Painful and smelly ears may be caused by cerumen impaction, otitis externa, cholesteatoma of the external auditory canal, otitis media, etc. Medication and surgery are recommended.
1. Cerumen impaction: Cerumen impaction is caused by excessive secretion of cerumen glands or obstruction of cerumen discharge, resulting in blockage of the external auditory canal and formation of cerumen impaction. Secondary bacterial infections can lead to ear pain and odor, and the cerumen can be softened with medicines such as phenol ear drops, sodium bicarbonate ear drops, levofloxacin ear drops, etc. After the softening, the softened cerumen can be sucked out or rinsed out with suction or physiological saline.
2. Otitis externa: if ear digging, water in the ear, the patient will have diffuse inflammation of the external auditory canal, pain, secretion may also be accompanied by smelly symptoms, you can use ofloxacin ear drops under the guidance of the doctor to spot the ear; amoxicillin, cefuroxime and other anti-infective treatment.
3. Cholesteatoma of the external auditory canal: when the cholesteatoma is large, there is a sense of blockage in the ear, tinnitus and hearing loss, pain secondary to infection, secretion from the external auditory canal and foul odor. Application of amoxicillin, cefuroxime and other antibiotics to control infection and remove cholesteatoma. If the infection is serious and difficult to take out, it can be taken out under general anesthesia and microscope.
4. otitis media: acute purulent inflammation of the middle ear mucosa, tympanic membrane perforation secretion accumulation in the external auditory canal, caused by odor pain, available cefprozil tablets, ampicillin capsules, azithromycin dispersible tablets and other drugs anti-infective treatment, 3% hydrogen peroxide after washing the ear, levofloxacin hydrochloride ear drops ear spotting.
Patients with odor and pain in the ear are advised to consult the hospital, and follow the doctor’s instructions for medication and treatment after the diagnosis is clear.