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Question

My husband has been experiencing dizziness, hearing loss and headaches. He went to the ENT doctor and was diagnosed with fluid behind his eardrums which was treated with tubes inserted in his ears. The tubes have been removed and the ENT doctor released him saying their was no more fluid behind his eardrum. The dizziness continued and his primary care doctor sent him for an MRI which showed fluid in the left mastoid sinus cavity. Does this cause the headaches and the dizziness and how is this condition treated?

Submitted: 15 days and 9 hours ago.
Category: Health
Value: $18
Status: CLOSED
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Optional Information

Gender: Male

Posted by Pauline 15 days and 9 hours ago.

Info Request

Can you confirm what oral medication your husband has been given in this time?

15 days and 9 hours ago.

Reply

He was first given an antibiotic, like amocicillin/clavulanate potassium and then he was on a series of prednosone, by our family doctor. after that he went to the ENT who also tried the prednisone which helped the hearing in his right ear.. He had to have the tube put in his left ear anyway and even after that was diagnosed with nerve damage in his left ear and has lost hearing in that ear. The left sid of his head is where he has the problem. The headaches, the dizzines and the hearing loss.

Posted by Pauline 15 days and 9 hours ago.

Answer

The mastoid sinus cavities do connect with the middle ear and can certainly be linked to his symptoms. With possible infection in areas with poor blood supply then he may need additional courses of antibiotics if the fluid was thought to be pus rather than serous fluid. The other thing that may possibly help is a decongestant tablet such as pseudoephedrine.

 

Obviously he needs to return to ENT for complete review of his symptoms. Examination of his hearing should be able to distinguish between a conduction type hearing loss and nerve related. If the nerve has been damaged then the hearing may not fully recover.

 

Surgery would be a last resort to open up the sinus, but often people with fluid in the mastoid sinus are given intravenous antibiotics or watchful waiting.

 

15 days and 9 hours ago.

Reply

Pauline, is this a serious situation where he may accumulate alot of fluid and it cause other paroblems? The dizziness is very annoying and keeping him from doing things he normally does, and also he has more headaches around his lef eye. The hearing test he had showed he had lost hearing in his left ear due to the nerve damage so he is going to get a hearing aid but wants to wait until this other situation is resolved.

Do you have any idea where the fluid is coming from?

Posted by Pauline 15 days and 9 hours ago.

Info Request

Do you have the exact wording of the report?

15 days and 8 hours ago.

Reply

I don't have the MRI report in front of me but the doctors office called yesterday and said it read, " fluid in the left mastoid sinus cavity". Thats all I really know at this point. Does that help?

Accepted Answer

The question has to be whether the fluid is pus which suggests ongoing infection and this would suggest management options.

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Expert: Pauline
Pos. Feedback: 99.3 %
Accepts: 
Answered: 11/5/2009

Pharmacist

MRPharmS. Worked as Community pharmacist for 16 years. Undertaking a second degree in medicine.

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