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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Pain And Tenderness In Ear

Tenderness behind ear for 3 weeks in addition to ear pain, went to doctor said no ear infection, referred to neuro. Meanwhile, pain increased significantly, went to a urgent care who said auditory canal was inflamed, low grade fever and gave me steroids and neurotin for ear pain. Pain disappeared, but came back shortly after finished with steroids. Went back to doc who said no infection put on more steroids until seen neuro. Pain eased up. Then a stabbing pain in ear. Then placed on antibiotics and given CT followed by MRI - after CT reading. Was told extensive partial opacification of left mastoid air cell with air fluid levels. Final impression mastoiditis. Referred to ENT - who stated he seen no ear infection and only slight hearing loss and referred back to neuro. Meanwhile, tenderness behind ear disappeared after 10 days of levaquin but stabbing pain (although much less frequent) and full throbbing still exist. Am I loosing my mind? Failed to mention at neuro (who ordered testing) placed me on a 10 day Valium blast to ease the tension in my muscles, as he thought it was all stressed induced. Then referred me to ENT after results.
Thu, 12 Mar 2015
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ENT Specialist,  's  Response
Hello,
welcome to healthcare
very difficult to understand.
But if I consider your symptoms and imaging, it is definitely mastoiditis, unless proved otherwise.
If you were my patient, I would prefer augmentin 625 for at least one week with nasal decongestant, pain killers. All together and review there after to decide further for change or to continue
this is based on your description. But an examination of ear canal and tympanic membrane is must.
Though I would not consider a neurologist until I am sure that there is no ear cause.
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Suggest Remedy For Pain And Tenderness In Ear

Hello, welcome to healthcare very difficult to understand. But if I consider your symptoms and imaging, it is definitely mastoiditis, unless proved otherwise. If you were my patient, I would prefer augmentin 625 for at least one week with nasal decongestant, pain killers. All together and review there after to decide further for change or to continue this is based on your description. But an examination of ear canal and tympanic membrane is must. Though I would not consider a neurologist until I am sure that there is no ear cause.