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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Severe Pain Behind Ear Over Mastoid. Minimal Thick Ear Discharge. Prescribed Voveron Tramadol And Phenargen. Suggestions?

my sis in law is having severe pain behind the ear over mastoid process and minimal thick ear discharge and she has been given voveron tramadol 100mg im,phenargen 25 mg im and tab tramadol 6 hourly but no relief at all please suggest me medical management of pain for next 12 hr before i can take her to ent surgeon...thankyou
Fri, 30 Aug 2013
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ENT Specialist,  's  Response
Hello

Welcome in H.C.M.

By your query I came to knew that your sister in law is having ear discharge with pain behind the ear. This clinical history favors for these possibilities-

1- csom with mastoiditis.

2- otitis externa with post aural cellulitis.

To confirm the diagnosis and for management you should do-

1- C.T.scan of ear (HRCT).

2- culture and sensitivity of discharging pus.

3- Audiometry.

By above investigations and examination one may reach to a final diagnosis.

Regards.
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Allergist and Immunologist,  Dr. Suman Kumar's  Response
middle ear infections are the cause they cause these signs
add antibiotics tds along with pain kilers and antiallergics you are taking already
apply anti inflamatory ointments over mastoid and external auditory canal
use neomycin ear drops to dry the discharge
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Having Severe Pain Behind Ear Over Mastoid. Minimal Thick Ear Discharge. Prescribed Voveron Tramadol And Phenargen. Suggestions?

Hello Welcome in H.C.M. By your query I came to knew that your sister in law is having ear discharge with pain behind the ear. This clinical history favors for these possibilities- 1- csom with mastoiditis. 2- otitis externa with post aural cellulitis. To confirm the diagnosis and for management you should do- 1- C.T.scan of ear (HRCT). 2- culture and sensitivity of discharging pus. 3- Audiometry. By above investigations and examination one may reach to a final diagnosis. Regards.