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Long-term Allergic Rhinitis and Ear Discharge Issues
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Allergic Conditions
Question #27486
45 days ago
216

Long-term Allergic Rhinitis and Ear Discharge Issues - #27486

Client_8a1e98

নমস্কার স্যার। আমি বিশ্বজিৎ পুরকাইত বলছিলাম। দক্ষিণ 24 পরগনার পাথর প্রতিমা থেকে। আমার দুটি সমস্যা - আমার এলার্জিক রাইনাইটিস এর সমস্যা দীর্ঘ 10/12 বছর। কোনো ওষুধে হচ্ছে না। তাই রেগুলার এলোপ্যাথি খেতে হয়। বন্ধ করে দিলে আবার শুরু হয়। হাঁচি, সর্দি,চোখ লাল, নাক ও চোখ দিয়ে জল পড়া, নাকের পলিপ ফুলে যাওয়া ইত্যাদি। আর দ্বিতীয়ত - কানে পুঁজ বের হয়। সেও প্রায় 10/12 বছর। আগে পুঁজে গন্ধ ছিলো না,এখন হচ্ছে। ডাক্তার দেখাতে বললো- কানের পর্দা ফেটে গেছে। কিন্তু কোনো ভাবেই তা সারছে না। Please হেল্প করুন স্যার। খুব সমস্যায় আছি।

How severe are your allergy symptoms on a scale of 1 to 10?:

- 10 (Extreme)

Have you noticed any specific triggers for your allergic rhinitis?:

- Dust

Have you had any previous treatments for your ear discharge?:

- Yes, antibiotics
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
45 days ago
5

Hello

You likely have chronic allergic rhinitis and chronic ear infection with a perforated eardrum.

What you should do: 1. See an ENT specialist for proper evaluation. 2. For allergic rhinitis: • Regular antihistamines and steroid nasal spray may be needed. • Avoid triggers like dust, smoke, cold air, and pollen. • Saline nasal rinse can help reduce symptoms.

3. For the ear discharge: • A perforated eardrum with long-term discharge may need antibiotic ear drops and proper ear cleaning. • If it does not heal, eardrum repair surgery (tympanoplasty) may be required.

4. Keep the ear completely dry (no water entry).

Because both problems have lasted 10–12 years, a direct ENT examination and possible CT scan may be necessary for proper treatment.

I trust this helps Thank you Take care

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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.
44 days ago
5

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

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আপনার এলার্জিক রাইনাইটিস এবং কানে পুঁজের সমস্যার জন্য কিছু সুনির্দিষ্ট পদক্ষেপ নিতে পারেন। প্রথমত, এলার্জিক রাইনাইটিসের জন্য একটি দীর্ঘমেয়াদি ব্যবস্থাপনা পরিকল্পনা বানানো দরকার। অ্যান্টিহিস্টামিন, ন্যাজাল স্টেরয়েড স্প্রে ইত্যাদি ওষুধের পাশাপাশি এলার্জেন এড়ানো গুরুত্বপূর্ণ। একটি অ্যালার্জি পরীক্ষা করানো যেতে পারে যা থেকে স্পষ্ট হবে কোন কোন বিশেষ অ্যালার্জেন এড়ানো প্রয়োজন। নাকের পলিপের জন্য অপারেশন বিকল্প হিসাবে থাকতে পারে, যদি ওষুধের মাধ্যমে উপশম সম্ভব না হয়। অত্যন্ত গুরুতর ক্ষেত্রে ইমিউনোথেরাপির কথাও ভাবা যেতে পারে। দ্বিতীয়ত, কানের পুঁজের জন্য অবিলম্বে একটি ইএনটি বিশেষজ্ঞের সাথে দেখা করা গুরুত্বপূর্ণ। কানের পর্দা ফাটা অবস্থায় ইনফেকশন দ্রুত ছড়াতে পারে এবং তাৎক্ষণিক সঠিক চিকিৎসা প্রয়োজন। ইনফেকশন মুক্ত করার জন্য অ্যান্টিবায়োটিক দেওয়া যেতে পারে এবং বিশেষ কানের ড্রপ ব্যবহার হতে পারে। দীর্ঘদিনের সমস্যা হওয়ায় হয়তো টিপিক্যাল ওয়াশিং বা পরিষ্কারের প্রয়োজন হবে, তবে এজন্য একজন অভিজ্ঞ চিকিৎসক দেখা বেশি গুরুত্বপূর্ণ। কান পরিষ্কার রাখার উপর প্রচুর জোর দিতে হবে এবং কোনভাবেই নিজে নিজে কানে কিছু দেওয়া উচিত নয়। সেইসঙ্গে অপারেশনের সম্ভাবনা নিয়ে আলাপ-আলোচনা করা দরকার, বিশেষত যদি কানের পর্দার রিপেয়ারেশন বা মাইরিঙ্গোপ্লাস্টির প্রয়োজন হয়ে থাকে। দুর্ভোগ কমাতে জীবনধারা পরিবর্তন এবং নিয়মিতভাবে চিকিৎসকের সাথ পরামর্শ করা উচিৎ হবে।

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
43 days ago
5

Your symptoms suggest two long-standing conditions. The daily sneezing, runny nose, red watery eyes, and nasal swelling triggered by dust are typical of Allergic Rhinitis, which can persist for years and often requires regular treatment such as antihistamines, nasal steroid sprays, avoiding dust exposure, using masks, keeping bedding clean, and possibly saline nasal rinses to reduce symptoms. The long history of foul-smelling ear discharge with a diagnosed perforated eardrum indicates likely Chronic Suppurative Otitis Media, where infection continues through the hole in the eardrum; this condition may not heal on its own and often requires proper ear cleaning, medicated ear drops, keeping the ear dry, and sometimes surgical repair of the eardrum (tympanoplasty) by an ENT specialist. Because both problems have been present for more than 10 years and are not improving with repeated medicines, it would be important to consult an ENT specialist for a detailed examination and long-term management plan to prevent complications and improve your quality of life.

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