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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Safe Is Taking Anti Fungal Medication For Fluid Leak From Ear?

hi there, I live in calgary in last four years, Every winter time I have in my ear liquid coming out and its smell bad, in last four years every time i changed specialty so called ENT doctor they did not gave me any clear answer why this happening but one of them prescribed antibiotics its work at that time and after that next year one of them prescribed anti fungal it was works back than but this year i use same anti fungal it was look like works but the smell occasionally still coming and fluid dose not stop too, please can any one give me suggestion what I would do, I would be appreciated, thank you
Thu, 28 May 2020
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General Surgeon,  's  Response
Hi,

Noted your history of recurrent ear discharge particularly during a particular season for 3 years, last year anti-fungal helped but not helping this time, the discharge is foul smelling.
As per the history the most probable reasons for such a problem is as follows:
Cholesteatoma formation.
Mastoiditis.
Nose and sinus infection with Eustachian tube dysfunction.
Hence I would advise the following in all such patients.
First of all to send the pus for gram staning, culture and sensitivity.
CT scan of mastoids.
Investigations of blood
ENT Endoscopy.
Audiometry.
Surgery if the cause is surgical.
Anti-fungal only if there is any evidence of fungal infection.
Symptomatic and supportive management.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT and General Surgeon
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How Safe Is Taking Anti Fungal Medication For Fluid Leak From Ear?

Hi, Noted your history of recurrent ear discharge particularly during a particular season for 3 years, last year anti-fungal helped but not helping this time, the discharge is foul smelling. As per the history the most probable reasons for such a problem is as follows: Cholesteatoma formation. Mastoiditis. Nose and sinus infection with Eustachian tube dysfunction. Hence I would advise the following in all such patients. First of all to send the pus for gram staning, culture and sensitivity. CT scan of mastoids. Investigations of blood ENT Endoscopy. Audiometry. Surgery if the cause is surgical. Anti-fungal only if there is any evidence of fungal infection. Symptomatic and supportive management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT and General Surgeon