Hearing management

Question
Posted by: Lynette | 2011-06-02

Q.

OTITIS MEDIA

otitis media : kindly please please help me  I have to go to the doctor every other month to have my ears syringed, i suffer from otitis media and was wondering is there NOTHING that can be done, on Sunday i had vertigo from it, and could not walk or sit up. I take nasal sprays, cortesone, anti phlem medication and just feel very desperate. Is there no permanent solution to my problem?
My eardrum, on the right ear, is red and swollen most of the time, I have relief about once a month for a few days then it comes back again. I block my ears when swimming or showering and washing my hair. I do not let water into my ears at all. my ears form scabs inside which has to be flushed out by the doctor. I am so sick of this, and my right ear rings a lot as well. I have to hold my nose and blow to get my right ear to open properly. I have been told I cannot wear a hearing aid in my right ear as it will create swelling and puss. What happens if my right ear drum bursts, will i have relief from this problem or just land up being deaf. I am so hoping that there is a permanent cure for my problem. I seem to suffer more in Johannesburg with this problem than when I am in W. Cape, N. Cape or Durban - why is that or is it just flook that I am in these provinces when my ear is fine. Kindly please assist. Kind regards, Lynn.

Expert's Reply

A.

Hearing Expert

HI,

It sounds like you have done a lot to treat the symptoms of your Otitis Media but I think it will be important for you to find an ENT Specialist who will try and investigate the cause. Sometimes the cause can be sinus related, allergies, germs, bacteria, but it can also be hereditary -in which case one can only treat the symptoms.
If you do not manage your infections adequately you do risk another 'burst' eardrum which apart from being painful can affect your hearing. Eardrums do heal slowly over time in most cases and can be surgically repaired (tympanoplasty) but most surgeons will not repair it if there is risk of further infections.

The reason you probably suffer more in Johannesburg is due to atmospheric pressure changes
•The eustachian tube (linking nasal/oral cavities to the ear) keeps the air pressure normal in your inner ear. Pressure inside the ear increases when the eustachian tube gets blocked with fluid (due to Otitis Media). This pressure can cause the eardrum in the middle ear to burst. You may have fluid draining from your ear because the fluid cannot drain through the eustachian tube. This is usually not a serious problem because with time the eardrum repairs itself, but it can be painful.

It is possible there is a permanent cure for you if a cause can be identified. See an ENT Specialist and look into the viability of ventilation tubes (grommets) to allow air into your middle ear.


Regards,
Nizha
Audiologist

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1
user comments

C.

Posted by: Hearing Care | 2011-06-08

HI,

It sounds like you have done a lot to treat the symptoms of your Otitis Media but I think it will be important for you to find an ENT Specialist who will try and investigate the cause. Sometimes the cause can be sinus related, allergies, germs, bacteria, but it can also be hereditary -in which case one can only treat the symptoms.
If you do not manage your infections adequately you do risk another 'burst' eardrum which apart from being painful can affect your hearing. Eardrums do heal slowly over time in most cases and can be surgically repaired (tympanoplasty) but most surgeons will not repair it if there is risk of further infections.

The reason you probably suffer more in Johannesburg is due to atmospheric pressure changes
•The eustachian tube (linking nasal/oral cavities to the ear) keeps the air pressure normal in your inner ear. Pressure inside the ear increases when the eustachian tube gets blocked with fluid (due to Otitis Media). This pressure can cause the eardrum in the middle ear to burst. You may have fluid draining from your ear because the fluid cannot drain through the eustachian tube. This is usually not a serious problem because with time the eardrum repairs itself, but it can be painful.

It is possible there is a permanent cure for you if a cause can be identified. See an ENT Specialist and look into the viability of ventilation tubes (grommets) to allow air into your middle ear.


Regards,
Nizha
Audiologist

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