Overdose of Anti Biotics

[dennis123]

So today and yesterday my ear is stuck and earpain, tried to use some home remedies like Vinegar / olive oil but to no avail so I went to a clinic which gave me an antibiotic shot in my ass.

Everytime when I have something they come up with this antibiotic injection, while in my country they are absurd conservative with anti biotics.

Have to add those shots work pretty damn well though.

But how come Pattaya is so easy with anti biotics and is it truly risky to get immune for it at some point or is that just over cautious behavior of western doctors?

[lostoday]

Did it work?

[bartender100]

Doc gave me Prednisolone for my ear infection, cleared it up perfectly

http://www.fauquierent.net/earinfections.htm

[dennis123]

Did it work?

Today not sure, just had the shot few hours ago so bit early to draw conclusions.

[dennis123]

Doc gave me Prednisolone for my ear infection, cleared it up perfectly

http://www.fauquierent.net/earinfections.htm

Tablets or also a shot?

That site talks that ear infections are PAINLESS, well it hurts like hell like someone stabbing a knife in your ear. If it ain't gone tomorrow I go see an expert at Bangkok Pattaya hospital.

Edited September 21, 2015 by dennis123

[wpcoe]

I had very poor experiences with the BP-H ENT clinic with ear problems a few years ago. Multiple courses of antibiotics over a short period of time ... I think it was four courses within six or seven weeks. After the painful ear blocking occurred yet again, I went to my old (as in, previous, not elderly) ENT doctor at BNH Hospital in Bangkok, and he correctly diagnosed the cause and gave me an effective, non-antibiotic resolution. If you're not satisfied with, nor cured by, the happy folks at BP-H I highly recommend Dr. Pasakorn at BNH Hospital in Bangkok.

[dennis123]

I had very poor experiences with the BP-H ENT clinic with ear problems a few years ago. Multiple courses of antibiotics over a short period of time ... I think it was four courses within six or seven weeks. After the painful ear blocking occurred yet again, I went to my old (as in, previous, not elderly) ENT doctor at BNH Hospital in Bangkok, and he correctly diagnosed the cause and gave me an effective, non-antibiotic resolution. If you're not satisfied with, nor cured by, the happy folks at BP-H I highly recommend Dr. Pasakorn at BNH Hospital in Bangkok.

I just went to the small clinic in between Thai Learning School and the 7/11 on the corner there, they gave me an antibiotic shot before that helped like a year ago so just asked for that again.

Is that ENT clinic inside the big hospital at Sukhumvit or is it the smaller clinic also at Sukhumvit, just noticed few days ago that they have a smaller clinic/hospital there, closer to Theprasit.

You remember what Dr Pasakorn gave you? Can always try it lol.

[Basil B]

Coconut Oil...

One of the main reasons why many people prefer to use coconut oil as opposed to other treatments is safety. Using coconut oil in the ear has relatively few side-effects or risks, whereas other approaches, such as medications, involve numerous side-effects. In addition, many are concerned about the overuse of antibiotics. "Coconut oil kills a long list of bacteria, viruses, fungi, parasites and protozoa," according to Coconut Oil Central, because it contains high levels of medium-chain fatty acids (MCFAs).

Read more : http://www.ehow.com/about_6637919_use-clear-up-ear-infection.html

http://www.ehow.com/about_6637919_use-clear-up-ear-infection.html

[n210mp]

Doc gave me Prednisolone for my ear infection, cleared it up perfectly

http://www.fauquierent.net/earinfections.htm

I didn't realise that this was in fact an antibiotic

Recently have some skin troubles diagnosed as alergic eczema by the Dermatologist at QS hospital

She said it was a cortisone/steroid treatment that actually lowered your immune system efficiency , in my case the eczema,a was being caused by the immune system working too well or in hyperdrive

I went to her a second time in two weeks because of the appearance of many blister type pustules appearing under the soles of my feet, not hurting but so blinking itchy I could willingly have cut them off or stuck them with a pin. ( I exercised unusual restraint and didn't though)

The Prednisolone tablets worked well for me and the blisters seemed to go away but when the pills ran out the blisters came back so I think that I will have to go to Fascinos to get some more ,Unless you know where I can get this medication ,more cheaply in the Pattaya area.

