Ear Problems: When to See an ENT Specialist - Otolaryngology

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Ear problems


Hello, I have been troubled by my ear issues for over a year now.
Recently, I have been feeling very uncomfortable, often experiencing headaches and dizziness, and sometimes my eyes feel uncomfortable as well.
I have seen several doctors who all said it was due to a fungal infection, which cannot be completely cured.
Now that I am experiencing dizziness, what could be the cause? Which specialist should I consult? What medications should I take? Can I go to a general ENT clinic, or do I need to go to a larger hospital? Thank you, Dr.
Hsu, for your assistance.

Miss Huang, 20~29 year old female. Ask Date: 2006/06/11

Dr. Xu Jiazhen reply Otolaryngology


Hello: In response to your question, for issues related to dizziness, you may seek assistance from an otolaryngologist and a neurologist, as there may be a need for instrumental examinations.
If treatment in a general outpatient clinic does not lead to recovery, please seek help at a larger hospital.

Reply Date: 2006/06/11

More Info


It sounds like you have been experiencing a range of troubling symptoms related to your ear health for over a year, including headaches, dizziness, and discomfort in your eyes. Given the complexity and duration of your symptoms, it is crucial to approach this situation with a comprehensive understanding of potential underlying issues and the appropriate steps to take.

Firstly, the symptoms you describe—persistent discomfort in the ear, headaches, dizziness, and eye discomfort—could be indicative of several conditions. These may include issues related to the inner ear, such as vestibular disorders, which can affect balance and lead to dizziness. Additionally, chronic ear infections or conditions like Eustachian tube dysfunction could contribute to your symptoms. The mention of "long徽菌" (likely referring to a type of chronic infection) suggests that there may be an ongoing infection that has not been adequately addressed.

When it comes to seeing a specialist, an Ear, Nose, and Throat (ENT) doctor is indeed the appropriate choice. ENT specialists are trained to diagnose and treat a wide range of ear-related issues, including infections, hearing loss, and balance disorders. If you have already seen multiple doctors without a resolution, it may be beneficial to seek a second opinion from an ENT specialist who can perform a thorough examination, including hearing tests and possibly imaging studies like a CT scan if necessary.

In terms of medication, the specific treatment will depend on the underlying cause of your symptoms. If you have a bacterial infection, antibiotics may be prescribed. For chronic conditions, other treatments might include nasal corticosteroids to reduce inflammation, antihistamines for allergies, or even vestibular rehabilitation therapy if balance issues are significant. It is essential to discuss your symptoms in detail with the ENT specialist, as they will be able to tailor a treatment plan based on your specific diagnosis.

Regarding whether to visit a general ENT clinic or a larger hospital, it often depends on the severity of your symptoms and the resources available. If your symptoms are severe, or if you have concerns about the complexity of your condition, visiting a larger hospital with a specialized ENT department may provide more comprehensive care and access to advanced diagnostic tools.

In summary, given the duration and severity of your symptoms, it is advisable to see an ENT specialist as soon as possible. They can provide a thorough evaluation and develop a treatment plan tailored to your needs. Do not hesitate to seek care, as early intervention can often lead to better outcomes. Remember to communicate all your symptoms clearly, including the impact they have on your daily life, to ensure you receive the most appropriate care.

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