Elevated Ear Temperature: When to Seek Medical Help

Q: Elevated Ear Temperature: When to Seek Medical Help

Dear Miss House： <br>1. <br>The transmission of Wuhan Pneumonia is primarily due to direct contact with secretions or droplets containing the coronavirus. <br>The estimated incubation period is mostly between 1 to 14 days, with the most common duration being around 5 days. <br>Cl

In recent weeks, there has been an elevated ear temperature?

I initially experienced pain in my ear and consulted a pharmacist who prescribed medication, which helped significantly.
However, a week later, I developed a sore throat, upper jaw pain, and post-nasal drip.
I visited an ENT specialist who diagnosed me with a gastrointestinal-type cold.
The medication prescribed was not very effective.
I then sought a second opinion at another clinic, where I was diagnosed with acute sinusitis, and my symptoms improved.

Three days later, I noticed that my ear temperature was elevated, but I did not have any other significant symptoms.
My oral, axillary, and forehead temperatures were all normal, showing no signs of fever.
However, I became increasingly anxious.
Over the weekend, my ear temperature rose to 38 degrees Celsius, prompting another visit to the clinic.
This time, I was told I had acute upper respiratory symptoms, and the doctor advised me to avoid activities that could lead to prolonged inflammation.

Upon reviewing my medication, I found that one of the prescriptions was for treating influenza type A.
My ear temperature decreased somewhat but remained around 37.5 degrees Celsius.
My oral, axillary, and forehead temperatures were still normal, and I did not experience any cough, shortness of breath, sore throat, or body aches.
I am uncertain whether the issue lies with my ear or if there is an underlying health condition.
I also do not know which specialist to consult.
Given the severity of the current pandemic, I am genuinely concerned about potentially affecting others.
Thank you.

Fangzi, 20~29 year old female. Ask Date: 2020/03/30

Dr. Xiao Yongxun reply Family Medicine

Dear Miss House:
1.
The transmission of Wuhan Pneumonia is primarily due to direct contact with secretions or droplets containing the coronavirus.
The estimated incubation period is mostly between 1 to 14 days, with the most common duration being around 5 days.
Clinical manifestations mainly include respiratory symptoms such as nasal congestion, runny nose, dry cough, fever, and fatigue, which are typical of upper respiratory infections.
Additionally, a smaller proportion of older patients or those with chronic diseases may experience more severe conditions such as difficulty breathing and pneumonia.
Recently, abnormalities in taste or smell have also been considered as symptoms.
2.
Based on your statements and clinical course, I personally believe that the likelihood of having Wuhan Pneumonia is quite low.
I recommend discussing this with your family physician before making any decisions; alternatively, you may consider visiting an ENT outpatient clinic at a regional hospital or higher for further evaluation.

Reply Date: 2020/03/30

More Info

When it comes to elevated ear temperature, especially in the context of recent upper respiratory symptoms, it is essential to understand the potential causes and when to seek medical help. Your experience of fluctuating ear temperatures, alongside a history of throat pain and sinus issues, raises valid concerns that merit further exploration.

Firstly, it’s important to note that ear temperature can be influenced by various factors, including recent infections, inflammation, and even external conditions. The ear thermometer measures the infrared heat emitted from the eardrum, which can sometimes reflect changes in body temperature due to localized inflammation or infection. In your case, the elevated ear temperature (around 38 degrees Celsius) could be a sign of residual inflammation from your recent upper respiratory infections, such as acute sinusitis or a viral illness.

Given that your oral, axillary, and forehead temperatures are normal, it suggests that the elevated ear temperature might not indicate a systemic fever. However, persistent localized symptoms, such as ear discomfort or a feeling of fullness, could indicate an underlying issue, such as an ear infection or eustachian tube dysfunction, especially if you have a history of sinus problems.
In terms of when to seek medical help, consider the following guidelines:
1. Persistent Symptoms: If the elevated ear temperature persists for more than a few days without improvement or is accompanied by new symptoms (e.g., ear pain, hearing loss, or drainage), it would be prudent to consult an ear, nose, and throat (ENT) specialist. They can perform a thorough examination and determine if there is an underlying infection or other issue affecting your ear.

2. Worsening Condition: If you experience any worsening of your symptoms, such as increased pain, fever, or any signs of systemic infection (like chills or significant fatigue), it’s essential to seek medical attention promptly.

3. Anxiety and Health Concerns: Given your expressed anxiety about the current health situation and the potential impact on others, it’s crucial to address these feelings. Anxiety can sometimes amplify physical symptoms, leading to a cycle of worry and discomfort. Speaking with a healthcare provider about your concerns can help alleviate some of this anxiety and provide clarity on your health status.

4. Follow-Up on Previous Diagnoses: Since you have been diagnosed with acute sinusitis and upper respiratory symptoms, it’s important to follow up on these conditions. If your symptoms do not improve with treatment, or if you have concerns about the effectiveness of the prescribed medications, returning to your healthcare provider for a reassessment is advisable.

In summary, while an elevated ear temperature can be concerning, it is essential to consider the broader context of your symptoms and overall health. If the ear temperature remains elevated, or if you develop new or worsening symptoms, seeking further evaluation from an ENT specialist would be the best course of action. Additionally, managing your anxiety through open communication with healthcare professionals can help you feel more secure about your health and its implications for those around you.

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