How to treat persistent ear infection in a 69-year-old diabetic patient after surgery? - #55475

आपकी उम्र 69 वर्ष है और diabetes के साथ कान का infection 6 महीने से ज्यादा है, surgery के बाद भी ठीक नहीं हुआ—इसलिए इसे serious case मानकर ENT doctor को दोबारा दिखाना जरूरी है। Diabetes में infection गहरा हो सकता है, इसलिए culture test, sugar/HbA1c और CT/MRI की जरूरत पड़ सकती है after evaluation ----Rx 1) Giloy Ghana Vati – 1 tab bd after food with lukewarm water 2) Triphala Guggulu – 1 tab bd after food 3) Khadiradi Vati – 1 tab BD चूसना है 4) Haridra Khanda – ½ tsp OD with lukewarm water (only if sugar controlled; otherwise avoid) –Ear dry रखें. Bathing के समय cotton with vaseline लगाकर water entry avoid करें. –Pathya-Apathya Avoid: मीठा, दही, cold drinks, ठंडी चीजें, fried/spicy food, bakery items. Take: हल्का गरम भोजन, मूंग दाल, लौकी/तोरी, हल्दी, गिलोय water. Diabetes: Sugar strict control रखें. —Referral Ent review urgently —Red Flags तेज दर्द, fever, चक्कर, सुनाई कम होना, discharge बढ़ना, facial weakness या severe headache हो तो तुरंत ENT emergency जाएँ।

In a 69-year-old diabetic with persistent ear infection after surgery, this needs ENT review urgently, because diabetes can make infections stubborn and slow to heal. Key points: Ensure blood sugar is strictly controlled Persistent infection after surgery may need culture-based antibiotics or ear cleaning (debridement) Do not self-apply ear drops without ENT advice Supportive care: Keep ear dry at all times Avoid water entry while bathing Do not insert cotton buds or oils inside ear Triphala guggulu – 1 tablet twice daily after food Gandhak rasayan – 1 tablet twice daily after food If there is pain, discharge, hearing loss, or fever, immediate ENT follow-up is necessary. Regards, Dr Raghuveer (Ayurvedacharya)