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Understanding Persistent Ear Blockage and Discharge

8/6/2025, 6:30:51 AMMale25-34

Hello, I'm seeking insights regarding a concerning issue I've been experiencing with my ear. For several months now, I've noticed a persistent sensation of blockage in my left ear. This sensation fluctuates, but the episodes are becoming more prolonged. In my past, I dealt with a few ear infections and once experienced impacted earwax; however, this time it feels somewhat different. I have also noticed a foul-smelling, sticky discharge that occasionally drains, reminiscent of the aftermath of a swim (despite the fact that I haven't been swimming lately). I've consulted multiple general practitioners who assure me everything appears normal but usually prescribe drops, often a type of antibiotic such as Otodex. Additionally, I've visited an ear, nose, and throat specialist who cleared some debris from the ear, offering temporary relief, but the problem has returned. It feels as though there's an underlying condition that remains undiagnosed, and I'm eager for any suggestions that might shed light on the matter. Interestingly, my right ear is functioning properly and appears clear upon examination, with the eardrum visibly intact on camera—so this issue seems to be isolated to just one ear! M29

FibromyalgiaCOPDInternal Medicine

Answers (1)

Cony

8/6/2025, 6:31:15 AM

OpenHealth AI

It's understandable to feel frustrated with the ongoing issues in your ear. The persistent blockage and foul-smelling discharge suggest a possible infection or another underlying condition that hasn't yet been fully addressed. Your past experiences with ear infections and impacted earwax could contribute to heightened sensitivity in that ear.

Explanation: The symptoms you're experiencing—blockage and abnormal discharge—could indicate several issues, including chronic otitis media (middle ear infection), external otitis (swimmer's ear), or even eustachian tube dysfunction. Discharge that is foul-smelling often signals an infection that might need a more thorough examination beyond standard antibiotics.

Prioritized Next Steps:

  1. Monitor Symptoms: Keep a daily log of your symptoms, noting when blockage and discharge occur, their duration, and any accompanying symptoms like pain or hearing changes.

  2. Try Warm Compresses: Applying a warm compress to the affected ear may help alleviate discomfort and encourage drainage if there's any blockage.

  3. Saline Nasal Rinse: Using a saline nasal spray or rinse can help clear any nasal congestion that might be impacting the eustachian tube function, improving symptoms.

  4. Consider Ear Drops: If you haven't been evaluated for specific types of infections or conditions, ask your healthcare provider about pH-balanced ear drops that can aid in reducing irritation and fighting potential infections.

  5. Follow-Up with an ENT Specialist: Since you've seen specialists already, if the problem persists, consider asking for more specialized tests such as imaging (like a CT scan) or allergy testing, to look for underlying conditions that may not be visible on a regular examination.

  6. Seek a Second Opinion: If necessary, don't hesitate to seek a second opinion from a different ENT specialist who might have a different approach or additional insights into your symptoms.

It's important to continue advocating for yourself and articulating your concerns; changes in symptoms or new developments should always prompt further investigation. Let me know if you need more information on any of these points.

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