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Doctor insights on: Is Gender A Factor In Otitis Media With Effusion

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Is unilateral serous otitis media in an adult a concern?

Is unilateral serous otitis media in an adult a concern?

Not: "SERIOUS" but should be treated to avoid hearing loss. It can be treated with a combination of nasal spray and oral decongestants! Hope this helps! Dr Z ...Read more

Dr. Shari Jackson
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Middle Ear Infection (Definition)

The area behind the ear drum is called the middle ear. An infection occurs when the middle ear is filled with pus and the ear drum is also very ...Read more


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Is an ongoing pleural effusion in an elderly nonambulant person a potential "breeding ground" for an infection? If so, is the risk insignificant?

Is an ongoing pleural effusion in an elderly nonambulant person a potential "breeding ground" for an infection? If so, is the risk insignificant?

In general, no: A pleural effusion can be what is called an empyema which is actually from an infection and is therefore infected. If the effusion is passive, like heart failure it usually does not become infected though potentialicould get infected. In the second case it is not common. ...Read more

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Can there be treatment for an ear infection in someone who was born with holes in the eardrum?

Can there be treatment for an ear infection in someone who was born with holes in the eardrum?

Yes: Antibiotic ear drops can be prescribed to treat outer and middle ear infections even with a perforation. Sometimes oral antibiotics are needed for middle ear infections alone or with the drops. The other pressing issue is the "holes" you were born with. That is unusual and you should see an ENT doctor for full exam and hearing test. ...Read more

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How serious is a 81% oxygen saturation reading on room air combined with a po2 of 46 mmhg? Could it be an indication that death is imminent in an elderly person?

How serious is a 81% oxygen saturation reading on room air combined with a po2 of 46 mmhg?  Could it be an indication that death is imminent in an elderly person?

Yes: An oxygen saturation, the % of o2 in the blood generally is >95 in a healthy person, other illnesses may cause that to change. End stage disease(of any kind) can lead to low o2 levels as a natural part of the dying process. As long as the person is not experiencing any discomfort and the goal is comfort only- checking o2 levels may not be indicated and only more distress to the caregivers. ...Read more

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What is the drug of choice for hypertension in middle age male with no history of dm or other chtonic diseases?

What is the drug of choice for hypertension in middle age male with no history of dm or other chtonic diseases?

Several: Usually we start with one or two drugs. More out now on combination of low dose of two drugs. Usually a combination of an ace inhibitor with low dose hydrocholorothiazide or Chlorthalidone is selected. One may opt for a beta blocker with hctz/chlorthalidone but in males particularly, beta blocker can have untoward sexual side effects. Arb's may be used for ace. It is usually individualized. ...Read more

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Why acute otitis media is dangerous in adults? Could it be a sign of cancer or weak immunity? Thanks

Why acute otitis media is dangerous in adults? Could it be a sign of cancer or weak immunity? Thanks

??Dangerous ??: I would consider it unusual and a nuisance but not dangerous. If it led to a perforated ear drum, those do take much longer to heal and may require surgery. Adults who get acute otitis generally did so as kids, and many have allergic and or sinus issues that predispose to the problem. I can't buy a cancer or immune defect as a significant factor. ...Read more

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What is the treatment for ear discharge in tympanic membrane perforation ,is it safe to use CPAP device in this situation?

What is the treatment for ear discharge in tympanic membrane perforation ,is it safe to use CPAP device in this situation?

Is there infection: If there is an infection you will need to be treated with anabiotic's. The discharge should be evaluated. I don't think the CPAP will be a major problem. You can discuss this with your physician. ...Read more

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How common is it to find a pleural based consolidation in a community acquired pneumonia? Dr. Vishnu md

How common is it to find a pleural based consolidation in a community acquired pneumonia? Dr. Vishnu md

Is a chance: Willdepend where the bactria gets. Upper lungs are usually on aspiration or rare diseases. Most pneumonias are on lowr areas. ...Read more

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Is there a high risk of hearing loss in canal occlusion surgery for bppv vertigo? Is it total hearing loss or only some?

Is there a high risk of hearing loss in canal occlusion surgery for bppv vertigo? Is it total hearing loss or only some?

Probably no loss: Bppv is the result of loose otoconia (ear stones) in the inner ear. This disease as its name suggests is benign. If you have a dehiscence of a canal (superior semicircular canal), that is a more serious problem and is not bppv. However, the surgery to occlude a canal should not cause a hearing loss. The location of the canal is not that close to the cochlea. However, there is always a risk. ...Read more

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Otological/hearing #: is an inner ear problem that results in a lot of dizziness probably the dreaded meniere's diease? Could it be by high htn meds?

Otological/hearing #: is an inner ear problem that results in a lot of dizziness probably the dreaded meniere's diease? Could it be by high htn meds?

No not PROBABLY: Possibly....Yes? But based upon your information--- not probably. First, what do you mean by dizziness? 2nd of all, antihypertensive meds as causing these symptoms is a very good thought on your part. I don't think i've heard the description of anything particularly compelling for meniere's disease yet. ...Read more

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Is an acoustic neuroma always the cause of high frequency hearing loss in one ear only with tinnitus, in 19yr old?

Is an acoustic neuroma always the cause of high frequency hearing loss in one ear only with tinnitus, in 19yr old?

No: high frequency hearing loss may be secondary to noise, inefection, or inherited. Hearing loss in one ear should be evaluated by an ENT doctor to determine cause ...Read more

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At what % blockage of airway is developmental delays an issue in hypertrophic adenoid cases. Have ent, looking for industry standard?

At what % blockage of airway is developmental delays an issue   in hypertrophic adenoid cases. Have ent, looking for industry standard?

Do not know of any: Developmental delays that develop because of hypertrophic adenoids. Usually the person snores so badly that apnea becomes a concern, or the patient is a chronic mouth breather or has recurrent colds/sinus infections. All these symptoms usually indicate the need to remove the adenoids. The % blockage is the extent to which symptoms affect daily life. ...Read more

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Is this statement true? "A single exposure to lead in adults typically isn't a concern if said exposure isn't of high quantities and doesn't proceed".

Is this statement true? "A single exposure to lead in adults typically isn't a concern if said exposure isn't of high quantities and doesn't proceed".

Yes, but . . .: I'm told that a well placed .22 caliber bullet can kill. But assuming you're not talking about gun shot wounds, yet are still concerned, then ask your Family Doc to check your lead level. ...Read more

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If a VNG showed a caloric Reduced Vestibular Response of 37% in the right ear. Is there a chance for it to resolve? MRI was normal.

If a VNG showed a caloric Reduced Vestibular Response of 37% in the right ear. Is there a chance for it to resolve? MRI was normal.

Reduced caloric resp: First of all--- is it true reduced response? Hot air --- when used for the test can cause false positive low response. Hot water test is more reliable. Second- were u exposed to gentamicin or amino glycosides --- coz it is very common with those drugs toxicity. And usually the damage is not reversible. ...Read more

Dr. Oscar Novick
1,014 doctors shared insights

Otitis Media (Definition)

Otitis media is also known as a middle ear infection. It ...Read more