Thanks for any info

Edited September 21, 2015 by n210mp

[jaywalker]

Tell a pharmacist you want some Sofradex ear drops.

I had a serious ear problem back 12 years ago & that stuff worked like a charm.

You might have to find one of those tiny shops on Soi Khaotalo (or Naklua or similar) as I seem to recall trying to buy it at the Foodland Pharmacy once & they told me I needed a prescription.

I tried to buy some Viagra (my most favorite recreational drug) at Foodland once and was met with "We don't sell THAT here".

I felt lower than whaleshit.

Edited September 21, 2015 by jaywalker

[SantiSuk]

Prednislolne is a steroid and needs to be handled with care. Doctors here never give you the low-down on any drug - just feed you and take the money - no information. You must ask precisely what you are getting and look the drug sheet up on the internet.

I have an inner ear bacterial infection wich gives me pain/loss of hearing maybe once a year.

Doctor should have given you a topical antibiotic ear drop. Just selling more expensive meds.

I assume that Jaywalker's sofradex is such a topical (means applied to the point of infection) antibi. I use S.M Oto (110 baht at larger pharmacies). I say larger because it seems to be less easily available now - must check with the doc who prescribed it as to whether it is now considered sub-optimal. It still works for me within a couple of days.

UK GP prescribed a topical antibi spray (can't remember name). That was excellent too but probably way more expensive here than in the UK.

[manarak]

Did it work?

Today not sure, just had the shot few hours ago so bit early to draw conclusions.

immune to antibiotics, huh?

I would suggest you do some reading of your own on antibiotics and their use before questioning treatment strategies.

[SantiSuk]

I challenged my immunologist on the overuse thing. Her perspective

Doctors are right to be guided towards the massive abuses of prescribing antibis for patients who do not need them. It is the falling away of effectiveness of the cheap early stage antibis that is a real concern.

Not treating a patient who would clearly benefit significantly from a health-threatening disease or severe pain makes no sense, particularly as

There are many antibis available - tend to be more expensive and available in hospitals as infusions or injections only - that are not under threat

[chas39]

As SantiSuk says above, prednisone needs to be taken with care. Or I should say the care really should be taken when coming off the drug. Doctors should slowly reduce the dose to give your body time to adjust.

I was given prednisone when my cornea transplant suddenly started to be rejected. That and the other pills I was given cured the rejection.

My prednisone dose was halved for 2 weeks then stopped.

People started to say I had a 'moon' shaped face (chipmunk cheeks in the US), hip joints were really painful and I got random muscle aches. I couldn't walk half a mile to town for 6 weeks.

No warning about this from the UK Hospital. I suggested to the Eye specialist that they should issue a brief warning - but they looked as if I was a hair in the butter. There was a brief mention on the medicine sheet - but a brief mention among many other possibilities.

It has gradually got better. When I looked it up there was loads of stuff about these withdrawal symptoms from other people..

So just be aware.

Sorry to go on about it - but recovering from a triple bypass was nothing compared with this.

I went round Flamingo Park Zoo the other day and the chipmunks never gave me a second glance thank goodness.

Edited September 21, 2015 by chas39

[Rimmer]

Best to move this topic to the Health Forum.

[jmccarty]

Doc gave me Prednisolone for my ear infection, cleared it up perfectly

http://www.fauquierent.net/earinfections.htm

Tablets or also a shot?

That site talks that ear infections are PAINLESS, well it hurts like hell like someone stabbing a knife in your ear. If it ain't gone tomorrow I go see an expert at Bangkok Pattaya hospital.

Ear infections can be very painful. Anyone that says otherwise has no idea! I used to get them often when I worked as a commercial diver. Was one of the reasons I quit.

[Michaelaway]

Great antibiotic: Zithromax (ask for the "real" one; don't buy the "copy" medicine).

