Is It Necessary to Visit the Emergency Room?
As a 32-year-old male, I began a course of Z-Pak on Tuesday, followed by a 5mg dose of Trintellix starting Wednesday. By Friday at work, I experienced an unsettling vibration in my right ear, accompanied by a sensation as if it were about to rupture. Simultaneously, the right side of my nose felt as though it might run. Furthermore, from late Friday into Saturday morning, I observed an increase in blurriness in my vision. I recently woke up to find my right eye significantly more impaired than my left. Additionally, my anxiety has escalated since experiencing the ear issue on Friday.
Answers (1)

7/13/2025, 10:20:35 AM
OpenHealth AI
It’s understandable to feel anxious about these symptoms, especially given the combination of ear sensations, visual changes, and increased anxiety. Your condition requires careful attention. Let's break down what's happening and focus on your most important next steps.
Summary of Concerns
You've experienced unusual sensations in your right ear, increased blurriness in your vision, and heightened anxiety over the last few days. It’s important to be aware that these symptoms could indicate a range of conditions that may need further evaluation.
Explanation of Symptoms
- Vibration and pressure in the ear: This could be related to ear infections, Eustachian tube dysfunction, or side effects from medication, especially since you're on a Z-Pak and started Trintellix recently.
- Blurriness and impairment in vision: Sudden changes in vision are concerning, as they could be related to issues in the eye or neurological conditions.
- Increased anxiety: It's natural to feel more anxious when experiencing physical symptoms, but it can also be helpful to address both the physical and emotional aspects of your situation.
Immediate Next Steps
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Seek Medical Attention:
- Given the combination of ear symptoms, vision changes, and worsening anxiety, you should seek medical attention promptly. Consider visiting a healthcare provider or an urgent care facility rather than the emergency room if your symptoms are stable, but it’s important to prioritize getting evaluated.
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Monitor Symptoms:
- Keep track of any changes in your symptoms, especially the vision impairment and ear sensations. Note the time of occurrence, duration, and any triggers that may correlate with these symptoms.
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Reduce Anxiety:
- Practice relaxation techniques such as deep breathing or mindfulness to help manage anxiety. Keeping a calm mindset may help you better cope with the current situation.
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Avoiding Irritants:
- Stay away from loud noises and stressful environments until you can be evaluated to minimize further irritation or anxiety.
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Stay Hydrated and Rested:
- Ensure you're drinking enough fluids and getting adequate rest to support your body’s recovery.
If at any point you experience severe worsening of symptoms—such as significant pain, inability to see, or feelings of confusion—do not hesitate to seek immediate emergency care. Remember, it’s always better to err on the side of caution with concerning symptoms. Take care, and please follow up with a healthcare professional soon.
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