Could This Indicate Mastoiditis?
Hello, I'm a 32-year-old woman, standing at 170 cm and weighing 60 kg. I am currently taking birth control and escitalopram. About two weeks ago, I began experiencing some irritation behind my right ear. Initially, I assumed it was just skin irritation due to rubbing; however, it quickly escalated to a red, burning sensation. When it didn’t improve on its own, I visited my doctor on the 14th. She examined my ear for signs of infection but found none. Instead, she diagnosed me with a minor skin infection and prescribed mupirocin and mometasone creams, which I diligently applied for a week as instructed. I stopped using the creams two days ago since it appeared to be clearing up. Regrettably, I noticed that the pain returned yesterday and continued today. There is some noticeable redness, but strangely, the pain feels deeper now. It is very sensitive to touch and often hurts by itself, almost like a bruise around the bone behind my ear. Additionally, my ear experiences a sensation of pressure, akin to the feeling you get during flight (I tend to be sensitive to changes in atmosphere). The pain was particularly intense last evening, although it subsided somewhat overnight. However, it has flared up again this evening, despite my not touching it at all. Currently, the only indicators of a problem seem to be the pain, rated at about 6 out of 10, and the redness behind my ear. There is no swelling, fever, hearing loss, or discharge, and both ears appear normal from the back. I have resumed applying the creams to the affected area. My inquiry is whether I should wait until Monday to contact my doctor, or if this could indicate mastoiditis or another condition that merits a visit to the emergency room. I am hesitant to go if it isn't urgent. Thank you for your assistance.
Answers (1)
8/23/2025, 12:03:11 AM
OpenHealth AI
It sounds like you’re experiencing persistent and concerning symptoms that warrant careful attention. While mastoiditis—which is an infection of the mastoid bone behind the ear—can present with pain, redness, and pressure sensations, it’s important to clarify that this condition usually involves other symptoms such as fever, swelling, and changes in hearing. However, since you have pain, redness, and deep discomfort, it’s wise to address these symptoms seriously.
Explanation:
Your symptoms could be attributed to a few possibilities, including:
- Skin Infection: While you were previously treated for a skin infection, it may not have fully resolved, or a new infection could have developed.
- Ear Canal Issue: Inflammation or irritation in the ear canal can cause discomfort and a sensation of pressure, particularly if there's related swelling or fluid.
- Mastoiditis: Though less likely based on your current symptoms, it can occur without fever and present with deep pain.
Next Steps:
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Contact Your Doctor: Since your symptoms have returned and there is significant discomfort, it's advisable to reach out to your healthcare provider sooner rather than later, especially given the recent changes in your symptoms. If you feel the pain escalates or develops other symptoms (like fever or drainage), consider seeking care sooner.
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Continue Topical Treatment: You may continue using the mupirocin and mometasone creams as instructed, but be mindful and stop if irritation worsens.
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Monitor Symptoms: Keep track of any changes in pain intensity, the development of fever, swelling, or any discharge from the ear. This information can help your doctor assess your situation better.
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Pain Management: Over-the-counter pain relievers (like ibuprofen or acetaminophen) can help manage pain and inflammation, following the dosage instructions on the label.
Your concerns are valid, and it’s always better to err on the side of caution when it comes to changes in your health. If you have any doubt, especially if the pain worsens or you develop new symptoms, don’t hesitate to seek immediate care. Take care, and I wish you a speedy resolution to your discomfort!
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