[crazygreg44]

Doc gave me Prednisolone for my ear infection, cleared it up perfectly

http://www.fauquierent.net/earinfections.htm

I didn't realise that this was in fact an antibiotic

Recently have some skin troubles diagnosed as alergic eczema by the Dermatologist at QS hospital

She said it was a cortisone/steroid treatment that actually lowered your immune system efficiency , in my case the eczema,a was being caused by the immune system working too well or in hyperdrive

I went to her a second time in two weeks because of the appearance of many blister type pustules appearing under the soles of my feet, not hurting but so blinking itchy I could willingly have cut them off or stuck them with a pin. ( I exercised unusual restraint and didn't though)

The Prednisolone tablets worked well for me and the blisters seemed to go away but when the pills ran out the blisters came back so I think that I will have to go to Fascinos to get some more ,Unless you know where I can get this medication ,more cheaply in the Pattaya area.

Thanks for any info

blisters on the feet's soles, which will release a little bit of clear liquid when pinned ??

I suffered from the same, for many years, on and off. Have been told by 4 (!) doctors it is an allergy. I yet have to figure out what causes the allergy, I have downsized my assumptions to unusally lots of MSG plus chicken, shrimps or Mama soups. I avoid all noodle soups and the condition has improved a lot

Give it a try, stop eating MSG noodle soups. If you aren't eating any at all, it must be something else

Edited September 22, 2015 by crazygreg44

[n210mp]

Doc gave me Prednisolone for my ear infection, cleared it up perfectly

http://www.fauquierent.net/earinfections.htm

I didn't realise that this was in fact an antibiotic

Recently have some skin troubles diagnosed as alergic eczema by the Dermatologist at QS hospital

She said it was a cortisone/steroid treatment that actually lowered your immune system efficiency , in my case the eczema,a was being caused by the immune system working too well or in hyperdrive

I went to her a second time in two weeks because of the appearance of many blister type pustules appearing under the soles of my feet, not hurting but so blinking itchy I could willingly have cut them off or stuck them with a pin. ( I exercised unusual restraint and didn't though)

The Prednisolone tablets worked well for me and the blisters seemed to go away but when the pills ran out the blisters came back so I think that I will have to go to Fascinos to get some more ,Unless you know where I can get this medication ,more cheaply in the Pattaya area.

Thanks for any info

blisters on the feet's soles, which will release a little bit of clear liquid when pinned ??

I suffered from the same, for many years, on and off. Have been told by 4 (!) doctors it is an allergy. I yet have to figure out what causes the allergy, I have downsized my assumptions to unusally lots of MSG plus chicken, shrimps or Mama soups. I avoid all noodle soups and the condition has improved a lot

Give it a try, stop eating MSG noodle soups. If you aren't eating any at all, it must be something else

Phew thanks for the input and yes the blisters are exactly as you describe, I have never had them before but as I said earlier the Dermatologist prescribed the Prednisolon for the foot blisters and the skin eruptions on my chest.

When I goggled the drug it came up with cortisone/steroid used for the treatment of over active immune system or that's what I thought it was saying and then in the earlier post the drug was refereed to as a AB which still leaves me a little confused

3 days ago the blisters went or where definably on their way out but then I Ran out of the drug and the blisters have come back with a vengeance

Could you advise on how you treated them, did you use a drug or pop them, they are driving me crazy with itching, no pain just this intolerable itchiness

Do you think I should get more of the Prednisonlon?

