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What to do for severe dust allergy symptoms with ear bleeding in a 19-year-old woman?
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Ear, Nose & Throat Conditions
Question #30002
26 days ago
79

What to do for severe dust allergy symptoms with ear bleeding in a 19-year-old woman? - #30002

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اسم المريضة: أنثى – العمر 19 سنة الأعراض: - حساسية شديدة عند التعرض للغبار. - عطاس قوي ومتكرر. - تهيج في الأنف والعينين والأذنين. - صداع بالرأس حصل مؤخرًا. - خروج كمية قليلة من الدم من الأذن. - يوجد شك من أحد الأطباء بوجود لحمية/لحميات في الأنف. الفحوصات: تم عمل CBC وكانت النتائج تشير إلى: - فقر دم خفيف إلى متوسط غالبًا بسبب نقص الحديد. - Hemoglobin Hb = 10.6 - انخفاض MCV و MCH مما يدعم احتمال نقص الحديد. ملاحظات: - الحساسية تزداد مع الغبار. - لا يوجد تأكيد نهائي للحميات الأنفية حتى الآن. - مطلوب تقييم تخصص أنف وأذن وحنجرة (ENT) وربما حساسية. الرجاء من الطبيب: - فحص الأنف والأذن والجيوب الأنفية. - التأكد من وجود لحمية أو حساسية مزمنة. - فحص سبب خروج الدم من الأذن. - تحديد العلاج المناسب للحساسية والاحتقان.

How long have you been experiencing these allergy symptoms?:

- More than 6 months

How would you describe the severity of your nasal and ear symptoms?:

- Moderate — affects daily activities

Do you have any other associated symptoms, like fever or fatigue?:

- Other symptoms

Have you noticed any specific triggers that worsen your symptoms?:

- No clear triggers

How often do you experience headaches related to your symptoms?:

- Frequently

Have you had any previous treatments for your allergies or ear symptoms?:

- Prescription medications

How is your overall energy level during this time?:

- Somewhat tired
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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.
25 days ago
5

Hello dear See as per clinical history it seems combination of chronic allergic sinusitis rhinitis Anemia iron deficiency predominantly There is presence of allergy due to Dust Pollen grains Blood allergy

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 Serum ferritin Hb Hemogram complete In addition Kindly avoid exposure to Dust Pollen Cold food Hopefully you recover soon Regards

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في حالتك، بخصوص الأعراض التي تعانين منها ومن بينها خروج الدم من الأذن، فإن الأمر يتطلب تقييم طبي سريع لأن هذا قد يدل على وجود مشاكل في الأذن مثل عدوى شديدة أو تمزق طبلة الأذن. من الضروري زيارة أخصائي أنف وأذن وحنجرة (ENT) في أقرب وقت ممكن لإجراء فحص شامل. الطبيب سيتمكن من فحص الأنف والأذنين والجيوب الأنفية بدقة لتحديد وجود أي لحميات أو مشاكل أخرى مثل وجود ثقب في طبلة الأذن أو التهاب.

من ناحية الحساسية التي تزداد مع التعرض للغبار، من المتوقع أن يكون لديك نوع من أنواع التهاب الأنف التحسسي. يوصى باستخدام مضادات الهيستامين المناسبة لتخفيف الأعراض مثل العطاس وتهيج الأنف والعينين. قد تفيد بخاخات الأنف المخصصة للحساسية أيضًا، لكن يجب استخدامها حسب تعليمات الطبيب. أيضًا، الحماية من مسببات الحساسية، مثل تجنب الأماكن المغبرة وتطبيق تدابير بسيطة كإبقاء النوافذ مغلقة خلال العواصف الترابية واستخدام منقّي هواء في المنزل.

بالنسبة لفقر الدم الناتج عن نقص الحديد، يُوصى بتناول مكملات الحديد لكن من المهم أن تتابعي مع الطبيب للتأكد من الجرعة الصحيحة ولإجراء فحوصات متابعة لاستعادة مستويات الدم الطبيعية. الأعراض مثل الصداع قد تكون مرتبطة بفقر الدم، لذلك معالجة نقص الحديد قد تخفف من هذه الأعراض. في النهاية، الفحص المختص سيوفر تقييمًا دقيقًا ويضمن ان تحصلين على العلاج المناسب بناءً على تشخيص واضح لحالتك الصحية.

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