instruction: hello doctor I am having issues with hearing pain pressure and sensitivity to noise can slough in ear be painful I am currently using topamax allegra baby aspirin tylenol aleve and ibuprofen
output: hello sorry I need more details but I will comment on the pictures as clear as possible the first picture shows a lot of shaded superficial layers of the skin this can be painful this may be a dermatological disease like eczema I still do not know which ear is it right or left the last picture seems to be of the left ear the drum is intact no perforation the white patches in the drum are called tympanosclerosis which is deposition of calcium granules within the drum tissue this can happen spontaneously or after healed drum perforation and drum surgeries