Persistent Ear Infection for a Month with No Improvement After Two Courses of Antibiotics?
Age: 24 Weight: 190 lbs Height: 6’3" About a month ago, I began experiencing dizziness during gaming sessions. Initially, I thought this was due to prolonged screen exposure, but cutting back on that didn't seem to help. I went to urgent care and was diagnosed with an ear infection, for which they prescribed both amoxicillin and antibiotic ear drops. After completing the 10-day course, I sought treatment again at a different urgent care because my usual one was closed; I still felt unwell. The physician evaluated me and indicated that everything looked normal but suggested I continue to limit my screen time. Eventually, I visited my regular urgent care facility, covered by insurance, and they confirmed I still had an ear infection. They provided me with ciprofloxacin ear drops and recommended some allergy medication to help alleviate the fluid buildup behind the eardrum. This included Flonase and what I believe to be a nasal spray containing fluticasone. After another ten days, I initially felt some improvement, but upon my return to urgent care today, I learned that while the inner ear infection had resolved, there was still fluid present in the inner ear and a slight infection remaining in the outer ear canal. The doctor took a swab to identify the issue further. Should I be worried? I've read that lingering fluid can lead to complications like hearing loss and tinnitus. The medical professional suggested I take NyQuil for a week, but I'm curious whether this is safe to combine with Flonase and fluticasone. Currently, I experience only mild pain and occasional minor dizziness, which has improved significantly. However, I do feel a persistent sense of mild pressure in the area.
Answers (1)
8/29/2025, 7:54:23 AM
OpenHealth AI
It sounds like you've been dealing with a frustrating ear infection that has not fully resolved, and it’s understandable to feel concerned about the ongoing symptoms. You've already taken several important steps in seeking treatment, but let's clarify what may be happening and what you can do moving forward.
Main Points:
- Persistent fluid in the ear can be common after infections and usually resolves on its own but should be monitored.
- Combining NyQuil with Flonase and fluticasone is generally considered safe, but be cautious about NyQuil ingredients.
- Monitoring symptoms and following up with your doctor about fluid and infection status is essential.
Explanation:
Fluid buildup in the ear after an infection is common, especially in young adults. It can lead to feelings of pressure and mild dizziness. If the ear infection has started to resolve as your doctor noted, the remaining fluid can take time to fully drain or absorb. You're right to be aware of potential complications, but most cases of lingering fluid resolve without serious issues.
Next Steps:
-
Monitor Symptoms: Keep track of any changes in your symptoms, especially regarding pain, dizziness, or changes in your hearing. If your symptoms worsen or you experience severe pain, consult your doctor again.
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Use Medications Wisely:
- Flonase and Fluticasone: Continue using these as directed. They can help reduce inflammation and fluid.
- NyQuil: Ensure you check the active ingredients in NyQuil. If it contains decongestants, be mindful of using them with your other medications. Generally, it’s safe to use but avoiding excessive sedatives is wise. If you're unsure, a quick check with a pharmacist can confirm safety.
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Stay Hydrated: Keep drinking plenty of fluids. Staying well-hydrated can assist with draining mucus from the ears.
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Follow-Up: If the fluid doesn't improve in the next couple of weeks, or if you experience new or worsening symptoms, follow up with your healthcare provider. They may consider further evaluations, such as imaging or different treatments.
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Avoid Irritants: Avoid allergens, smoke, or anything that could exacerbate your symptoms.
You’re on the right track by seeking treatment and being proactive about your health. If you need more specific guidance as things progress, feel free to reach out again.
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