Understanding Post-Cleaning Ear Discomfort and Concerns
I am a 56-year-old female experiencing a variety of ear issues predominantly on the left side. I was born with a congenital anomaly affecting my Eustachian Tube, resulting in ongoing negative pressure problems. By the age of five, I developed cholesteatoma in the mastoid region. When I turned twelve, I had a reoccurrence that surrounded the middle ear bone, necessitating a reconstruction with a plastic prosthesis. Eventually, as titanium prosthetics became available, the initial plastic one had deformed and dislocated. A year ago, I experienced a sudden hearing loss, and a CT scan showed that my cranial air spaces were filled with fluid. Consequently, a tube was inserted in my ear for drainage, alongside a three-and-a-half-hour sinus surgery procedure. Most recently, on April 1, 2025, I visited for a routine ear evaluation. Not long ago, an ENT cleaned my ears, but my neurotologist recommended a follow-up check-up. It's worth mentioning that he has not conducted an ear cleaning or addressed an ongoing external ear infection, so I did not anticipate needing an additional cleaning. The neurotologist's notes included observations indicating a widened left auricle with a scar on the tragus. It mentioned that debris was removed from the inferior wall of the left external auditory canal using appropriate tools. Furthermore, the left tympanic membrane displayed evidence of cholesteatoma and ossification in the posterior-superior area, with an artificial t-tube still in position and functioning. Regarding the tympanic membrane's mobility, it is described as abnormal with reduced function on the left side. Unfortunately, I haven't received clarification on these findings. I have questions: does a CG refer to a cholesterol granuloma? What does scar tissue ossification entail? I was not informed about any necessary follow-up; should there be one, and what form would it take? Following the appointment, I took the opportunity to have my hearing aids cleaned, and later, I noticed itching in my left ear. Upon checking, I discovered a small amount of blood. The clinic advised me to monitor the situation for several hours and to refrain from using my hearing aids. The bleeding persisted for over an hour, eventually changing to a straw-colored fluid. I experienced discomfort trying to sleep last night, and wearing my hearing aids has become painful. I plan to share more details and images in the comments below, but it appears the option to do so is currently not available.
Answers (1)
4/2/2025, 8:20:44 PM
OpenHealth AI
You are dealing with a complex history of ear issues and it sounds like you’re experiencing several concerning symptoms following a recent ear cleaning and evaluation. Your primary questions seem to revolve around your recent findings, potential follow-ups, and the current symptoms of bleeding and discomfort in your left ear. Here’s a structured approach to address your concerns:
Summary of Main Points:
- Your recent symptoms include bleeding and discomfort after an ear cleaning procedure.
- The findings from your neurotologist suggest ongoing ear issues, including scar tissue and potential cholesteatoma.
- Clarification is needed about specific medical terms and the next steps in your care.
Explanation:
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Cholesterol Granuloma (CG): Yes, "CG" usually refers to cholesterol granuloma, which can be a type of growth that occurs in the ear, particularly in relation to cholesteatoma. It’s important to discuss this directly with your health provider for clarity on its implications in your case.
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Scar Tissue Ossification: This refers to the process where scar tissue hardens and may affect the normal mobility of the tympanic membrane (eardrum). It can impact hearing and may indicate complications related to past surgeries or infections.
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Current Symptoms: The bleeding and pain you’re experiencing can be concerning. Since you've noticed a small amount of blood and discomfort, especially after the cleaning and due to your complex medical history, it's essential to monitor these symptoms closely.
Next Steps:
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Immediate Monitoring: Continue to observe your symptoms closely. If the bleeding does not stop, or if you begin to experience increased pain, drainage changes (such as pus), or heightened discomfort, seek immediate medical attention.
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Avoid Hearing Aids: As advised, refrain from using your hearing aids until the bleeding and discomfort resolve. This will help prevent further irritation.
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Scheduled Follow-Up: It is advisable to follow up with your neurotologist or ENT as soon as possible to discuss:
- The findings from your last appointment and what they indicate for your health.
- Clarification on the need for a follow-up due to your abnormal tympanic membrane and the recent symptoms.
- A proper evaluation of the bleeding and any signs of infection or complications.
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Document Changes: Keep a log of any changes in your symptoms, such as the frequency or amount of bleeding, pain levels, and any other new symptoms. This information can be helpful in assessing your condition during your follow-up.
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Maintain a Gentle Routine: For relief from discomfort, consider gentle ear care and avoiding any activities that might exacerbate the issue (like swimming or skills that put pressure on your ears).
It's understandable that with your extensive medical history, these recent developments may feel overwhelming. Take comfort that monitoring your symptoms and closely engaging with your healthcare providers will help you manage your condition effectively. If you have any further questions or concerns, don't hesitate to reach out to your healthcare team.
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