Ear Mold Issues: When to Seek Further Medical Attention - Otolaryngology

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Ear mold issues?


Hello, doctor: I would like to ask you about my situation.
Last week, I visited an otolaryngologist, and the initial diagnosis was otitis externa, for which I was prescribed medication.
However, my ear later became blocked, and I couldn't hear clearly.
I felt that my condition was not improving and was actually worsening, so I decided to consult another clinic.
The doctor diagnosed me with ear fungus, stating that this condition is often misdiagnosed by general practitioners.
He performed an ear suction procedure and prescribed eardrops to be used twice a day.
Initially, after the suction, my hearing improved, but by the evening, my ear seemed blocked again.
Is this normal? Should I wait until I finish the medication before returning for a follow-up, or should I go back immediately? Thank you.

capable, 30~39 year old female. Ask Date: 2014/02/24

Dr. Zheng Jueyi reply Otolaryngology


Dear Capable: Hello, the blockage in your ear may be caused by inflammatory secretions obstructing the external auditory canal.
It is recommended to continue using the prescribed medication, as improvement from inflammation may take several days to a week.
However, if there is a rapid deterioration in hearing or if the ear continues to discharge pus without improvement, please return for a follow-up appointment after completing the medication, or go to the hospital for bacterial culture and treatment.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2014/02/24

More Info


When dealing with ear issues, particularly those involving conditions like external otitis (outer ear infection) or fungal infections, it is crucial to monitor your symptoms closely and understand when to seek further medical attention. Based on your description, it seems you have already experienced a series of evaluations and treatments, which is a good start. However, the persistence of your symptoms raises some important considerations.

Firstly, it is not uncommon for patients to experience a temporary improvement after a procedure like ear suctioning, only to find that symptoms return later. This can happen for several reasons. For instance, if there is residual infection or inflammation, it may cause a sensation of fullness or blockage in the ear. Additionally, if the ear canal is still inflamed or if there is an underlying issue such as fluid accumulation or a secondary infection, these could contribute to your ongoing discomfort.

In your case, since you initially received a diagnosis of external otitis and later a fungal infection, it is essential to consider the possibility that the treatment may not have fully addressed the underlying issue. Fungal infections, in particular, can sometimes be stubborn and may require a longer duration of treatment or a different type of medication. If you find that your symptoms are worsening or not improving after a few days of treatment, it is advisable to return to your healthcare provider sooner rather than later.

Here are some key points to consider regarding your situation:
1. Symptom Monitoring: Keep a close eye on your symptoms. If you notice increased pain, discharge, or a significant change in your hearing, these are indicators that you should seek medical attention promptly.

2. Duration of Treatment: While it is common to wait until the completion of a prescribed treatment course before returning to the doctor, if you feel that your condition is deteriorating, it is perfectly acceptable to seek further evaluation before finishing the medication. Your health and comfort should always take precedence.

3. Follow-Up Care: If you experience a return of symptoms after initial improvement, this could indicate that the treatment was not entirely effective. It may also suggest that there is another underlying issue that needs to be addressed. A follow-up appointment can help clarify the situation and allow for adjustments in your treatment plan.

4. Communication with Your Doctor: When you do return to your doctor, be sure to communicate all of your symptoms clearly, including any changes you have noticed since your last visit. This information will help your healthcare provider make a more informed decision about your care.

5. Potential Need for Further Testing: If your symptoms persist despite treatment, your doctor may recommend additional tests, such as imaging studies or cultures, to better understand the cause of your symptoms and to rule out other potential issues.

In conclusion, while it is reasonable to wait until you finish your medication to see if your symptoms improve, do not hesitate to return to your healthcare provider if you feel that your condition is worsening or if you have concerns about your treatment. Ear issues can sometimes be complex, and timely intervention can prevent complications and lead to better outcomes. Your proactive approach to your health is commendable, and seeking further evaluation when necessary is an important part of managing ear-related issues effectively.

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