instruction: hello doctor my wife is 70 years old she is diabetic and hypertensive she has dry and itchy skin for that she is taking head bath and applying oil on scalp she is prone to sinus problems now for a couple of days there are boils inside and outside left ear it is troubling her very much please suggest some medication or remedy for immediate relief
output: hello with the picture it appears like a hair follicle infection of the small hair in the ear canal considering her age and that she suffers from diabetes and hypertension diabetic people have slightly less immunity compared to normal people I am suggesting antibiotics for her tablet augmenting 625 tablet thrice daily after meals days tablet chymoral forte tab thrice daily before meals days tablet doll 650 tablet sos for pain can take unto three tablets per day in divided doses back ointment use clean little finger and apply the ointment thrice daily over the area if using ear buds take particular care that it does not go deep and injure the ear drum do not let water enter while taking bath keep a cotton plug spread with some back ointment or vaseline inside the affected ear and throw it off after bath this condition is called acute localised otitis external furuncle of external ear it appears that there is a single boil with a lot of redness in the picture you showed it is quite painful please continue your diabetic and hypertension medicines as before I hope you are taking those regularly and the sugars are controlled for a few days avoid applying oil in hairs once she gets better she can put oil over scalp do revert back if there is any worsening please wait for days for the antibiotics and medicines to act please let us know promptly if there is any fever or some other form of worsening happy to help you