Otalgia diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S [2]
Overview
It is normally possible to establish the cause of ear pain based on the history. It is important to exclude cancer where appropriate, particularly with unilateral otalgia in an adult who uses tobacco or alcohol.[1][2]
History to be obtained
- History about the onset, type, characteristics, severity, localisation and radiation of pain.
- Any aggravating or alleviating causes of pain.
- Any associated symptoms like tinnitus (ringing sensation in the ears), hearing loss, vertigo (spinning sensation and feeling dizzy), Sinusitis, facial pain, myalgias (muscle pain), neuralgias, or arthritis.
- Any toothache or tooth infection.
- Any fever.
- Any cancer risk factors like smoking, alcohol etc.,
- Any recent trauma.
- Any heart burn, difficulty to swallow, or other gut problems.
- Past ear infections or disorders.
- Any heart pain or shortness of breath.
References
- ↑ Amundson L (1990). "Disorders of the external ear". Prim Care. 17 (2): 213–31. PMID 2196606.
- ↑ Visvanathan V, Kelly G (2010). "12 minute consultation: an evidence-based management of referred otalgia". Clin Otolaryngol. 35 (5): 409–14. doi:10.1111/j.1749-4486.2010.02197.x. PMID 21108752. Unknown parameter
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