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What can cause a continuous ringing and pain in the ear?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a student, and I am 23 years old. Five days ago, I had a severe vertigo feeling (severe headache, moderate fever, nausea, vomiting, loss of balance). This symptom started every evening, and after sleeping, I was totally fresh in the morning. Here, due to the corona pandemic, I could not go to the hospital. I have a chronic history of infection in this (right ear). I had no vertigo in the past. But have a history of fungal and pseudomonas infection. I was prescribed Otosporin a lot. Eardrum was fine according to previous diagnoses. I used a drop for two days feeling vertigo are not there now, but still, some dizziness is present. And there is a continuous ringing and sometimes pain and allergy in my right ear, and the left ear is fine.

Answered by Dr. Pruthvi Raju Uppalapati

Education:

MS Oto-Rhino-Laryngology

Professional Bio:

Dr. Pruthvi Raju Uppalapati is an Otolaryngologist with seven years of clinical experience. He completed his MS in Otorhinolaryngology in 2016 at Dr. NTR University of Health Science. Currently, he is practicing as an ENT surgeon and chest and asthma consultant at Sri Krishna Nursing Home, Rajam, Andhra Pradesh. He is also trained in handling allergies and several other chest diseases effectively.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern. Is your ear discharging frequently? As per your complaints, it is suggestive of chronic supportive otitis media(CSOM). Are you sure your membrane is intact and normal? Have you seen an endoscopic picture? I understand you cannot go to a hospital now. So, for the time being, start yourself not the following medication: 1. Tablet Amoxicillin (Amoxil) 500 mg twice daily after food for five days. 2. Tablet Montek LC (Levocetirizine and Montelukast) once daily before sleep for seven days. 3. Tablet Pantop DSR (Pantoprazole) once daily before breakfast for five days. 4. Ciplox D (Ciprofloxacin) ear drops thrice daily 5. Tablet Betahistine 24 mg (Betavert). Keep your ear dry at all times. Get an endoscopy done for the eating and get the discharge cleaned at the same time once you have access to an ENT (ear, nose, and throat) doctor.

Investigations to be done

Endoscopic ear examination, an x-ray of both the mastoids.

Differential diagnosis

Otitis externa.

Probable diagnosis

CSOM (Chronic suppurative otitis media).

Preventive measures

Keep your ear dry.
Medically reviewed by Dr. Sneha Kannan
Published At April 4, 2020
Reviewed At May 21, 2024

Education:

MS Oto-Rhino-Laryngology

Professional Bio:

Dr. Pruthvi Raju Uppalapati is an Otolaryngologist with seven years of clinical experience. He completed his MS in Otorhinolaryngology in 2016 at Dr. NTR University of Health Science. Currently, he is practicing as an ENT surgeon and chest and asthma consultant at Sri Krishna Nursing Home, Rajam, Andhra Pradesh. He is also trained in handling allergies and several other chest diseases effectively.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a Dental Surgeon with 11 years of clinical experience in treating patients with various oral conditions. She graduated from SRM Dental College and Hospital, Chennai, in the year 2012 and then did courses in minor oral surgeries, dental emergencies, and rotary endodontics. She is the proprietor and Head Dental Surgeon of Crown Me White Dental Clinic, Coimbatore. In addition, Dr. Sneha is the Senior Medical Reviewer at iCliniq.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MS Oto-Rhino-Laryngology

Professional Bio:

Dr. Pruthvi Raju Uppalapati is an Otolaryngologist with seven years of clinical experience. He completed his MS in Otorhinolaryngology in 2016 at Dr. NTR University of Health Science. Currently, he is practicing as an ENT surgeon and chest and asthma consultant at Sri Krishna Nursing Home, Rajam, Andhra Pradesh. He is also trained in handling allergies and several other chest diseases effectively.

This doctor is not available for online consultations on the platform anymore.

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