Understanding Otitis Externa
I am a 23-year-old male, standing 6’1” and weighing 95 kg. I occasionally smoke and consume alcohol. Recently, I was diagnosed with otitis externa by my physician. As part of my treatment, I have received a combination of antibiotic, antifungal, and steroid ear drops. After two applications of these drops, I've not experienced any reduction in pain; it remains unchanged, and oddly enough, my ear feels even more congested than before. Is this a typical progression? Additionally, when I exhale through my ears, I notice a small amount of liquid trickling down my throat. After researching online, I couldn't find any information indicating that this symptom aligns with otitis externa. Is that correct? I appreciate any insights you can offer.
Answers (1)

6/29/2025, 1:01:26 PM
OpenHealth AI
It sounds like you're experiencing persistent symptoms with your otitis externa after starting treatment, and I can understand how concerning that might be. Let’s break this down and address your main questions.
Main Points:
- Persistent Pain and Congestion: It’s not uncommon for symptoms to take some time to improve, but worsening congestion and unchanged pain after initial treatment warrant attention.
- Liquid Trickling Down Throat: The sensation of liquid trickling down your throat is not typical for otitis externa, which generally affects the outer ear canal without causing drainage to the throat.
Explanation:
- Otitis Externa (often called “swimmer’s ear”) is an infection of the external ear canal. Treatment typically involves drops to combat infection and reduce inflammation. Initial worsening of symptoms can occur due to irritation from the drops or if there are factors complicating the infection.
- The feeling of increased congestion could indicate that the ear canal inflammation hasn't subsided or that there’s another underlying issue. Otitis media (middle ear infection), for example, could be a possibility.
- The fluid trickling down your throat could suggest a different condition, possibly involving the Eustachian tube or middle ear drainage, rather than typical features of otitis externa.
Next Steps:
- Continue Using the Drops: Adhere to the prescribed treatment, unless advised otherwise by your physician, but monitor how you feel closely.
- Keep Track of Symptoms: Document any changes in pain, fluid, or any other sensations, especially if they worsen or new symptoms arise.
- Stay Hydrated: Drink plenty of fluids which can help thin mucus and may alleviate some congestion.
- Avoid Irritants: Since you smoke, try to reduce exposure, as smoking can aggravate ear conditions.
- Consult Your Physician: Given your ongoing symptoms, follow up with your physician sooner rather than later to discuss the lack of improvement and the unusual sensation of liquid, as they might want to reassess or adjust your treatment.
It’s important to take your symptoms seriously, so don’t hesitate to reach out for further medical guidance. Your well-being is the priority.
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