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Ask Dr. Hasan Your Own Question

Dr. Hasan
Dr. Hasan, Doctor
Category: Medical
Satisfied Customers: 8420
Experience:  MBBS, FCPS, with experience in all fields of medicine and surgery
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thank you. Foul smelling ear early december, then developed

Resolved Question:

thank you.
Foul smelling ear early december, then developed pain in ear. went to drs who px'd optomise drops but not for how long to use. used for 6 days over xmas. appeared to rersolve, but r. ear pain returned so saw another dr who px'd amoxicillin 500mg tds for 7 days. still painfulv so spoke to another dr who px'd (over 'phone) co-amoxiclav tds for 7 days. did not resolve. went to out of hours at local hospital were I work. examination showed ulcer in ear canal and ciprofloxacin 500mg tds px'd for 7 days, although the on call didn't think they would help. advised to contact my g.p. and ask for ent referral. this I did, but g.p wouldn't see me until antibiotics finished. ulcer still present and urgent ent referral made. I also now have discomfort in my other ear. I take ibuprofen and paracetamol for discomfort, but have only needed them 8 hourly. I am worried and confused, I wonder if you could help? The foul smell seems to have gone and no discharge or blood
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Hasan replied 1 year ago.
Dr. Hasan :

Hi, Thanks for your question. I'm Dr. Hasan and I'll try to help you.

Dr. Hasan :

I am an assistant professor of ENT and can guide you..

Dr. Hasan :

Your age?

Dr. Hasan :

Gender?

Dr. Hasan :

and any diagnosed medical problem?

Customer:

hello, not really m.s since 1992, but still working and symptom free

Customer:

female

Dr. Hasan :

Thank you.

Dr. Hasan :

Your age?

Customer:

48

Dr. Hasan :

Is there any pain on pressing the ear from outside?

Customer:

no, but my right ear does sometimes feel hot, but not painful to touch or bend

Dr. Hasan :

Your ear drum was found to be intact on examination?

Customer:

on the 2nd drs visit I was told there was a bulge and yellow behind it most recent visit told eardrum intact

Dr. Hasan :

Thanks a lot for your input.

Dr. Hasan :

I am sorry to hear about your problem. I am going to address your primary concern but later you can ask anything you want.

Dr. Hasan :

From your description it is obvious that it is otitis externa.

Dr. Hasan :

An infection of external ear canal.

Dr. Hasan :

There can be few reasons that it has not healed;

Customer:

that wa the original drs' input do you think it has become complicated?

Dr. Hasan :

Either the antibiotics given were not effective against the organism involved or it can be associated with fungal infection where antibiotics don't work.

Dr. Hasan :

Yes it is possible but I don't think that is has got any major complication

Dr. Hasan :

It is just persisting

Dr. Hasan :

You need to get a culture test if possible and antibiotics according to the result of that.

Customer:

i see, I have infection on my toes and excema on my scalp, does that make a difference?

Dr. Hasan :

Are you restricting water entry in your ear?

Dr. Hasan :

Yes there can be a connection between them.

Customer:

no, should I BE?

Dr. Hasan :

Yes because if you don't infection can linger on.

Dr. Hasan :

Restriction of water entry is more important than medicines.

Customer:

like 'swimmers ear? should I be worried?

Dr. Hasan :

you need to put a Vaseline soaked cotton in your ear while taking bath.

Dr. Hasan :

You can use ear plugs as well.

Dr. Hasan :

But you must do it.

Customer:

I have 5 days to wait for my appt' is that o.k?

Dr. Hasan :

Yes absolutely you can wait.

Dr. Hasan :

I reassure you that there is nothing serious.

Dr. Hasan :

You can wait but avoid water entry even after your doctors visit

Dr. Hasan :

and please don't stress yourself.

Dr. Hasan :

Till you go, you can use OTC tab Aleve 550 mg twice daily.

Dr. Hasan :

It is much stronger than ibuprofen.

Customer:

I think i have rather 'over googled' things cancer....malignant otitis externa etc,

Dr. Hasan :

Yes you are right.

Dr. Hasan :

Malignant otitis externa is a disease of diabetics or people with long term illnesses so it's not your case but even if it is, it is curable easily.

Dr. Hasan :

Cancer is out of question .

Dr. Hasan :

Cancer never present as painful lesion and if it was cancer, you should never have gotten better even once during your treatment.

Customer:

Thank-you, nurses are hopeless! I feel much relieved and I will stop scaring myself and concentrate on work.

Dr. Hasan :

You are most welcome. Please don't stress yourself, I assure you :)

Dr. Hasan :

I wish you good luck and that you get well soon. My goal is to provide you with excellent service – if you feel you have received anything less, please reply back as I am happy to address follow-up questions. Kindly rate me when you are done. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.

Customer:

Thanks and goodnight

Dr. Hasan :

Good night

Dr. Hasan :

Most welcome

Dr. Hasan, Doctor
Category: Medical
Satisfied Customers: 8420
Experience: MBBS, FCPS, with experience in all fields of medicine and surgery
Dr. Hasan and 3 other Medical Specialists are ready to help you

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