Hello dear See as per clinical history it seems chronic allergic sinusitis along with suppurative otitis media. There is presence of allergy due to Dust Pollen grains Blood allergy Also presence of bacterial infection making the healing difficult due to persistent discharge Infection Trauma I am suggesting some tests for confirmation Please share the result with ent surgeon in person for better clarity and for safety please donot take any medication without consulting the concerned physician Esr CBC Audiometry Otoscopy Microscopy Intradermal skin test RBS Ct scan of sinuses Patch test Immunoglobulin ratio test Blood allergy test In addition Kindly avoid exposure to Dust Pollen Cold food Hopefully you recover soon Regards
Chronic allergic rhinitis can be quite persistent and frustrating. It’s important to ensure that you have covered all possible strategies for managing the condition. First, consider revisiting an allergist for specific testing to determine the exact triggers, which may allow you to modify your environment or behavior accordingly. Environmental control like using HEPA filters, avoiding known allergens (such as dust mites, pollen, or pet dander), and keeping the home clean and ventilated could be helpful. Antihistamines and intranasal corticosteroids are typical first-line treatments, but sometimes a tailored treatment plan, possibly including leukotriene receptor antagonists, may be more effective. Immunotherapy, like allergy shots or sublingual tablets, may be an option if you’re not responding to medications or want to reduce long-term reliance on them. As for the issue with ear discharge, especially with a known perforation of the eardrum, it’s crucial to consult an ENT specialist. Chronic ear discharge, especially with a foul smell, could indicate a chronic infection possibly due to a chronic otitis media condition or even cholesteatoma. It’s essential to get an appropriate examination, which may include an audiogram or CT scan if the doctor recommends, to decide on a precise treatment such as antibiotics or surgery, like tympanoplasty, to repair the perforation. Avoiding water in the ear while bathing or swimming, and keeping it dry are practical steps you can immediately take. Addressing these problems in a focused way with your healthcare provider can provide more effective relief and prevent complications.
