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डाइविंग से हुए कान के परफोरेशन को कैसे पहचानें कि उसे सर्जरी की जरूरत है या दवा से ठीक हो सकता है?
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Ear, Nose & Throat Conditions
Question #30201
27 days ago
82

डाइविंग से हुए कान के परफोरेशन को कैसे पहचानें कि उसे सर्जरी की जरूरत है या दवा से ठीक हो सकता है?

Client_f86611

गंदे नहर के पानी में डाइविंग के बाद बाएं कान में समस्या शुरू हो गई। डाइविंग के दौरान, अचानक कान में तेज दबाव/पानी घुसने का एहसास हुआ। उसके बाद सुनाई देना कम हो गया और आवाज़ मफल्ड हो गई, साथ ही बीच-बीच में तेज चुभन वाला दर्द भी होता रहा। मछली जैसी गंध के साथ पीला चिपचिपा डिस्चार्ज लगभग 14+ घंटे तक जारी रहा। अब दर्द कुछ कम हो गया है, लेकिन कभी-कभी तेज चुभन अभी भी होती है। एक डॉक्टर ने जांच की और कहा कि कान के पर्दे में छेद (परफोरेशन) है और ZIS-BIOTIC दवा लिखी। दूसरे डॉक्टर ने कहा कि सर्जरी की जरूरत पड़ सकती है। मैं जानना चाहता हूं कि क्या यह अस्थायी परफोरेशन/इन्फेक्शन है जो दवा और देखभाल से ठीक हो सकता है, या फिर अभी सर्जरी वाकई जरूरी है।

How long ago did you dive into the canal?:

- 1-3 days

Have you experienced any fever or other systemic symptoms?:

- No, I feel fine

How would you describe the intensity of your ear pain now?:

- Moderate — bothersome but manageable

Have you noticed any changes in your hearing since the incident?:

- Hearing has worsened

Are you experiencing any other symptoms besides ear pain and discharge?:

- Yes, other symptoms present

What type of discharge are you experiencing now?:

- Yellow and sticky

Have you followed up with any additional treatments since your last doctor visit?:

- Yes, I have taken prescribed medication
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
26 days ago
5

Hello dear See internal injury to ear can cause Hearing loss Balance problem Vertigo Dizziness Headache Iam 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 Otoscopy Audiometry Balance tests including Nystagmography Rhombography Ct scan Mri Hopefully you recover soon Regards

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Based on your symptoms and being exposed to dirty water, it’s quite possible that the ear infection is complicating your eardrum perforation. Typically, small perforations due to barotrauma from diving can heal by themselves over several weeks, especially when the underlying infection is managed. However, the presence of yellow discharge with a fishy smell suggests an infection that needs immediate attention. The antibiotic (ZIS-BIOTIC) you’ve been prescribed is likely to tackle this infection. It’s crucial to complete this antibiotic course as infections can hinder the healing process of the perforated eardrum. Surgery isn’t always the first step especially for small perforations; it’s generally considered when the perforation doesn’t heal after an observation period, or if there’s chronic infection impacting hearing. Observing the healing process over the course of four to six weeks while adhering to prescribed medication and keeping the ear dry usually gives significant insights. If the perforation doesn’t show signs of improvement, then an ENT specialist might recommend surgical intervention like tympanoplasty. It’s strongly advised to avoid introducing anything into the ear, even water, which can worsen the condition. Keep a close eye on any changes; increased pain, bleeding, or new symptoms like dizziness would warrant a prompt reevaluation by a healthcare professional. Follow up with your doctor regularly during this period to monitor healing and ensure there’s no worsening or complications developing.

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