Urgent Ear Pain: Can I Wait to See a Doctor in Taiwan? - Otolaryngology

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When experiencing urgent ear pain, especially after using a cotton swab, it is crucial to assess the situation carefully before deciding to wait for a doctor's appointment. Given your history of external ear canal infections (otitis externa) and the current symptoms you are experiencing, it is advisable to take your condition seriously.

Ear pain can arise from various causes, including external ear infections, middle ear infections (otitis media), or even issues related to the eustachian tube. Since you mentioned that the pain woke you up from sleep and has been persistent, this could indicate a more serious issue that might require immediate attention, especially if the pain is severe enough to cause tears.

While it may be tempting to wait until you return to Taiwan to see a doctor, there are several factors to consider. First, the pain you are experiencing could worsen over the next ten days, potentially leading to complications such as a more severe infection or even perforation of the eardrum. Second, self-treating with over-the-counter ear drops without a proper diagnosis could mask symptoms and delay necessary medical treatment.
In Germany, you might find it beneficial to visit a local pharmacy to discuss your symptoms with a pharmacist. They can recommend appropriate over-the-counter treatments, such as pain relievers or ear drops designed for ear pain. However, be cautious with ear drops, especially if you suspect a perforated eardrum, as certain types can worsen the condition.

If the pain becomes unbearable, or if you experience additional symptoms such as fever, hearing loss, or discharge from the ear, it would be wise to seek medical attention sooner rather than later. Many countries, including Germany, have urgent care facilities or walk-in clinics that can provide immediate care without the need for an appointment.
Once you return to Taiwan, it is essential to follow up with an ear, nose, and throat (ENT) specialist. They can conduct a thorough examination, including otoscopy, to determine the exact cause of your ear pain and recommend appropriate treatment. This may include antibiotics if an infection is present, or other interventions depending on the diagnosis.

In summary, while it may be possible to wait until you return to Taiwan, it is not advisable given the potential risks associated with untreated ear pain. Seek local advice and treatment if necessary, and ensure you follow up with a specialist upon your return to Taiwan for a comprehensive evaluation. Your health and well-being should always be the priority, and addressing ear pain promptly can prevent further complications.