Post-Otitis Media: Why Am I Experiencing Green Nasal Discharge? - Otolaryngology

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Post-otitis media, particularly after experiencing an ear infection, can lead to a variety of symptoms, including nasal discharge that may be green and foul-smelling. This condition is often associated with secondary complications such as sinusitis, which can occur when the infection spreads from the middle ear to the nasal passages and sinuses.

When you had otitis media, the infection likely caused inflammation and blockage in the Eustachian tube, which connects the middle ear to the back of the throat. This blockage can prevent normal drainage of mucus, leading to a buildup of secretions. If the infection persists or if bacteria are present, the mucus can become thick and discolored, often turning green due to the presence of white blood cells and bacteria. The foul smell you are experiencing is indicative of a bacterial infection, which may suggest that the infection has spread to your sinuses, resulting in sinusitis.

The green nasal discharge you are experiencing, particularly from one side, could be a sign of unilateral sinusitis, which is common after an upper respiratory infection or otitis media. The fact that you are noticing this discharge only from the left nostril aligns with the possibility of localized infection or inflammation in the left nasal cavity or sinus. It is also possible that residual infection from the middle ear has contributed to this condition.

Regarding the medications you have been prescribed—Dolcol, Panadol, Mylanta, and Danzen—it's important to understand their purposes. Dolcol is typically used for pain relief, Panadol (acetaminophen) is for reducing fever and alleviating pain, Mylanta is an antacid for gastrointestinal discomfort, and Danzen (a proteolytic enzyme) is often used to reduce inflammation and promote healing.
Experiencing a feeling of excitement or restlessness after taking Danzen is not a common side effect, but individual reactions to medications can vary. If you feel unusually stimulated or anxious, it is advisable to consult your healthcare provider about this reaction. They may consider adjusting your medication or exploring alternative treatments.

In summary, the green nasal discharge you are experiencing is likely a result of post-otitis media complications, possibly indicating sinusitis. It is essential to follow up with your healthcare provider for further evaluation and management. They may recommend additional treatments, such as nasal saline irrigation, decongestants, or even antibiotics if a bacterial infection is suspected. Regular follow-up is crucial to ensure that the infection resolves and to prevent any potential complications.