Pus-filled cyst in the left ear?
Hello Dr.
Hong,
I often experience intermittent headaches, inner ear pain, and tinnitus.
I have seen a doctor previously, but there were no significant issues.
Recently, after experiencing inflammation in my left nostril, I developed a pus-filled cyst in my left ear (accompanied by some ear pain and slight pain in my head near the left ear while showering).
Additionally, I have been experiencing some pain in my temples and a persistent feeling of nausea (unsure if it's related to gastrointestinal issues).
When the doctor examined the cyst, they used instruments to check my ear, but due to time constraints, I didn't mention my recent nausea and headaches.
Is it necessary to further confirm whether I have otitis media? The doctor only mentioned the cyst (and did examine the inside of my ear).
I would greatly appreciate your assistance in answering my questions.
Thank you very much.
Yingzi, 20~29 year old female. Ask Date: 2008/09/09
Dr. Hong Guangliang reply Otolaryngology
A professional otolaryngologist should be able to determine whether you have any abscesses and if you have otitis media.
Therefore, I recommend that you consult a specialist to accurately assess any potential issues.
Thank you!
Reply Date: 2008/09/09
More Info
Ear abscesses can be a concerning condition, especially when accompanied by symptoms such as ear pain, headaches, and nausea. Based on your description, it seems that you are experiencing a combination of symptoms that could indicate a more complex issue involving your ear and possibly your sinuses.
Firstly, let's break down your symptoms. You mentioned experiencing intermittent headaches, sharp pain in the ear, and tinnitus (ear ringing). These symptoms can often be associated with various ear conditions, including infections or inflammation. The recent development of a pus-filled abscess in your ear, particularly following nasal inflammation, raises the possibility of an ear infection, such as otitis media (middle ear infection) or otitis externa (outer ear infection).
The presence of an abscess suggests that there may be an underlying infection that needs to be addressed. If the abscess is not treated properly, it could lead to further complications, including the spread of infection to surrounding tissues or even to the brain in severe cases. Additionally, your mention of nausea and headaches could indicate that the infection is affecting other areas, such as the sinuses or even leading to a more systemic response.
Given these factors, it is advisable to seek further medical attention. Here are some steps you can take:
1. Consult an Ear, Nose, and Throat (ENT) Specialist: Since you have already seen a doctor who examined your ear, it would be beneficial to follow up with an ENT specialist. They can perform a thorough examination, including imaging studies if necessary, to determine the extent of the infection and whether there is any involvement of the middle ear or surrounding structures.
2. Discuss All Symptoms: When you visit the specialist, make sure to discuss all your symptoms, including the headaches and nausea. This information is crucial for the doctor to make an accurate diagnosis. They may want to investigate whether there is a connection between your nasal inflammation and the ear abscess.
3. Consider Imaging Studies: Depending on the findings during your examination, the ENT may recommend imaging studies, such as a CT scan, to assess the sinuses and the ear structures. This can help identify any complications or the extent of the infection.
4. Treatment Options: If an ear infection is confirmed, treatment may include antibiotics to address the infection and possibly drainage of the abscess if it is significant. Pain management and supportive care are also important.
5. Monitor Symptoms: Keep track of your symptoms. If you experience worsening pain, fever, increased swelling, or any new symptoms, seek medical attention promptly.
In summary, while your initial examination may not have indicated a severe issue, the development of an ear abscess and the presence of additional symptoms warrant further investigation. It is essential to address these concerns proactively to prevent potential complications and ensure proper treatment. Your health and well-being, especially as you navigate these symptoms, are of utmost importance.
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