Ear Infections and Allergic Rhinitis: Your Questions Answered

Otitis media

When I was around 5 or 6 years old, I had otitis media.
During class, my hearing suddenly diminished, and sounds seemed distant.
I received treatment and took medication, but I found the medicine very bitter and too large to swallow, so I stopped taking it once I felt slightly better.
Later, in the first year of junior high, I experienced similar symptoms and saw a doctor who said it was fluid accumulation.
I was treated with medication and had fluid drained with a needle.

I would like to ask: 1.
What problems might the doctor think I have, considering that since my otitis media at age 5 or 6 (after recovery), I have experienced sounds gradually becoming quieter, somewhat like tinnitus but without the ringing? After drinking water or performing actions that usually alleviate tinnitus, my hearing temporarily improves, but it doesn't return to a very low level.
Sometimes I also experience tinnitus (my mom mentioned she experiences it occasionally too).
2.
Is it possible that I still have residual bacteria or viruses from my previous otitis media, and can I fully recover now without medication or other interventions?
Additionally, regarding my nasal issues: As a child (and even now), I had a poor sleeping posture, often kicking off my pants or blankets, which led to frequent colds.
I would wake up with a runny nose, but it usually stops once it warms up (typically after I get to school).
At some point, I researched online and saw reports on TV, leading me to believe I might have allergic rhinitis.
I mentioned this to my mom, who joked, "Are you a doctor?" However, my symptoms resemble those of allergic rhinitis.
I would like to ask: 1.
Is it possible that I have allergic rhinitis? 2.
Can allergic rhinitis be completely cured? Thank you for your answers, and I really hope you respond as I am quite anxious.

Mou Xuesheng, 10~19 year old female. Ask Date: 2005/10/11

Dr. Jian Huangqi reply Otolaryngology

Having a history of otitis media and allergic rhinitis indicates poor Eustachian tube function.
This often leads to recurrent episodes of these conditions.
Whenever you experience symptoms or discomfort, you should consult an otolaryngologist.
Thank you.

Reply Date: 2005/10/11

More Info

Thank you for your questions regarding ear infections and allergic rhinitis. Based on your history of recurrent ear infections and your current symptoms, let's break down your concerns into manageable parts.

1. Possible Issues Related to Your Ear Symptoms
Given your history of otitis media (middle ear infection) at a young age, it is possible that you may be experiencing residual effects from those infections. The symptoms you describe, such as a sensation of muffled hearing and occasional tinnitus (ringing in the ears), could be indicative of several conditions:
- Eustachian Tube Dysfunction: This occurs when the tube that connects the middle ear to the back of the nose becomes blocked or fails to open properly. This can lead to a feeling of fullness in the ear and fluctuating hearing.

- Chronic Otitis Media: If you had repeated infections, there could be lingering fluid in the middle ear or changes to the ear structure that might affect hearing.

- Tinnitus: This can occur for various reasons, including exposure to loud noises, ear infections, or even stress. It can be a temporary condition or something that persists.

2. Residual Bacteria or Viruses
It is unlikely that you have residual bacteria or viruses from your past infections unless there was a chronic infection that was never fully treated. Most ear infections resolve with appropriate treatment, and any lingering symptoms are more likely due to structural changes or dysfunction rather than active infection.
Complete recovery is possible, especially if you seek appropriate medical care. If your symptoms persist, it may be beneficial to consult an otolaryngologist (ENT specialist) for a thorough examination, which may include hearing tests and possibly imaging studies to assess the condition of your middle ear.

3. Allergic Rhinitis Considerations
Regarding your nasal symptoms, it sounds like you may indeed be experiencing allergic rhinitis, especially if you notice that your symptoms improve when you are in a warmer environment. Common signs of allergic rhinitis include:
- Sneezing
- Runny or stuffy nose
- Itchy eyes, nose, or throat
- Postnasal drip

4. Can Allergic Rhinitis Be Cured?
Currently, there is no definitive cure for allergic rhinitis, but it can be effectively managed. Treatment options include:
- Avoidance of Triggers: Identifying and avoiding allergens that trigger your symptoms is crucial.

- Medications: Antihistamines, nasal corticosteroids, and decongestants can help alleviate symptoms.
- Immunotherapy: Allergy shots or sublingual tablets can help desensitize your immune system to specific allergens over time.

Conclusion
In summary, your ear symptoms may be related to past infections or Eustachian tube dysfunction, while your nasal symptoms could indicate allergic rhinitis. It is advisable to consult with a healthcare professional who can provide a comprehensive evaluation and tailor a treatment plan specific to your needs. Regular follow-ups and possibly allergy testing may also be beneficial in managing your symptoms effectively.
Please don't hesitate to reach out to a healthcare provider for further assistance, as they can offer personalized advice and treatment options based on your specific situation. Your health and comfort are important, and there are many resources available to help you manage these conditions.

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