Ear Ringing-Rocephin IM & IV works, oral meds do not-?

[phantomrider]

I have ringing in both ears and sinus wont clear. Been to ER, ENT, and GP several times. On two occasions, once I was given Rocephin injection, and another time had Rocephin IV. That seemed to cure my ear ringing and sick feeling for 12-24 hours. But the amox, augmentin, keflex, and bactrim-ds oral that I was given four different times will not work. The bactrim-ds did seem to help but only after 5 days of taking and I felt worse the whole week of taking them. Is there a reason the Rocephin when IM or IV works but nothing else does? And why do all symptoms return 12-24 hours after?  Thank you

[Paderla Anitha, DNB]

Hello and hope you are doing well.

Understand your predicament. If there is Eustachian tube dysfunction, it does not resolve with medical therapy, then surgical options are the choice of treatment. Myringotomy, where a tiny slit is made in the eardrum to aspirate any middle ear fluid and to allow temporary ventilation into the middle ear space. Pressure Equalization Tube, PET, where  a tiny plastic or metal tube, is introduced into  myringotomy to keep the portal open.

Hope this helped and do keep us posted.

[phantomrider]

Hello and thank you for your reply.
This has been an ongoing battle for 9 months so far.
Actually went to GP today and she saw infection in ear this time.
Sinus still won't clear no matter what I try. Got another rocephin injection and another 7 days of amox.  Also had blood draw but waiting on results.
I believe this all started from Eustachian tube dysfunction and I discovered using neti-Pot worsened it by default. So your comment seconds that. Still not quite understanding how an ear infection could seem to lead to so much other issues, such as chest pain, fast heart rate, muscle ache & pain. But I suppose any infection not resolved in this time could be a factor. My ears have seemed to calm a tad down ringing wise today but this does occur from time to time only to return. Also I forgot to mention on first post that along with Rocephin those first times I was also given a steroid injection same time, since today the effect of just a rocephin injection didn't seem to work as well, I now wonder how much of a role the steroids play. I will re-post any changes and results from labs soon. Again thank you for your time and reply.

[Paderla Anitha, DNB]

Hello and hope you are doing well.

It could be that the infecting organisms are susceptible to Rocephin, hence the improvement in symptoms. For chronic sinus infection, typical antibiotic treatment is for 4-6 weeks.  A nasal steroid spray is also beneficial as well as oral steroids.  Nasal saline irrigations over the counter like NeilMed or Neti pot are very effective, but worsen Eustachian tube dysfunction (water in the ears or feeling of fullness in the ears).  The best diagnosis for this problem is a CT of the sinuses.  Surgery is recommended to patients that fail maximal medical treatment.

Hope this helped and do keep us posted.