Thanks for your input again

Edit

Incidentally the skin eruptions on my body also seemed to be going until I ran out of the drug, (they also have come back) I have another appointment with the Dermatologist on the 30Th but dont want to wait until then for the sake of going to the Pharmacy and getting more untoil I can see the Doctor again

Edited September 22, 2015 by n210mp

[MaeJoMTB]

Doc gave me Prednisolone for my ear infection, cleared it up perfectly

http://www.fauquierent.net/earinfections.htm

I didn't realise that this was in fact an antibiotic

Recently have some skin troubles diagnosed as alergic eczema by the Dermatologist at QS hospital

She said it was a cortisone/steroid treatment that actually lowered your immune system efficiency , in my case the eczema,a was being caused by the immune system working too well or in hyperdrive

I went to her a second time in two weeks because of the appearance of many blister type pustules appearing under the soles of my feet, not hurting but so blinking itchy I could willingly have cut them off or stuck them with a pin. ( I exercised unusual restraint and didn't though)

The Prednisolone tablets worked well for me and the blisters seemed to go away but when the pills ran out the blisters came back so I think that I will have to go to Fascinos to get some more ,Unless you know where I can get this medication ,more cheaply in the Pattaya area.

Thanks for any info

blisters on the feet's soles, which will release a little bit of clear liquid when pinned ??

I suffered from the same, for many years, on and off. Have been told by 4 (!) doctors it is an allergy. I yet have to figure out what causes the allergy, I have downsized my assumptions to unusally lots of MSG plus chicken, shrimps or Mama soups. I avoid all noodle soups and the condition has improved a lot

Give it a try, stop eating MSG noodle soups. If you aren't eating any at all, it must be something else

Phew thanks for the input and yes the blisters are exactly as you describe, I have never had them before but as I said earlier the Dermatologist prescribed the Prednisolon for the foot blisters and the skin eruptions on my chest.

When I goggled the drug it came up with cortisone/steroid used for the treatment of over active immune system or that's what I thought it was saying and then in the earlier post the drug was refereed to as a AB which still leaves me a little confused

3 days ago the blisters went or where definably on their way out but then I Ran out of the drug and the blisters have come back with a vengeance

Could you advise on how you treated them, did you use a drug or pop them, they are driving me crazy with itching, no pain just this intolerable itchiness

Do you think I should get more of the Prednisonlon?

Thanks for your input again

Edit

Incidentally the skin eruptions on my body also seemed to be going until I ran out of the drug, (they also have come back) I have another appointment with the Dermatologist on the 30Th but dont want to wait until then for the sake of going to the Pharmacy and getting more untoil I can see the Doctor again

Lets hope they aren't porkworm.

[bartender100]

Doc gave me Prednisolone for my ear infection, cleared it up perfectly

http://www.fauquierent.net/earinfections.htm

Tablets or also a shot?

That site talks that ear infections are PAINLESS, well it hurts like hell like someone stabbing a knife in your ear. If it ain't gone tomorrow I go see an expert at Bangkok Pattaya hospital.

Little pink square tabs, B5 from the pharmacy, as mentioned handle with care, but they are widely prescribed in the UK , 3 tabs a day for 4 days did it, and yes it was painful ear infection, I was prescribed these by ENT specialist at Memorial Hospital Pattaya, after he sucked out crap.

[crazygreg44]

blisters on the feet's soles, which will release a little bit of clear liquid when pinned ??

I suffered from the same, for many years, on and off. Have been told by 4 (!) doctors it is an allergy. I yet have to figure out what causes the allergy, I have downsized my assumptions to unusally lots of MSG plus chicken, shrimps or Mama soups. I avoid all noodle soups and the condition has improved a lot

Give it a try, stop eating MSG noodle soups. If you aren't eating any at all, it must be something else

Phew thanks for the input and yes the blisters are exactly as you describe, I have never had them before but as I said earlier the Dermatologist prescribed the Prednisolon for the foot blisters and the skin eruptions on my chest.

When I goggled the drug it came up with cortisone/steroid used for the treatment of over active immune system or that's what I thought it was saying and then in the earlier post the drug was refereed to as a AB which still leaves me a little confused

3 days ago the blisters went or where definably on their way out but then I Ran out of the drug and the blisters have come back with a vengeance

Could you advise on how you treated them, did you use a drug or pop them, they are driving me crazy with itching, no pain just this intolerable itchiness

Do you think I should get more of the Prednisonlon?

