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Deeqa Natasha from Singapore asked a question

What is the normal progression of an ear infection, and when should I seek help?

I’ve been having an ear infection for 3 days now. The doctor mentioned that my ear drums are infected, and I was prescribed with antibiotics/painkillers and arranged for a follow-up 1 week later. However, my ears are still in pain and blocked. I’m not sure if I should head down to the A&E/see an ENT specialist, or just wait for the ear infection to subside? I’m worried that the condition worsens.

DOCTOR’S ANSWER (3)
Dr Annabelle Leong
Ear, Nose & Throat
Singapore
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Dr Annabelle Leong
Ear, Nose & Throat
Singapore
Answered on Thu Aug 09 2018 12:38:49 GMT+0000 (UTC)
Dear Natasha,

Oh dear, I know exactly how awful it must be to have to suffer ear pain from an eardrum infection because I have experienced it myself before!

Eardrum infections commonly result from having had a bad cold or flu as the same "bug" that caused the flu, tracks up the pressure tubes (Eustachian tubes) which lead to your eardrums. 

I wonder what antibiotic you have been prescribed? The "bugs" which cause ear infections may sometimes be resistant to simple penicillin/amoxicillin which is what many family practitioners usually prescribe. I hope you're on Augmentin or Klacid because they are the best antibiotics for eardrum infections. 

If your ears are still painful and blocked, there might be infected fluid or pus  trapped behind your eardrums which may need to be drained to relieve the pain and improve your hearing. Draining the trapped fluid behind the infected eardrum...

0 57 views 0 Doctors agree Thu Aug 09 2018 12:38:49 GMT+0000 (UTC)
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Dr Lynne Lim
Ear, Nose & Throat
Singapore
(1 Ratings)
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Dr Lynne Lim
Ear, Nose & Throat
Singapore
(1 Ratings)
Answered on Fri Aug 10 2018 02:07:31 GMT+0000 (UTC)

Dear Natasha,

Ear infections can be really painful as the middle ear cavity is really small, about only 1.5 cm3 volume. So when fluid and infection builds up behind the ear drum, the pressure and inflammation can be excruciating. In some cases, the ear drum bursts, which relieves the pressure, but to allow the perforation to heal, the infection would still have to be treated.

If it is a viral infection, antibiotics do not help. If your ear infection was associated with an upper respiratory tract infection (URTI) like a cough, cold or flu - medications to control the URTI would help resolve the middle ear infection faster too.

If it is a bacteria infection, then the antibiotic type and dose would need to be appropriate. 

The blocked sensation would likely result in some reduction of hearing sensitivity. Usually,...

0 38 views 0 Doctors agree Fri Aug 10 2018 02:07:31 GMT+0000 (UTC)
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Dr Gan Eng Cern
Ear, Nose & Throat
Singapore
(6 Ratings)
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Dr Gan Eng Cern
Ear, Nose & Throat
Singapore
(6 Ratings)
Answered on Wed Aug 08 2018 11:19:34 GMT+0000 (UTC)

Dear Natasha,

The duration of an ear infection depends on the severity of the infection and if it is an outer ear or middle ear infection. 

If it is an outer ear infection (known as otits externa or swimmer's ear), you will lilely need the debris, pus and wax in your ear canal suctioned out (usually by an ENT Specialist). Together with antibiotic ear drops, this helps fasten the recovery of the ear infection (typically recovers within 1-2 weeks).

If it is a middle ear infection, it may take 1-2 weeks (if there is no fluid  in the middle ear) or up to 2-3 months (if there is fluid in the middle ear) to clear up. If you have received treatment for 3 days without any improvement in symptom, you should see an ENT Specialist for an assessment.

Hope...

0 78 views 0 Doctors agree Wed Aug 08 2018 11:19:34 GMT+0000 (UTC)
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