What should I do if there’s inflammation inside the ear that keeps recurring and won’t resolve?
Aug 26, 2022
Source: Cainiu Health
Dr. Xu Gang
Introduction
Recurrent inflammation inside the ear that fails to resolve requires consistent ear hygiene and avoidance of spicy, irritating foods. Under a physician’s guidance, anti-inflammatory medications may be used to control the spread of inflammation. If the condition is caused by an external auditory canal furuncle, incision and drainage are typically required. In cases of chronic suppurative otitis media, tympanocentesis or myringotomy is generally performed.
Recurrent or persistent ear inflammation that fails to resolve can be managed through general measures, pharmacological treatment, or surgical intervention.
1. General Management
Patients with recurrent or persistent ear inflammation should maintain proper ear hygiene. Avoid frequent ear cleaning with fingers or instruments, prolonged use of headphones, and water entry into the ear during bathing or hair washing. Keeping the ear clean and dry is essential. Additionally, patients should avoid spicy or irritating foods and excessive sleep deprivation.
2. Pharmacological Treatment
Under medical supervision, patients may apply topical anti-inflammatory medications, such as mupirocin ointment or erythromycin ointment. Oral antibiotics—such as cefalexin or cefixime—may also be prescribed to effectively control inflammatory spread. For severe pain, nonsteroidal anti-inflammatory drugs (NSAIDs), including acetaminophen or ibuprofen, may be added.
3. Surgical Treatment
If pharmacological treatment proves ineffective, surgical intervention at a hospital may be required. For external auditory canal furuncles, incision and drainage are typically performed. In cases of chronic suppurative otitis media, tympanocentesis or myringotomy is generally indicated.
