenty of fluids to stay hydrated, which can help with overall health and recovery.
5. Symptom Tracking: Use the MDandMe app to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Pain: If the pain becomes unbearable or does not improve with over-the-counter medications.
• High Fever: If you develop a fever (temperature over 100.4°F) or chills.
• Discharge: If you notice any discharge or fluid coming from your ear.
• Hearing Loss: If your hearing continues to worsen or you experience sudden hearing loss.
• Dizziness or Vertigo: If you develop dizziness or a spinning sensation.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.