Both my brother and I were tossed by bugs all night, he learned to be gentle, and I learned to play disco

One night in the middle of the night, I dreamed that my brain was bitten, and I woke up from the pain in my sleep. After waking up, I heard buzzing in my left ear, like the sound of wings flapping at high speed.

I woke up suddenly and realized that some kind of insect should have accidentally flew into my ear and bit me hard.

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At three o’clock in the morning, I visited the ENT department

Remembering that insects have phototaxis, I quickly turned on the flashlight of my mobile phone and aimed it at my ear, and pointed out a bright path for it, hoping that it could follow the light source and fly out by itself. I held up my mobile phone to take photos for a long time, but the bug didn’t come out. During the period, it seemed to bite my ear a few more times, and my whole head hurt .

Once a person is in pain, it is easy to think wildly, especially when the danger is so close to the brain. Even though I don’t know which order and genus this unexpected guest belongs to, I subconsciously classify it as a poisonous insect, imagining that it will bite through the eardrum, reach the brain, and then gnaw my brain off.

Frightened, I struggled to stand up and shook my head vigorously while bouncing around in place . People who didn’t know thought I was dancing like crazy. When I was tired from jumping, it finally stopped for a while, but after only a while, it started to bite again, and once it bit me, I had to start jumping again.

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I was bouncing around in place while shaking my head vigorously, people who didn’t know thought I was dancing.丨Pixabay

I thought that my body would not be able to bear it until dawn, and finally decided to go to a nearby hospital for an emergency ENT department.

At three o’clock in the morning, there were very few people in the ENT department, and there was only one elder brother in front of me. After chatting with my eldest brother, I found out that the same person had bugs in his ears. My eldest brother had a bug in his ear a few days ago, and he didn’t take it seriously at first, but the bug was provoking his ear every day, and my eldest brother couldn’t stand it anymore. In order to get out the worms, he used an ear pick to pick them up gently and slowly rubbed them again. He also sprayed alcohol, filled the ears with oil, and stuffed them with cotton .

But the elder brother is the elder brother, no matter how painful it is, he will endure it. If it weren’t for the sudden intensification of his ear pain tonight, and he couldn’t hear others clearly. He couldn’t stand it anymore and went to the emergency room. We wouldn’t have such a fate.

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My brother and I have very different treatment methods

After the doctor came over, he asked the eldest brother to sit on the treatment chair, and just took a look with the ear endoscope, and he let out a “hoo”. The eldest brother who had just talked about repayment suddenly became nervous and asked the doctor what was going on. The doctor said that because of the violent worm extraction, the big brother’s ear canal was already bleeding and seriously infected. A large amount of inflammatory secretions coagulated with oil, cotton, etc., blocking the external auditory canal. This is the cause of the pain and hearing loss.

The doctor took the otoscope and used fine tweezers to take out the black or brown strange objects with peculiar smell in the elder brother’s ear little by little, and then rinsed and washed them with normal saline. During this period, Kong Wu’s seemingly powerful eldest brother kept asking the doctor to lighten up.

Hearing the hissing sound of my elder brother gasping, I couldn’t help covering my left ear silently while watching.

It took almost half an hour for the doctor to finish treating my elder brother’s ear. After prescribing the medicine for him, the doctor turned around and asked me why I came to the hospital. I pointed at my elder brother tremblingly: “It’s the same as him.”

The doctor motioned me to sit down with my left ear towards him and started working on my ear. Unexpectedly, the whole process took less than ten seconds.

The specific processing steps are as follows:

1. The doctor took a look at my ear with an otoscope;

2. The doctor moistened my ears with saline solution;

3. The doctor took another look at my ear with an otoscope.

Then he said, “Okay.”

Me: “… what kind of bug?”

Doctor: “Mosquitoes.”

Me: “…have you taken it out?”

Doctor: “Zi is gone.”

Me: “Is that all right?”

Doctor: “Okay.”

Me: “… don’t you need to prescribe any medicine?”

Doctor: “You’re not like him (pointing to the elder brother who hasn’t left yet) messing around on your own. There’s nothing wrong with your ears, so you don’t need to prescribe medicine.”

The eldest brother was a little bit wronged: “I also thought that if I killed the bug, it would be fine, otherwise it would keep biting me.”