Thanks for your input again

Edit

Incidentally the skin eruptions on my body also seemed to be going until I ran out of the drug, (they also have come back) I have another appointment with the Dermatologist on the 30Th but dont want to wait until then for the sake of going to the Pharmacy and getting more untoil I can see the Doctor again

I show exactly the same reaction on the chest, too ! Not only on the foot. I love to eat Tom Yam Goong, Red or Green Curries and and since the pastes used to prepare them are loaded with chilies and MSG, however I strongly suspect the curry pastes and the MSG are the cause of the allergic reactions.

I had cooked up a Tom Yam Goong last week using the ready made paste and herbs, and for two days, my chest itched.

I didn't take any remedies or medications . . just let it be, despite the horrible itching. Once I suspected it was from certain foodstuffs, the irritations ceased after I quit certain soups and curries, mostly everything that contains high MSG.

I suggest you quit these ingredients - MSG, coconut curries, noodle soups - totally and watch what happens. Then eat small doses and find out if any of these cause the irrations again. It could be one of the herbs or a multitude or the combination of some. You will probably not need any antibiotics or cortisone, just avoid the causes for the allergic reaction

Edited September 22, 2015 by crazygreg44

[Sheryl]

Prednisone/prednisolone is not an antibiotic. It is a steroid used for autoimmune conditions. Requires a prescription and rightly so as side effects can be serious and appropriate dosing requires medical expertise.

Going back to OP's original question, overuse of antibiotics is indeed rife in Thailand and a major cause of antibiotic resistance. Not all ear pain is due to infection. One wonders if they examined his ear with an otoscope before giving whatever antibiotic this was.

[JHolmesJr]

I would have started with antibiotic ear drops….Tobrex is a good one….and there is also one with ciprofloxacin.

[Gonsalviz]

Doc gave me Prednisolone for my ear infection, cleared it up perfectly

http://www.fauquierent.net/earinfections.htm

Prednisone can be some nasty stuff.

[wpcoe]

I had very poor experiences with the BP-H ENT clinic with ear problems a few years ago. Multiple courses of antibiotics over a short period of time ... I think it was four courses within six or seven weeks. After the painful ear blocking occurred yet again, I went to my old (as in, previous, not elderly) ENT doctor at BNH Hospital in Bangkok, and he correctly diagnosed the cause and gave me an effective, non-antibiotic resolution. If you're not satisfied with, nor cured by, the happy folks at BP-H I highly recommend Dr. Pasakorn at BNH Hospital in Bangkok.

I just went to the small clinic in between Thai Learning School and the 7/11 on the corner there, they gave me an antibiotic shot before that helped like a year ago so just asked for that again.

Is that ENT clinic inside the big hospital at Sukhumvit or is it the smaller clinic also at Sukhumvit, just noticed few days ago that they have a smaller clinic/hospital there, closer to Theprasit.

You remember what Dr Pasakorn gave you? Can always try it lol.

Sorry, I meant "BH-P" = Bangok Hospital-Pattaya, the large hospital on Sukhumvit just north of Pattaya Tai. (It used to be called Bangkok-Pattaya Hospital, and I sometimes cling to the past.) That's the location I went to. I don't think their satellite location near Thepprasit was open then, but if the location is more convenient for you it might be worth seeing if they have an ENT doctor there.

Dr.Pasakorn used a suction device to remove the thin layer of "gunk" on my ear drum, then applied some drops to treat the infection. Possibly the drops had topical antibiotics, which I don't object to. It's systemic antibiotics that I'm not comfortable taking repeated courses of.

Anyway, based on my long history of recurring ear infections he deduced that I had a pH imbalance in the ear canal and that I could rectify that by flushing the ear canal with plain old white vinegar. He said that at the first inkling of an oncoming infection (and I can usually tell), to flush the ear canal a couple times daily.

My vague recall of the logic was that my ear canal was not natively acidic enough to fight routine bacteria and that the vinegar rinses helped change the pH balance enough to the fend against the oncoming infection.

Many years later, and I still keep a 10ml syringe on hand for the ear canal flushes. Maybe 2x or 3x per year.

