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Is there a doctor in the house? I have serous otits media, why so much pain?


I am a 32 yr old female. I was diagnosed with otitis media and given amoxicillin, which doesn't seem to have worked. I went back to the doctor, and this time they said it was serous otitis media, and said the infection was gone and to take sudafed. This has been going on for a month, and I'm in pain. Doctor wouldn't give me pain meds or antibiotics this time. I've never had ear problems before in my life. I don't know what to do. My ears hurt inside and outside, and I'm getting scared. Also, I was diagnosed with multiple sclerosis 10 years ago, but have had no symptoms since. Also, I get cold sores. I am mentioning this because it is the only medical history I can think of, not because I think it has anything really to do with my current condition. The otitis media started with a very bad cold/flu. I am generally very healthy, but I've been in pain for a month and I'm getting desperate! Please, please, is there a doctor out there who can help me??

Otitis media with effusion (fluid collection), also called serous Otitis Media or secretory Otitis Media, is simply a collection of fluid that occurs within the middle ear space as a result of the negative pressure produced by altered eustachian tube function. This can occur purely from a viral infection, with no pain or bacterial infection, or it can precede and/or follow acute bacterial otitis media (as in your case). Fluid in the middle ear sometimes causes conductive hearing impairment, but only when it interferes with the normal vibration of the eardrum by sound waves. Over weeks and months, middle ear fluid can become very thick and glue-like (thus the name "Glue ear"), which increases the likelihood of its causing conductive hearing impairment. Effusions of the middle ear that cause significant hearing impairment and do not resolve can be treated by making a small incision in the eardrum (myringotomy) and inserting a specially designed plastic or metal tube, a procedure performed by an otolaryngologist (ear, nose, and throat specialist), or by an otologist (ear specialist).

Sudafed, or other decongestants with pseudoephedrine, will work well, and should be used to loosen the fluid in the ear and help it to drain out. However, in conjunction with those, I'd take some pain meds (ibuprofen) as well. If you don't see this condition improving within another week or two, consider making an appointment with an ENT (ear, nose and throat doctor). They may have some more advanced treatments available, and if those fail, they can assist you with next steps.

maybe it's the flu?

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