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What to do for severe allergies and bleeding from the ear in a 19-year-old female?
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Ear, Nose & Throat Conditions
Question #30003
33 days ago
83

What to do for severe allergies and bleeding from the ear in a 19-year-old female? - #30003

Client_7a0f12

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 rate the severity of your allergy symptoms?:

- Severe — significantly limits functioning

Have you noticed any specific triggers for your symptoms?:

- No clear trigger

How often do you experience bleeding from the ear?:

- Rarely

Do you have any other symptoms along with the bleeding?:

- Fever

Have you tried any treatments for your allergies before?:

- Prescribed medications

How would you describe your overall energy levels?:

- Fair — occasionally fatigued
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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.
33 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

3325 answered questions
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من الضروري التوجه لرؤية طبيب أذن وحنجرة (ENT) في أقرب وقت لتقييم حالة النزيف من الأذن، فالدم من الأذن يمكن أن يكون علامة على أمور مثل تمزق طبلة الأذن أو التهاب وفير في الأذن الوسطى وقد يحتاج الى علاج عاجل. وظيفة ال ENT ستكون فحص الأذن، وأحيانًا إجراء تنظير للجيوب الأنفية لتأكيد وجود لحمية أو غيرها من المشاكل الهيكلية التي قد تسبب الأعراض. من المحتمل أيضًا إجراء اختبارات تشخيصية إضافية مثل CT scan للجيوب الأنفية لتقديم رؤية أوضح. إذا كانت الأنيميا لديك ناتجة عن نقص الحديد، فيجب العمل على تحسين مستويات الحديد، وهذا بشكل عام يتطلب تناول مكملات الحديد وغالبًا معتامين سي لتحسين الامتصاص، ومع ذلك، هذه خطوة متروكة للطبيب الذي سيتابع حالتك. بالنسبة للحساسية، قد تفيدك أيضا مضادات الهستامين مثل لوراتادين أو سيتريزين لتخفيف الأعراض، كما يمكن أن ينصحك بتجنب التعرض لمسببات الحساسية قدر الإمكان. ايضا، قد ينصح الطبيب باستخدام بخاخات الكورتيكوستيرويد الأنفية مثل فلوتيكازون لتقليل الالتهاب والاحتقان. لكن قبل القيام بأي علاج، من المهم جداً التشاور مع الطبيب للحصول على تشخيص دقيق وخطة علاجية مناسبة لك. تأكد من متابعة كل التعليمات الطبية وتغيير نمطة الحياة اذا كان ذلك هام لتحسين حالتك، مع مراجعة الفحوصات الدورية لضبط مستوى العناصر المهمة بالدم، خاصة إن كان الامر يرتبط بفقر الدم.

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