Persistent Cold After Ear Surgery: Complications and Next Steps - Otolaryngology

Share to:

Otitis media has been surgically treated, but the cold has not improved for a long time?


My mother-in-law had surgery for otitis media with pus on February 25 of this year, but now it is June and her cold has not improved, and her hearing has not gotten better either.
The doctor has prescribed cold medication and expectorants.
What could be the reasons for her cold not improving? The doctor mentioned that the other ear (which has not been operated on and has a retracted eardrum) might have an increased inflammatory index.
She also mentioned that when she eats, her mouth tastes bitter or salty.
Could this be a sign of Sjögren's syndrome or a decline in her immune system? Should she consult another specialist?

Weiwei, 40~49 year old female. Ask Date: 2022/06/12

Dr. Ji Zhaoyun reply Otolaryngology


Hello, it is recommended to first return to the original surgeon's clinic for consultation and ask the surgeon to recommend the appropriate specialty for further evaluation.

Reply Date: 2022/06/12

More Info


After undergoing ear surgery for chronic otitis media, it is not uncommon for patients to experience lingering symptoms such as a persistent cold, hearing issues, and other discomforts. In your case, your mother-in-law has been experiencing these symptoms for several months following her surgery, which raises several important considerations regarding her recovery and overall health.

First, it is essential to understand that the healing process after ear surgery can vary significantly from person to person. Factors such as the extent of the surgery, the presence of any underlying conditions, and the patient's overall health can all influence recovery time. In your mother-in-law's case, the fact that she is still experiencing symptoms six months post-surgery suggests that there may be additional factors at play.

One possibility is that the unresolved cold symptoms could be related to ongoing inflammation or infection in the ear, particularly since the other ear has not yet been operated on and has a retracted eardrum. This condition can lead to fluid accumulation and may contribute to a sensation of fullness or pressure in the ear, which can mimic cold symptoms. Additionally, if the eustachian tube (the canal that connects the middle ear to the nasopharynx) is not functioning properly, it can lead to difficulties in equalizing pressure and draining fluid, resulting in persistent symptoms.

The bitter or salty taste your mother-in-law experiences while eating could be indicative of several issues, including possible post-nasal drip or changes in taste perception due to medications or the surgery itself. Dry mouth, which can be a symptom of Sjögren's syndrome (an autoimmune condition), could also contribute to this sensation. If she is experiencing dry mouth along with other symptoms, it may be worthwhile to consult with a specialist in rheumatology or immunology to rule out any underlying autoimmune disorders.

Regarding her immune system, it is important to consider that chronic conditions and surgeries can sometimes lead to a temporary decline in immune function. If she has been experiencing recurrent infections or prolonged symptoms, it may be beneficial for her to undergo a thorough evaluation to assess her immune status and overall health.

In terms of next steps, I recommend the following:
1. Follow-Up with the ENT Specialist: It is crucial for her to have a follow-up appointment with her ear, nose, and throat (ENT) specialist. They can perform a thorough examination of both ears, assess for any signs of infection or fluid buildup, and determine if further intervention is necessary.

2. Consider Allergy Testing: If her symptoms resemble those of a persistent cold, it may be beneficial to explore potential allergies that could be contributing to her symptoms. An allergist can help identify any triggers and recommend appropriate management strategies.

3. Consult a Rheumatologist: If dry mouth and other systemic symptoms persist, consulting a rheumatologist may help identify any autoimmune conditions that could be affecting her health.

4. Monitor Symptoms: Keep a detailed record of her symptoms, including when they occur, their severity, and any potential triggers. This information can be invaluable for healthcare providers in diagnosing and managing her condition.

5. Hydration and Humidification: Encourage her to stay well-hydrated and consider using a humidifier, especially if she is experiencing dry mouth or throat symptoms.

In conclusion, while it is not uncommon for patients to experience lingering symptoms after ear surgery, persistent issues warrant further investigation. By collaborating with her healthcare team and exploring potential underlying causes, you can help ensure that your mother-in-law receives the appropriate care and support for her recovery.

Similar Q&A

Managing Middle Ear Effusion: Surgery Alternatives and Care Tips

My younger sister has developed middle ear effusion due to a cold, and her cold symptoms have been intermittent. However, every time she is checked, the doctor says there is fluid in her middle ear, and this has been going on for nearly four to five months! The doctor has suggest...


Dr. Jian Huangqi reply Otolaryngology
It is recommended to use outpatient medications and local treatments only.

[Read More] Managing Middle Ear Effusion: Surgery Alternatives and Care Tips


Persistent Ear Congestion After Infection: What to Do Next?

Hello doctor, a few weeks ago I had an ear infection and consulted an otolaryngologist. I was given ear drops, and the inflammation improved, but the bacteria remained. After using the ear drops again, my ear feels blocked and I have a sensation of fullness. This has happened sev...


Dr. Zheng Jueyi reply Otolaryngology
Hello: The most common issue is still external auditory canal inflammation. It is recommended to return to the otolaryngology clinic for thorough local cleaning. The ear drops may be blocked due to the presence of inflamed earwax or secretions inside. Usually, after proper cleani...

[Read More] Persistent Ear Congestion After Infection: What to Do Next?


Understanding Ear Inflammation and Tinnitus: Risks and Recovery

I have been suffering from a cold for almost two months, and while I am feeling somewhat better recently, I have started experiencing tinnitus. My own voice sounds particularly loud, and I have difficulty hearing others when they speak softly. I went to see a doctor, who said tha...


Dr. Zheng Jueyi reply Otolaryngology
Hello: It is common to experience middle ear effusion or Eustachian tube dysfunction following a cold. Medication can be used for treatment, and if middle ear effusion is confirmed, a puncture procedure may also be performed. Most cases improve and do not affect hearing. However,...

[Read More] Understanding Ear Inflammation and Tinnitus: Risks and Recovery


Managing Post-Nasal Drip: Effective Solutions for ENT Issues

Hello, I have some questions: Two to three years ago, I underwent surgery for a deviated septum and turbinate hypertrophy. Since then, whenever it’s cold or in an air-conditioned room, I experience constant post-nasal drip, throat irritation, and coughing. These symptoms improve ...


Dr. Hu Kexin reply Otolaryngology
Hello: Your symptoms appear to be related to allergies; however, it is still recommended that you visit an otolaryngologist for a thorough examination to confirm the cause and receive appropriate treatment.

[Read More] Managing Post-Nasal Drip: Effective Solutions for ENT Issues


Related FAQ

Cold

(Otolaryngology)

Post-Surgery

(Otolaryngology)

Ear, Nose, And Throat

(Otolaryngology)

Lymphadenitis

(Otolaryngology)

Infection

(Otolaryngology)

Middle Ear Effusion

(Otolaryngology)

Postnasal Drip

(Otolaryngology)

Breathing

(Otolaryngology)

Otosclerosis

(Otolaryngology)

Ear Pain

(Otolaryngology)