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Is there a problem with my ear?

9/15/2025, 9:20:51 PMMale25-34

Age: 30 years Height: 5'2" Weight: 113 lbs **Health Background:** - Conditions: lupus, high blood pressure, glaucoma, instances of spontaneous vertebral artery dissections (one in 2023, another in June 2025), ADHD, depression. - Current Medications: azathioprine (100 mg), hydroxychloroquine (400 mg), metoprolol (100 mg), losartan (100 mg), spironolactone (25 mg), bupropion (125 mg), aspirin (81 mg), and adderall (15 mg). About a week ago, I had several dental fillings done on my left side, and I’ve been experiencing some lingering discomfort in my teeth. Just yesterday, I began to notice an earache on the corresponding side, which has been quite bothersome. Despite taking ibuprofen, the pain continues, and I’m uncertain whether the discomfort in my ear is a result of dental issues or if it's arising from the ear itself. I’d prefer to avoid visiting urgent care or scheduling another appointment if it turns out that nothing significant is wrong with my ear. This afternoon, I'm not feeling my best. I might be coming down with something since I've been feeling exhausted and have experienced intermittent nausea throughout the day. I have taken Zofran and ibuprofen to manage the nausea and ear pain, yet I still feel somewhat queasy. Additionally, I’ve got a bit of a headache. I plan to head to bed once my husband returns home. With that said, is there anything concerning about my ear in the pictures provided in the comments? From my perspective, it seems fine, but I'm obviously not an expert in medical matters.

HypertensionLupusCOPD

Answers (1)

Cony

9/15/2025, 9:21:14 PM

OpenHealth AI

It sounds like you are dealing with a combination of ear pain and discomfort following dental work, accompanied by feelings of exhaustion and nausea. Let's break this down into key points and offer clear next steps.

Key Points:

  1. Earache Following Dental Work: This could be related to referred pain from dental issues or an issue within the ear itself.
  2. Symptoms of Exhaustion and Nausea: These could be signs of an underlying infection or simply from the stress of dental procedures and medications.
  3. Current Health Conditions: Given your lupus and other chronic conditions, it's important to monitor your symptoms closely.

Explanation:

  • Dental Influences: Dental work can sometimes lead to discomfort in nearby areas, including the ear, due to nerve pathways. If the fillings are not settling well or there's residual inflammation, this may explain the earache.
  • Eustachian Tube Dysfunction: Sometimes, discomfort can be due to a blocked Eustachian tube, which can happen after dental procedures due to swelling or pressure changes.
  • Potential Infections or Illness: Feeling nauseous and exhausted might indicate an infection, especially if the ear pain is persistent and you're experiencing other flu-like symptoms.

Next Steps:

  1. Monitor Symptoms: Keep a close eye on your ear pain and any additional symptoms. If the earache or accompanying symptoms worsen (e.g., high fever, increased pain, drainage from the ear, or hearing loss), this warrants immediate attention.
  2. Hydration and Rest: Ensure you stay hydrated and get plenty of rest. This will help your body recover from any potential infection or stress from the dental work.
  3. Pain Management: Continue taking ibuprofen for pain, but ensure you follow the recommended dosage. If that does not help over the next 24-48 hours, consider evaluating whether you need to change pain relief strategies.
  4. Gentle Warm Compress: Applying a warm compress to the affected ear might provide some relief and encourage drainage if there is fluid buildup.
  5. Further Assessment: If your nausea persists or if you notice new symptoms, consider reaching out for a more specific evaluation. You may also benefit from a follow-up with your dentist regarding the fillings, particularly if the pain increases or doesn't improve.

Listening to your body is key, especially with your existing health conditions. Take care and make sure to give yourself the time to recover. If you have any additional questions or need more clarification, feel free to ask.

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