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Dealing with Ear Issues While Traveling

8/6/2025, 6:40:27 AMMale25-34

Age: 26 years Gender: Female Height: 168 cm (5 feet 6 inches) Weight: 62 kg (142 lbs) Ethnicity: Caucasian Duration of symptoms: 10 days Location: Thailand Medical history: No significant issues reported Current medications: Prednisone, Amoxicillin, Ambroxol, Bilastine Hello, I'm reaching out for guidance as I'm facing some challenges during my travels, particularly with upcoming flights. About ten days ago, I went scuba diving and experienced slight muffling in my ear, which gradually got better over a few days. However, five days later, after a brief flight, I noticed that the fullness in my ear had significantly increased. While it wasn’t painful, I found it impossible to equalize the pressure. This situation has persisted for the last five days. Upon visiting a doctor, I was informed that my left ear contains approximately 80% fluid, but there are no signs of an infection at this point. The doctor prescribed prednisone, amoxicillin, ambroxol, and bilastine to assist in fluid drainage, indicating I should see improvement in three to seven days. I recognize that patience is crucial, but this has greatly disrupted my travel itinerary, forcing me to rely on long bus journeys instead of flying. With just two and a half weeks until my return flight, I’m concerned that I haven’t noticed any progress yet. I am regularly blowing my nose and occasionally seeing some clear mucus, but the pressure remains unchanged. Could anyone offer advice on do’s and don’ts to help expedite my recovery? The local physician only provided medication and suggested a follow-up in a week if there’s no improvement, but I am feeling quite miserable and anxious about the remainder of my trip, fearing that my condition might not improve soon. Thank you for your help!

LupusCOPDInternal Medicine

Answers (1)

Cony

8/6/2025, 6:40:45 AM

OpenHealth AI

It sounds like you're dealing with a frustrating ear issue that’s affecting your travel experience. You've already consulted a doctor who diagnosed fluid in your ear but no infection, and you’re currently on medication to help. Your primary goals seem to be reducing that fullness and finding ways to feel more comfortable during your travels.

Summary of Key Points:

  1. Your symptoms stem from fluid in the ear post-scuba diving and affected further by flying.
  2. Medication has been prescribed to help with drainage, but progress may take time.
  3. You need practical steps to alleviate pressure and improve comfort while traveling.

Explanation:

Fluid in the ear, often called effusion, can indeed cause feelings of fullness and pressure, especially after activities like scuba diving and flying. When you fly, changes in altitude can make it harder to equalize pressure, especially if there's existing fluid. The medications prescribed should assist in improving drainage and managing any accompanying symptoms, but this process can take some time.

Next Steps:

  1. Stay Consistent with Medication: Continue taking the medications as prescribed (prednisone, amoxicillin, ambroxol, and bilastine). They are intended to help reduce inflammation, assist drainage, and manage any potential allergic reaction.

  2. Practice Pressure Equalization Techniques: Use the Valsalva maneuver (pinch your nose shut, close your mouth, and gently blow) or the Toynbee maneuver (pinch your nose and swallow) several times a day to help equalize ear pressure.

  3. Stay Hydrated and Manage Mucus: Drink plenty of water and consider using a saline nasal spray to keep your nasal passages moist; this may help with fluid drainage.

  4. Avoid Nasal Irritants: Stay away from smoking or strong fumes, as they can exacerbate congestion and eustachian tube dysfunction.

  5. Keep Your Head Elevated: If possible, sleep with your head elevated to encourage fluid drainage.

  6. Ear Protection: If you must travel by air and feel pressure changes, consider using ear plugs designed for flying, which can help slow down the pressure change.

  7. Monitor Symptoms: Keep track of any new symptoms or changes in your current condition. If you experience sharp pain, discharge from your ear, or fever, it would be essential to seek medical attention sooner.

  8. Rest: If feasible, take breaks during your travel to allow your body to recover, and avoid strenuous activities that could exacerbate your condition.

Conclusion:

Manage your symptoms as best you can with these strategies while continuing your medication. If you find no relief after a week or if your condition worsens, it would be wise to consult another healthcare professional in your area. Remember, patience is key as recovery from fluid in the ear can take time, especially while traveling. Stay positive as you navigate this situation!

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