Thursday, May 11, 2006

Earache my eye!

Q: Doug, can I ask an ear question?  I have an earache.  Sharp intermittent pains.  Hurts when I swallow.  (and greenish mucus from the nostril on that side, the side with a polyp ... I'll never be able to look you in the face after this revelation.  Allergies?

A: Bare minimum, you have a sinus infection on that side. That green yuck coming out of your nose? It's flowing down into your throat, too. On the way down, it passes by your Eustachian tube orifice. Any irritation of the ET orifice will be felt as a pain in the ear. The general term for this is "referred otalgia."

Infection can also ascend via the Eustachian tube, causing an outright ear infection. You don't mention hearing loss, so I'm going to guess you don't actually have an ear infection.

Allergies? Maybe, but that's not the whole story. Allergies won't give you green mucus -- but sinus infection will. You're gonna need an Rx.

D.

9 Comments:

At 11:39 PM, Blogger crystal said...

Hi Doug. I have green mucus often, on that one side, but usually no other problems (except for the coughing, stuffiness, etc). But the good news ... my ear feels better today, so I think it's self-healing :-). Thanks for the info!

 
At 7:33 AM, Anonymous Francis Paradela said...

I have a problem and this was not clearly explain on the preceeding page that's why I'm asking you, This is about my dizziness, actually not for a long period of time but frequently especially when I stand from setting the chair or when i look down, I felt dizzy, is it a symptom for eye vision problem or high blood pressure? Please advise,

thanks

 
At 5:19 PM, Anonymous Doug Hoffman said...

(1) The getting-up-too-quickly dizziness is a symptom of low blood pressure, not high blood pressure.

(2) Dizziness when looking down: this depends on whether you're making an eye movement alone, or moving your head, too. If you get dizzy with a simple eye movement, I would suggest you begin your search with an eye doc (ophthalmologist). On the other hand, if you are moving your neck, too, then this raises a number of other possibilities, including cervical vertigo and certain vascular conditions. An ENT would be the best person for this.

 
At 7:27 PM, Anonymous Anonymous said...

hey Dr.Doug, just reading your questions and comment section and I have a question, I have been ear candling due to impacted ear wax I have gotten out(I know you will laugh) approximately a quart jar full of hard brown wax. How could this be ,I ask my ear dr.He said don't worry about it. After 5 years of going to md.s, taking antx and hearing bull shit my ears were about to explode. I just cannot imagine where all this has been hiding. Please, I know that it is ear wax and not candle wax because I am a certified expert on ear coning. thanks for taking the trime to respond to peoples concerns because ear suctioning from ent don;t get it and neither does he. thanks Kathy

 
At 10:37 PM, Anonymous Anonymous said...

Doctor Hoffman, why don't you ENT's ever perscribe echinacea/goldenseal to people with congestion and sinus problems. It's natural and it works! I spent an entire year with ear congestion and re-occuring sinusitis. Always I was told to take Nasonex, Antihistamines, decongestion meds. I was so drugged up all the time I was experiencing side effects from the meds. Until one day I was told to take echinacea/goldenseal - It's an herbal medicine that the Native Americans used. It worked instantly , clearing all of my congestion, crackling ears, infections, etc. I am now a true believer in herbal medicine. I will nolonger be persuaded by you doctors who are seemingly trying to make a buck from people.

 
At 7:17 AM, Anonymous Anonymous said...

I AM A 40 YR OLD FEMALE WITH RECURRING EAR PAIN OR INFECTION(SAME EAR) ABOUT EVERY 3MO NOW FOR THE PAST YEAR. I DO HAVE SINUS AND ALLERGY PROBLEMS FOR MOST ALL MY LIFE, I HAVE NOT HAD EAR INFECTIONS SINCE I WAS A CHILD. WHY AS AN ADULT WOULD I BE EXPERIENCING THESE RECURRING EAR INFECTIONS NOW, CURRENT MEDS ARE FLONASE, ASTELIN AND SINGULAIR.
THANKS

 
At 6:13 AM, Blogger martin said...

Dr. Hoffman,
suddenly i can't hear from my left ear due to wax {i guess} and to top it all i hear a hissing noise which can drive you crazy at times can you give me some advice please
thanking you
martin

 
At 8:06 PM, Anonymous laser eye clinic said...

Early diagnosis of any potential problems will decrease the chance of severe damage to our sight. Remember prevention is better than a cure,so make sure that you have an eye care exam.

jayn

 
At 7:43 PM, Anonymous Anonymous said...

Hello Doctor: I believe I have dacrocystitis as for years now I get a gritty discharge from the one eye (left eye)next to the nose
and on some days I got to wash it out 3 times a day because I feel it and its like a "grindy" feeling. I also had a nose job about 35 years ago and maybe that affected the drainage system. Anyway, is this a case for f thin wire that an ENT could run in and that would take care of it, or would he need to use the flourecin or whatever they use to indicate drainage level, or both or does it need a different treatment? Thanks.

 

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