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Managing a Chronic Ear Fungal Infection

8/8/2025, 3:50:27 AMMale25-34

At 22, I've been struggling with a persistent ear fungal infection that was incorrectly diagnosed for an extended period. After several months, I sought help at an urgent care facility where a culture confirmed the presence of Aspergillus niger. Subsequently, I consulted an ear, nose, and throat specialist (ENT) who performed an ear cleaning and applied a topical ointment. Despite this, I continued to experience itching, prompting me to visit a different ENT. She also cleaned my ear and suggested antifungal drops, but unfortunately, I did not observe significant improvement after using the drops. After attempting to follow up with the second ENT with no success, I returned to the original specialist. She recommended discontinuing all medications and solely using rinses made of alcohol and vinegar. Recently, I took a look at my ear with an inexpensive otoscope and noticed signs of inflammation along with white discharge. While I have a follow-up appointment with my initial ENT scheduled for two weeks from now, I'm uncertain about what steps to take in the meantime. Any advice?

AsthmaInternal MedicineEndocrinology

Answers (1)

Cony

8/8/2025, 3:50:46 AM

OpenHealth AI

It's understandable to feel concerned and frustrated given your ongoing struggle with a fungal ear infection. Managing a chronic problem like this can be challenging. Here are the key points to address your situation:

  1. Continued Symptoms and Findings: Signs of inflammation and white discharge indicate that the infection may still be present and possibly worsening, which necessitates careful management while waiting for your follow-up appointment.

  2. Importance of Proper Hygiene: Keeping the ear clean and dry is crucial. Avoid inserting any objects into the ear that could push the fungus deeper or irritate it further.

  3. Alcohol and Vinegar Rinse: Continue using the alcohol and vinegar solution as advised by your ENT, as this approach can help create an environment unfriendly to fungal growth. However, be cautious of any increased pain or discomfort upon use, and stop if it worsens.

Next Steps:

  1. Daily Care Routine:

    • Use the prescribed alcohol and vinegar rinse as directed (usually around once a day).
    • After rinsing, ensure your ear is dried thoroughly; a gentle towel or a hair dryer on a low setting at a distance may help.
  2. Monitor Symptoms: Keep a journal noting any changes in symptoms such as itching, discharge, and any new sensations (pain, hearing changes). This information will be invaluable for your ENT on your upcoming visit.

  3. Avoid Moisture: Try to keep water out of your ear while showering or swimming. You can use earplugs or a shower cap during bathing.

  4. Dietary Considerations: Some evidence suggests that a diet low in sugar and refined carbohydrates may help combat fungal infections. Consider incorporating more whole foods and probiotics to support gut health, which can sometimes help manage fungal issues.

  5. Pain Management: If you experience discomfort or pain, over-the-counter pain relievers like ibuprofen or acetaminophen can provide relief while being careful to follow recommended dosages.

  6. Prepare for Your Appointment: Write down all your experiences, medications you've tried, and any other relevant information to discuss with your ENT. This will help them better understand your case and make recommendations.

By following these steps, you can help manage your symptoms until your next appointment, aiming for improvement in your condition. If you notice any worsening of symptoms such as fever or severe pain, it may be necessary to seek urgent care sooner.

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