Am I Worsening My Otitis Externa or Just Being Impatient?
Age: 27 Height: 5'4" Weight: 56 kg In addition to my ear medications, I’m currently on a PPI and an H2 blocker for gastroesophageal reflux disease (GERD). I received a diagnosis of otitis externa from an ENT specialist last Wednesday. The doctor provided me with a treatment plan that includes acetaminophen to alleviate pain, as well as an ointment containing mupirocin and betamethasone dipropionate, along with ear drops formulated with flucinolone, neomycin, and polymyxin. The ointment is to be applied three times a day for a week, while the ear drops are recommended for a duration of 10 to 14 days. I was also instructed to clean my ear using hydrogen peroxide and betadine (an antiseptic) twice daily for two weeks. An ear wick was placed in my ear and was supposed to remain there for two days, according to the doctor's guidance. Now, it’s Sunday, and while I have experienced some relief from the pain (though not significant enough to allow me to sleep comfortably when lying down), my ear feels quite blocked. I've also noticed a slight hearing loss that wasn’t present when I initially sought treatment. After taking a photo, it seems to me that the swelling has increased compared to last Friday. Furthermore, there is a new greenish spot at the top of my ear, which I suspect may be an abscess, as it was absent before. I don’t have a fever, but I feel somewhat unwell and weaker than I did at the onset of this condition, despite my pain diminishing somewhat. Should I return to the doctor to request oral antibiotics or possibly have the abscess drained? Or would it be better to continue with my current treatment for a little longer?
Answers (1)
9/7/2025, 7:40:35 AM
OpenHealth AI
It sounds like you're dealing with a frustrating situation with your otitis externa, and it's understandable to feel concerned about your progress. Based on your description, the increasing swelling, blocked sensation, and new greenish spot could indicate that your condition is not improving as hoped.
Main Points:
- You may be experiencing worsening symptoms of otitis externa.
- The new greenish spot could indicate an infection or abscess.
- You should consider seeking further evaluation from your doctor.
Explanation:
Otitis externa, also known as swimmer's ear, usually improves with prescribed treatments. However, symptoms like increased swelling, the appearance of a greenish area—potentially indicating pus or an abscess—may signify that the infection is becoming more severe or that drainage is needed. Hearing loss and a blocked feeling can also arise from significant inflammation or fluid buildup in the ear canal.
It's important to monitor symptoms closely, particularly any signs of increasing discomfort or systemic symptoms (like feeling unwell). The reduction in pain is a good sign, but if your overall condition is worsening, it's crucial to address this promptly.
Next Steps:
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Contact Your Doctor: Given your new symptoms (increased swelling, greenish spot, and sensation of blockage), it's advisable to reach out to your ENT or healthcare provider as soon as possible. Explain your current symptoms to them. They may suggest an evaluation to determine if oral antibiotics or drainage is necessary.
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Continue Current Care: Maintain the use of medications as prescribed until you can speak with your doctor, unless instructed otherwise. Avoid self-draining or any alteration of the treatment plan without guidance.
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Keep Monitoring Symptoms: Document any changes you notice and your overall health, which can help your doctor make informed decisions regarding your treatment.
Staying proactive about your health is key, and addressing these new symptoms early can lead to a better outcome. Please take care, and don't hesitate to reach out for help when needed.
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