Ear digging can cause ear inflammation?
Hello doctor, two days ago my right ear was very itchy, so I used a cotton swab to clean it.
I didn't go too deep, but because it was a bit itchy, I rubbed the inner skin of my ear with the cotton swab.
Afterward, I felt pain and swelling in the skin inside my ear.
The next day, which was yesterday, my hearing felt as if there was cotton stuffed inside my ear, but it didn't hurt much anymore.
My family suggested that I see an ENT specialist for an examination.
The doctor checked and said there was inflammation in my ear, applied some medication, and prescribed both oral and topical medications.
Last night, I started to feel swelling and pain around my right eye, and I had to press on it with my hand to feel more comfortable.
This morning when I woke up, I noticed that my ear started to hurt.
It also hurt when I pulled on my earlobe.
The swelling and pain around my eye continued, and now I also have a throbbing pain on the right side of my head.
Since my symptoms during the doctor's visit are different from what I am experiencing now, should I wait to see if the medication the doctor prescribed works, or do I need to go back for another visit?
1.
U-SAVE CAPSULE 50, active ingredient: CEPHRADINE (MONOHYDRATE)
2.
ACETAL TABLET 500MG, active ingredient: ACETAMINOPHEN (=PARACETAMOL)
3.
ENZDASE ENTERIC F., active ingredient: SERRAPEPTASE (=SERRATIOPEPTIDASE)
Yuni, 30~39 year old female. Ask Date: 2015/06/03
Dr. Zheng Jueyi reply Otolaryngology
Hi Yuni: Hello, the symptoms suggest external auditory canal inflammation.
It is recommended to finish the medication and observe the situation.
Additionally, please refrain from using cotton swabs to clean your ears for the time being.
However, if the pain persists or worsens, or if you develop a fever, you should seek medical evaluation again.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2015/06/03
More Info
Ear infections can often arise from improper ear cleaning practices, and your recent experience highlights some common issues associated with this. It’s important to understand how to safely clean your ears and recognize the signs of potential complications.
First, let’s address the method of cleaning your ears. Using cotton swabs (Q-tips) is a common practice, but it can lead to problems if not done correctly. When you insert a cotton swab into your ear canal, there’s a risk of pushing earwax deeper into the ear, which can cause blockages. Additionally, if you apply too much pressure or insert the swab too far, you can damage the delicate skin of the ear canal, leading to irritation or even bleeding. This seems to be what happened in your case, as you mentioned that the skin felt painful and swollen after using the cotton swab.
The itching you experienced may have been a sign of irritation or an early indication of an infection. When the skin in the ear canal is damaged, it can become more susceptible to infections caused by bacteria or fungi. This is particularly true if moisture is trapped in the ear, which can happen if you clean your ears after showering or swimming. The sensation of having your ear "blocked" or feeling like there is cotton inside is often associated with fluid buildup or swelling in the ear canal, which can occur during an infection.
You mentioned that you were prescribed medication, including an antibiotic (Cephradine), an anti-inflammatory (Acetaminophen), and an enzyme (Serrapeptase). The antibiotic is intended to combat any bacterial infection that may have developed due to the irritation or injury from the cotton swab. Acetaminophen can help relieve pain and reduce fever, while Serrapeptase may assist in reducing inflammation and promoting healing.
Given that your symptoms have evolved, with the addition of pain in your ear, swelling around your eye, and headaches, it’s crucial to monitor your condition closely. If the pain worsens or if you develop new symptoms, such as fever, drainage from the ear, or significant swelling, it would be wise to return to your healthcare provider for further evaluation. Sometimes, infections can spread or lead to complications if not adequately addressed.
In terms of ear cleaning practices, it’s generally recommended to avoid inserting anything into your ear canal. The ears are self-cleaning; earwax (cerumen) serves a protective function by trapping dust and debris and preventing infections. If you feel that you have excessive earwax or if it’s causing discomfort, it’s best to consult a healthcare professional who can safely remove it.
In summary, while it’s understandable to want to clean your ears, it’s essential to do so safely. Avoid using cotton swabs inside the ear canal, and if you experience any discomfort, itching, or changes in hearing, seek medical advice promptly. Your health and safety should always come first, and professional guidance is the best way to ensure that your ears remain healthy.
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