Ear Canal Inflammation: When to Seek Medical Help - Otolaryngology

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External auditory canal inflammation


A few days ago, I experienced severe pain in both ears due to excessive ear cleaning.
I conducted a self-examination and found that swallowing does not hurt, there is no fever, but pressing around the ears causes pain, and my hearing is normal.
When I visited the doctor today, they diagnosed me with otitis externa and prescribed ear drops.
After using the drops in my right ear, the pain gradually worsened, and I also developed a feeling of blockage, which is very uncomfortable.
I experience pain when I burp, and my hands and feet feel cold, but swallowing still does not hurt.
Should I see the doctor again tomorrow given that the pain is quite unbearable? Thank you.

Wei, 20~29 year old female. Ask Date: 2014/11/18

Dr. Zheng Jueyi reply Otolaryngology


Hello: If your symptoms do not improve after applying the medication, it is recommended that you return to discuss with the original physician whether to change the medication or pursue other treatments.
Wishing you peace and health.
Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare, Zheng Jue-Yi.

Reply Date: 2014/11/18

More Info


When dealing with ear canal inflammation, also known as otitis externa or swimmer's ear, it is crucial to understand the symptoms and when to seek further medical help. Based on your description, it seems you are experiencing significant discomfort and pain in both ears after attempting to clean them, which has led to inflammation. The fact that you are feeling increasing pain and a sensation of blockage, along with discomfort when swallowing, indicates that your condition may not be improving as expected.

First, let's break down the symptoms you are experiencing. Pain in the ear, especially after cleaning, can often be a result of trauma to the ear canal. This can lead to inflammation and infection, which is what your doctor likely diagnosed as otitis externa. The pain you feel when pressing around the ear is a common symptom of this condition, as the inflammation can make the area very sensitive. The sensation of blockage could be due to swelling in the ear canal or the presence of fluid, which can occur with inflammation.

The fact that you are experiencing increased pain after starting treatment with ear drops is concerning. While ear drops are typically effective in reducing inflammation and treating infections, they can sometimes cause irritation if there is a perforation in the eardrum or if the ear canal is too inflamed. Additionally, if the drops are not reaching the inflamed area effectively, they may not provide the relief you need.

Your mention of feeling cold in your hands and feet could be a separate issue, but it is worth noting. This symptom may indicate a systemic response to pain or discomfort, or it could be related to anxiety about your condition. However, if you are feeling generally unwell or if these symptoms persist, it is essential to discuss them with your healthcare provider.

Given that your pain is worsening and you are experiencing a sensation of blockage, it is advisable to seek medical attention again. You should not wait if the pain becomes unbearable or if you notice any new symptoms, such as fever, drainage from the ear, or significant hearing loss. These could indicate a more severe infection or complications that may require immediate intervention.

In the meantime, here are some self-care measures you can take to help alleviate your symptoms:
1. Avoid inserting anything into your ears: This includes cotton swabs or any other objects, as they can further irritate the ear canal and worsen inflammation.

2. Warm compress: Applying a warm compress to the affected ear can help soothe pain and reduce discomfort.

3. Pain relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain. Be sure to follow the dosing instructions on the package.

4. Stay hydrated: Drinking plenty of fluids can help your body fight off any potential infection.

5. Rest: Ensure you are getting enough rest to allow your body to heal.

If you do decide to return to your doctor, be sure to communicate all your symptoms clearly, including the increased pain, the sensation of blockage, and any other changes you have noticed. This information will help your healthcare provider assess your condition more accurately and determine the best course of action.

In summary, while ear canal inflammation can often be treated effectively with medication, worsening symptoms warrant a follow-up visit. It’s essential to prioritize your health and seek help if your condition does not improve or if it worsens.

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