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Ear

Ear discharge and chronic ear disease

Long-term ear discharge should not be ignored because it may affect hearing and sometimes needs detailed ear examination or imaging.

Ear discharge may come from the ear canal, middle ear, tympanic membrane perforation, cholesteatoma, mastoid disease, fungal infection, or problems related to previous surgery. The aim is to identify whether the ear is safe, dry, hearing-preserving, and suitable for medicine or surgery.

01

Common symptoms

Ear discharge that keeps returning

Bad smell from the ear

Reduced hearing or blocked feeling

Ear pain, itching, or fullness

Dizziness or facial weakness in serious cases

02

How ENT evaluation may be done

Microscopic ear examination

Suction cleaning if needed

Hearing test when hearing is affected

Culture if infection is persistent

CT scan of the temporal bone when unsafe ear disease is suspected

03

Treatment options

Ear toilet and targeted drops

Treatment of fungal or bacterial infection

Keeping the ear dry

Tympanoplasty discussion for persistent perforation

Mastoid surgery discussion for cholesteatoma or unsafe ear disease

04

Home care and preparation

Do not put oil into the ear

Avoid cotton buds deep inside the canal

Keep water out until reviewed

Bring previous hearing tests and CT reports

05

Questions to ask during consultation

Is my ear disease safe or unsafe?

Do I need a hearing test?

Is surgery needed to make the ear dry?

How do I prevent recurrence?

Warning signs

When to seek urgent care

Seek urgent care for severe pain, swelling behind the ear, dizziness, facial weakness, bleeding, or sudden hearing loss.

This page is for general educational purposes only. It does not replace consultation with a qualified medical professional.