instruction: hello doctor I had an aorta aneurysm removed four weeks ago while in the hospital and rehabilitation I complained of my ear hurting I often collect ear wax so I thought that was the problem now that I am home and have a can and therapist helping me get stronger the ear pain is the only pain I have she put debrox and hylands earache drops in my ear she flushed the ear with warm water for two days the pain is so bad that I can hardly eat because chewing hurts it hurts in my mouth too I have been putting saltwater in but it does not seem to help might I have an ear infection I am not well enough to go to an ents office and I am not sure if they are open any advice you can give would be greatly appreciated
output: hello it is likely that you have developed otitis external following wax removal syearinging often leaves some moisture in the ear and this provides an ideal medium for fungi to grow in do you have pain while touching your tragus or moving your pina if you have severe pain then you may need analgesic it would be better to use paracetamol 500 tablet as and when required you can also use ear drops containing clotrimazole neomycin or ofloxacin beclomethasone and lidocaine eg candibiotic ear drops if there is visible swelling or redness of the ear canal you can also use a topical ointment like mupirocin cream with a tip twice or thrice a day hot fomentation around pina also helps in reducing pain and inflammation