[oncearugge]

There are three types of ear infection.

1. Otitis externa which affects the outer ear and the ear canal. Can be very painful and is treated by cleaning and the installation of steroid/antibiotic drops.

2. Otitis media which often affects children. Oral antibiotics are occasionally indicated.

3 Labyrinthitis (inner ear "infection") often has a viral cause and results in vertigo/dizziness/loss of hearing. Usually treated with oral steroids.

It is always wise to seek professional advice about "earache" so a proper diagnosis can be made and appropriate treatment prescribed.

Self diagnosis/treatment is almost always inappropriate.

[dennis123]

In addition to the antibiotic injection, which doesn't help at all as last year it worked a mere 8 hours later while today it still hurts all day long and that shot was yesterday, I bought Sofradex ear drops as someone recommended. Doesn't seem to help either and it's real hard to actually get these drops in my ear as my inner ear is pretty damn narrow (some doctor told me many years ago), especially now that it's upset or something as I can hardly get a cotton swap/stick inside (yeah I know that's bad but just to show), played around with that and olive oil and vinegar about three days ago, back then it didn't hurt too much and it should've worked pain reliefing, well not at all, only got worst and the vinegar even resulted in a burning feeling.

I used white Vinegar so let that be a warning for people who want to try that as it's advised all over on the internet as a home remedy, actually they recommend a different type of Vinegar but some articles said the white one was ok as well when the other one isn't available.

Tomorrow I have to do a final blood test for syfillis that I got like 9 months ago, got to wait 1 hour for the results so in that time I will visit the ENT clinic there to have a doctor look at it and likely wash my ear with water or suck it out or something. Eating ibuprofen all day long cause the pain is hardly bearable, like they're sticking needles in your ear at random intervals.

Side fact:

Last friday I had a root canal treatment and online self diagnosis, yeah bad, shows that even when the toothache is gone the pain can come back in your ear as it's the same nerve apparantly, however that seems a bit unlikely as it was the teeth on my right and the ear pain occurs on my left also the earpain occured about 1-1.5 days after so if it was connected you'd think the pain would start the same day.\

[dennis123]

There are three types of ear infection.

1. Otitis externa which affects the outer ear and the ear canal. Can be very painful and is treated by cleaning and the installation of steroid/antibiotic drops.

2. Otitis media which often affects children. Oral antibiotics are occasionally indicated.

3 Labyrinthitis (inner ear "infection") often has a viral cause and results in vertigo/dizziness/loss of hearing. Usually treated with oral steroids.

It is always wise to seek professional advice about "earache" so a proper diagnosis can be made and appropriate treatment prescribed.

Self diagnosis/treatment is almost always inappropriate.

Number one seems to apply cause I don't have any other symptoms like dizzyness or fever, infection does sound a bit odd as well as I don't have any pus or fluids coming from my ear.

If it's just a starting infection I would've expected the antibiotic shot to do it's job as those are normally very effective but well...

[oncearugge]

There are three types of ear infection.

1. Otitis externa which affects the outer ear and the ear canal. Can be very painful and is treated by cleaning and the installation of steroid/antibiotic drops.

2. Otitis media which often affects children. Oral antibiotics are occasionally indicated.

3 Labyrinthitis (inner ear "infection") often has a viral cause and results in vertigo/dizziness/loss of hearing. Usually treated with oral steroids.

It is always wise to seek professional advice about "earache" so a proper diagnosis can be made and appropriate treatment prescribed.

Self diagnosis/treatment is almost always inappropriate.

Number one seems to apply cause I don't have any other symptoms like dizzyness or fever, infection does sound a bit odd as well as I don't have any pus or fluids coming from my ear.

If it's just a starting infection I would've expected the antibiotic shot to do it's job as those are normally very effective but well...

Systemic antibiotics are rarely indicated for otitis externa and in most cases would prove to be ineffective.

This is precisely why an accurate diagnosis should be sought from an ENT specialist.

The cost of a specialist consultation would be in the range of 1-2000 Bht.......................................................