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If you've lost the ability to hear, and it's been 4 wks since you've seen the doctor, yes, you may need antibiotics so I think you need to return, alot changes in 4 wks and your doctor may have a clearer picturer than he had before. You may try some Sudafed or Sudafed PE (I use the generic), just to see if any of the pressure is relieved, these are nasal decongestants and even though you don't have a stuffy nose they won't hurt. You should notice some change within just an hour or two so you can let your doctor know...good luck