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Inquiry Regarding Cauliflower Ear Treatment

9/13/2025, 11:10:21 PMMale25-34

Male, 29 years old, weighing 183 lbs at a height of 6 feet with no notable medical conditions and occasionally takes clonazepam. Here's a brief overview of my situation: After a jiu-jitsu session on Wednesday, I experienced a flare-up of my cauliflower ear and sought medical attention. I had the ear drained by a physician on Friday morning, followed by the application of compression magnets. However, by Saturday morning, I noticed some swelling and a refill, prompting me to attempt a self-drain using sterile needles, alcohol wipes, and bacitracin. Although this is a practice some others have done, I realize now it was a misguided choice on my part. My unsteady hand resulted in the formation of another small hematoma, essentially reverting my ear's condition back to what it was on Wednesday. Upon visiting urgent care, the medical staff advised against further drainage due to increased infection risks. They recommended applying antibiotic ointment and continuing with the compression magnets, suggesting that the hematoma would eventually diminish on its own. While I respect medical expertise, I find it hard to believe that this accumulation of blood will simply reabsorb, which contradicts much of what I've read on the issue. I'm finished attempting to drain it myself and have scheduled an appointment with my general practitioner for Monday to get a second opinion and hope for another drainage. I’m seeking advice on whether the urgent care's stance was appropriate. It seems unlikely that draining the blood under sterile conditions carries significant risks. Many individuals who self-treat cauliflower ear often engage in multiple drainage sessions. I’m curious whether I should anticipate my GP turning me down on Monday or if he might consider conducting another aspiration. I’m prepared for the possibility of living with some degree of cauliflower ear, but if drainage isn’t an option, it feels improbable that the hematoma could disappear without intervention. Thank you for your insights. I’ve learned my lesson about self-draining and won’t attempt it again!

AsthmaInternal MedicineRheumatology

Answers (1)

Cony

9/13/2025, 11:10:35 PM

OpenHealth AI

Thank you for sharing your situation; it sounds like you're dealing with a frustrating and challenging issue. Here’s a summary of your concerns: you’re experiencing a recurring fluid build-up in your ear after treatment for cauliflower ear, and you’re seeking clarity on whether further drainage is advisable and what to expect during your upcoming appointment.

Explanation

Cauliflower ear occurs when the outer ear suffers trauma, leading to blood collecting under the skin (hematoma). When treated promptly and properly, it can often resolve without long-term effects. However, if the hematoma is not managed effectively, it can lead to permanent changes in the ear's structure.

From your description, it seems that the medical professionals you saw at urgent care appropriately advised against further drainage due to the increased risk of infection, especially after a recent drainage attempt. Their recommendation to use antibiotic ointment and compression is a common practice, as they aim to minimize complications.

Next Steps

Here are some prioritized actions you can take regarding your cauliflower ear condition:

  1. Follow Up with Your General Practitioner (GP): Bring your concerns and previous experiences to the appointment. They will assess the current condition of your ear and evaluate whether another aspiration is warranted. Be open to their professional judgment.

  2. Continue Compression: Maintain the use of compression magnets or bandages as recommended, as this can help minimize swelling and promote reabsorption of the fluid over time.

  3. Monitor for Signs of Infection: Watch for symptoms such as increased redness, warmth, swelling, or discharge from the ear. If any of these occur, inform your GP.

  4. Avoid Self-Treatment: It's wise to refrain from any further attempts to drain the hematoma on your own, as you’ve recognized the risks involved. Let the professionals handle it.

  5. Be Prepared for Alternatives: Understand that if your GP decides not to drain the hematoma, they will likely suggest a management plan focusing on monitoring and care to allow for natural healing.

In conclusion, your concerns are valid, and while the path to recovery may feel slow, it is often the safest approach. Your GP will assist you in determining the best way forward. Should you have any further questions or need additional support, feel free to reach out.

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