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RickHavok posted:
I had extreme irritation, pressure, and discomfort in my left ear tonight, so I got a cotton swab and some peroxide and traced around the inside of the ear canal, very gently. When I removed the swab, there was something attached that looked like it might have been dead skin. It didn't appear to be wax. The tissue, or whatever it was, was in tact and seemed to be shaped as though it were a lining of the ear canal. Shortly afterward, the irritation seemed to subside a little, although I had taken two aspirin tablets.

Let me point out here that this has happened before, periodically, and aspirin does not make it disappear, but removing what I scrape out usually does after a while.

To continue, once the pressure and discomfort subsided some, I began to move my jaw around, rub the outside of my ear, and swallow. This sounds odd to me and all I can do is describe the feeling, but something seemed to come loose and relieve even more pressure. I assumed it was blockage from the eustachion tube. I kept swollowing from high in my throat and it felt like it broke loose and I finally ingested whatever it was. The pressure on my tooth was instantly less and my sinus on that side opened up. Now it's just irritated. the area in my upper throat right in that area feels slightly inflamed but I obviously can't be sure.

Some other things I should mention is that I was told several times after imaging, that I have a tooth growing in to my sinus. Could the tooth be causing this? I'm not sure if it's the wisdom tooth or the molar in front, but I know one of them in that immediate area has penetrated the sinus. I also had neck surgery that helped some, but left me with nerve damage and chronic pain. It's bad enough without anything else amplifying it, but it seems that whatever this ear/sinus/throat condition is, does make it unbearable.

Any advice and especially opinions on what this could be would be very greatly received!
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RickHavok responded:
I can't edit my post but wanted to add something, so I will do that in this reply. I realize the outer ear should have little or nothing to do with the middle ear where the eustachian tube is located. That's one of the reasons it's so puzzling. Regardless, there is a correlation between the two when I experience this, and it happens every time. I have to remove whatever it is before anything else clears up. I really need a physician to take this seriously, its causing me duress.
 
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Rod Moser, PA, PhD responded:
You most definitely need to SEE a medical provider; namely an ENT specialist. You are not going to be able to be blindly diagnosed (or treated) without a hands-on examination and a thorough medical history. As much as I would like to help you, the information in your posting is not sufficient to substitute for a medical examination.

A person can have more than one medical problem going on at the same time....not all of your symptoms are necessarily associated or related. Your issue in the ear canal has nothing to do with your sinuses....or, as you mentioned, your middle ear or impacted (?) wisdom tooth.

My advice is for you to see an ENT.
 
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RickHavok replied to Rod Moser, PA, PhD's response:
Thank you for your reply Dr. Moser. I have seen some doctors about this before, and plan to pursue it until it's resolved. You are also correct in saying I do have several problems that may or may not be associated with this.

The problem is that it has been giving me trouble for some time now and continues to. I was just hoping for some insight. Any information I have helps me to better understand the possibilities, and that in turn could help me to ask the right questions, or spark me to think of information that might help the attending physician at a visit. Unfortunately, I presently live in a rural area where medical proessionals tend to become jaded and slightly apathetic. This makes things more difficult when complicated problems arise.
 
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Rod Moser, PA, PhD replied to RickHavok's response:
Then, don't rely on local clinicians to investigate this problem. Even if you have to drive/fly to a large, university-based medical center ENT department, you will find the experience more rewarding. While some medical problems simply defy an easy diagnosis, or a diagnosis at first visit, the collaborative resources at these teaching and research institutions are often better suited for more challenging cases.

By the way, I live in a rural area myself.

Medical providers will throw in the towel prematurely all of the time, but patients should never give up that easily.


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