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The fact that she was checked by an ophthalmologist when she was having the pain makes me comfortable that it is not related to ocular disease. Since the pain has become worse, now lasting into the day, I would recommend that she be seen by her internal medicine physician, tomorrow, if possible.
Her internist may want to do imaging studies, perhaps an MRI, to closely evaluate her sinus, orbit and auditory canals for any pathology. Also he would be well equipped to prescribe any needed meds to address the issues. Two weeks is much too long to be in so much discomfort.
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yes...I have been leaning that way...what other possiblities could it be if not sinus?She doesn't seem to have a stuffy nose.Should it be her internal med Dr or should I get her opthamoligist to refer her?Her primary dr is not attentive and tends to not pay enought attention to her.
I am sorry to hear that about her internal medicine MD. The causes of pain around the eye and orbit in an 88 year old person, once ocular causes have been ruled out, consists of a long list. It could be anything from neuralgia, inner ear problems, sinus inflammation/infection, orbital mass, mastoid air cell inflammation/mass etc. The list, as you can see, is long. The best way to get to the bottom of things is to do a complete history, physical exam and then order appropriate imaging studies and/or lab tests.
I don't think her ophthalmologist is the person best suited to coordinate these efforts. If her internal medicine MD is not that interested perhaps another MD in the group or referred by a friend would be a good choice
Thanks very much for your input,Dr Rick....I'll do my best to get her into see someone tomorrow!Good night!
My pleasure. I hope she feels better soon. Have a good evening.
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