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my daughter is 4yrs old has had trouble with her asthma for 2 months the have her currently on pulmicort-Bid, alberterol-prn and singular daily. they put her on augmentin-bid for 10 days a month ago for a ear infection it helped her cough as well but as soon as it was out of her system her cough came back worse 2weeks ago she was put on zythromax for 5days.her cough came back again and she still had a slight ear infection when she was put on zythromax.three days ago her cough came back again which wasa day afte her antibiotic was out of her sytem (if never really left just subsided some unless alot of activity occured) her ear infection is now worse she cant hear out of her left ear and is c/o in her words hearing someone stepping on leaves in that ear. they put her on augmentin again i feel that this wont work since it did not work the first time. i was looking for some another opinion on this since its been 2 months and shes still not better

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replied December 17th, 2009
General Q and A Answer A8540
Hi, and thanks for your medical question on eHealth forum

Consult a good ENT and a chest specialist. A complete internal examination of the ear along with a CT scan of the mastoid area will be required. If there is a fluid in the ear it should be cultured to learn what bacteria is causing the infection. Then a sensitivity test should be run to discover which antibiotic will kill that bacteria. Tests to detect the type of hearing loss may be required.

Since the chest infection is occurring along with ear infection, it is likely being caused by the same bacteria. It can be viral too. If there is an expectorant cough, then sputum should also be cultured and a sensitivity test run. An X-ray of the chest should be taken. In all probability this is bronchitis.

To run a culture sensitivity all antibiotics will have to be stopped for 3-4 days and supportive treatment for ear pain and cough given. Discuss this with these specialists and do not just take antibiotics without a culture sensitivity test.

Hope this helps! Take care!

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