John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Ruptured tympanic membrane (eardrum) can be a result of foreign bodies,
middle ear infection, or
pressure trauma to the ear. Often the patient feels pain, notices a thin
bloody discharge from the ear, and has a decreased sense of hearing. If a
person experiences these symptoms and thinks the eardrum may be ruptured or
damaged, seek medical care. Do not place cotton swabs, liquids, or other
objects in ear.
Acute otitis externa (swimmer's ear) is an infection of the outer ear canal
that is usually caused by irritation of the canal skin that is made worse
by water remaining in the ear canal after swimming or bathing. Cellulitis
(skin infection) causes the ear canal to turn red and swell. The ear becomes
very painful and a thin yellow fluid (infected pus) comes out of the canal.
The infection can spread to the side of the face or the
lymph glands in the
neck. Treatment of swimmer's ear includes antibiotic drops and, in severe
cases, IV or oral antibiotics.
Ear wax impaction is usually a harmless cause of decreased hearing. Wax is
formed in the ear canals naturally. Individuals who over-aggressively clean their
ears with cotton swabs can push wax further into the canal, impacting
(compressing) it against the ear drum. Over-the-counter (OTC) products, like
carbamide peroxide (Auro, Debrox,
Murine Earwax Drops)
can be used to clean the ear regularly. If the wax impaction is causing pain,
decreased hearing or dizziness, a doctor can irrigate (flush) the wax out of the
ear gently with warm water and peroxide. If a person has chronic problems with
ear wax buildup, discuss long-term solutions with an Ear, Nose,
and Throat (ENT) specialist (an otolaryngologist).