[29F] With severe left ear pain and swelling

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Ear Infection (Otitis Externa or Otitis Media):

   • Rationale: The swelling, pain, itching, and drainage from your ear are classic signs of an ear infection. Otitis externa (outer ear infection) or otitis media (middle ear infection) could be the cause. The muffled hearing and pressure sensation also support this diagnosis.
   • Typical Treatments: Treatment usually involves antibiotic ear drops for otitis externa or oral antibiotics for otitis media. Pain relief can be managed with over-the-counter pain medications like ibuprofen or acetaminophen.

2. Peritonsillar Abscess or Dental Abscess:

   • Rationale: Given your recent history of an abscessed tooth and jaw pain, it's possible that the infection has spread, causing swelling and pain around your ear and face. The difficulty swallowing and sore side of the face also align with this.
   • Typical Treatments: Treatment often involves antibiotics and sometimes drainage of the abscess. Dental evaluation and treatment are crucial if the source is a dental abscess.

3. Eustachian Tube Dysfunction:

   • Rationale: The clogged sensation and pressure in your ear, along with muffled hearing, could be due to Eustachian tube dysfunction, which can occur after an upper respiratory infection or due to allergies.
   • Typical Treatments: Decongestants, antihistamines, or nasal steroids may be recommended to reduce inflammation and improve drainage.

What you can do

Ear Infection:

• Seek Medical Attention: It's important to see a healthcare provider as soon as possible for a proper diagnosis and treatment plan. They may prescribe antibiotics or other medications.
• Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation.
• Avoid Ear Candles: These can cause more harm than good and are not recommended by medical professionals.

Peritonsillar or Dental Abscess:

• Seek Immediate Dental or Medical Care: Given your history of an abscessed tooth, it's crucial to get evaluated by a dentist or healthcare provider. They may need to drain the abscess and prescribe antibiotics.
• Maintain Oral Hygiene: Brush and floss regularly to prevent further dental issues.

Eustachian Tube Dysfunction:

• Decongestants and Antihistamines: Over-the-counter medications can help reduce congestion and improve Eustachian tube function.
• Nasal Steroids: These can be helpful if the dysfunction is due to allergies.

General Tips:

• Stay Hydrated: Drink plenty of fluids to help thin mucus and promote drainage.
• Avoid Smoking: Smoking can worsen your symptoms and delay healing. Consider seeking help to quit smoking.
• Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for better management of your condition.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Fever or Chills: These could indicate a spreading infection.
• Severe Headache or Neck Stiffness: These could be signs of a more serious condition.
• Worsening Pain or Swelling: If your symptoms continue to worsen despite home care.
• Difficulty Breathing or Swallowing: These could indicate a serious complication.

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