Doctor: “The bugs are dead, and my ears are also inflamed. You have to come back in two days to check again. Fortunately, the eardrum was not injured this time, otherwise it would be more difficult to deal with. You can’t see the inside of the ear, how can you mess around? What? In the future, if there is a small thing in the ear, it is better to go to the hospital in time, and it will be safe to have an ear endoscope to look at it.”

The eldest brother nodded sharply: “I will never mess around again, even if I do, be gentle.”

The doctor and I: “…”

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Don’t deal with foreign bodies in the external auditory canal by yourself like your big brother.丨 Tu Chong Creative

When I went to pay the fee, my elder brother’s treatment fee was more than four times that of mine. It was already past four o’clock in the morning when I walked out of the hospital gate. My eldest brother was regretting all the way, saying that he would have come to the hospital earlier like me, so that he would not spend money and suffer like this, and had to ask for leave for a review. When it came to asking for leave, he He started talking about his harsh boss again.

After thinking about it for a long time, I came up with a reason to comfort him: “Although it’s been a toss all night, it’s still a little rewarding—you have learned to be gentle, and I have learned to play disco.”

doctor review

Zhang Yonglan | Attending Physician of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Central Hospital of Nankai University

“Foreign bodies in the external auditory canal” is a common disease in the department of otolaryngology. It is more common in children , because they are young and ignorant, and they like to stuff small objects into the ears. Foreign bodies in the external auditory canal of adults are mostly left in the ear due to ear picking, trauma, etc., or insects enter the ear during camping and camping.

There are many types of foreign bodies in the external auditory canal, which can be divided into three categories according to different types:

1. Animal foreign bodies: including cockroaches, mosquitoes, moths, ants, maggots, centipedes, etc. It often flies into or crawls into the ear when sleeping at night.

2. Plant foreign bodies: including grains, beans, small fruit pits, etc. Such foreign matter expands in volume when exposed to water.

3. Non-animal and plant foreign matter: including small stones, sand, iron filings, wood chips, cotton swabs, paper balls, etc. If it is a sharp foreign object, it can puncture the skin of the external auditory canal.

Clinical manifestations of foreign bodies in the external auditory canal

If it is a small and non-irritating foreign body, it can remain in the ear canal for a long time without any symptoms; larger foreign bodies can cause earache, tinnitus, hearing loss, reflex cough, etc.

Specifically, animal foreign objects such as live insects can crawl and stir in the external auditory canal, causing severe ear pain and tinnitus. When plant-like foreign bodies swell with water, they can cause inflammation, or compress the external auditory canal, causing pain and hearing loss. Sharp foreign objects entering the ear can cause unbearable pain, tinnitus, and even bleeding.

Moreover, the deeper the foreign body is, the more obvious the above symptoms will be , and even damage the tympanic membrane and middle ear.

Precautions when a foreign body in the external auditory canal occurs

Once a foreign body enters the external auditory canal, don’t panic and seek medical attention immediately.

If it is an animal foreign body such as a live insect, it can be drowned by dripping cooking oil first, and seek medical treatment in time after the foreign body no longer moves. It is not correct to try to use bright light to draw it out like the patient in the article, because the animal foreign bodies that cause the patient’s symptoms are generally relatively large, and the bright light will make them move. If the insects move to the deep part of the external auditory canal, it may damage the ear canal skin or tympanic membrane .

For plant foreign bodies such as beans and peanuts, water should be avoided in the external auditory canal to avoid swelling of the foreign bodies.

Avoid taking out foreign objects in the external auditory canal by yourself. Because the foreign body cannot be seen, “do it yourself” may push the foreign body deep into the external auditory canal and even damage the tympanic membrane, or cause ear canal infection like the big brother in the article.

In short, when a foreign body in the external auditory canal occurs, you should seek medical attention in time to avoid the foreign body remaining in the ear for too long, causing external or middle ear infection and aggravating the condition.

The sharing of personal experience does not constitute a diagnosis and treatment recommendation, and cannot replace the doctor’s individualized judgment on a specific patient. If you need to see a doctor, please go to a regular hospital.

Author: Guoren Jun

Editor: Li Xiaoqiu

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