DEAR DR. GOTT: I sent a message six days ago and I still have not heard back from you. My question is regarding my ears. I started experiencing hearing loss about two years ago. My ear doctor put tubes in both of my ear drums. My hearing got better but only for a week then both ears starting draining fluid almost constantly. My doctor tried me on antibiotics, steroids and even suggested that I see an allergy doctor as he has pretty much given up. I saw an allergy doctor and he gave me the nasal spray Nasocort and the allergy pill Singulair. Nothing has helped the drainage. The other medications I take are insulin, carbamazepine, iron, and vitamins. Please help me. I am a 36-year-old female with chronic allergies and diabetes. I also have a seizure disorder.
DEAR READER: Let me start by saying that you have not heard back from me, because I do not provide personal responses via email. On the contact form that you used to submit both your questions, it is clearly stated. I simply cannot respond to or answer every question that I receive. Many can easily be answered by reviewing previously written articles (which I also urge prior to sending me questions).
Now to your question. Given your history of chronic allergies, I am inclined to blame them for your current ear problems. If your current nasal spray and allergy pill aren’t working, there is no need for you to continue to use them. Instead, with your physician’s permission, discontinue them. Instead, consider trying an over-the-counter daily allergy medication such as Allegra, Claritin or Zyrtec or using Benadryl at night when it’s notorious drowsiness side effect won’t be bothersome. Talk to your allergist about testing to determine what you are allergic to and if desensitization shots may be appropriate.
If none of these work, the ear drainage may have another cause. Do you have nasal polyps or a deviated septum? Both can impede sinus drainage which can then put pressure on the ears. Did the drainage start after a seizure or other head trauma (signifying a possible cerebrospinal fluid leak)?
I also suggest that you find a new ear-nose-and-throat specialist (otolaryngologist). He or she may be able to provide new insight into your situation and offer additional treatment suggestions. Be sure to bring your medical records and the results from any testing you may have had. A fresh pair of eyes can sometimes yield amazing results.
Readers who are interested in learning more can order my Health Reports “Ear Infections and Disorders” and “Allergies” by sending a self-addressed, stamped number 10 envelope and a $2 (for each report) US check or money order to Dr. Gott, PO Box 433, Lakeville, CT 06039. Be sure to mention the title or print an order form from my website, www.AskDrGottMD.com.
