Based on the symptoms you’ve described, your brother may have a perforation in both of his tympanic membranes (eardrums), which is causing hearing loss in both ears. This condition is likely due to an ear disease affecting both ears. Surgery is recommended
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Given your symptoms, it’s important that you are examined by an ENT (Ear, Nose, and Throat) specialist to rule out common sources of infection in the neck. The doctor may also recommend a neck ultrasound and a complete blood count (CBC) to help further assess
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It sounds like it could be a relatively simple condition, and it may resolve on its own in a short period of time. However, if the ringing persists or worsens, I would recommend getting an audiometry test and tympanometry to assess the situation further.
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Keep the ear dry: Avoid water exposure to your ear to prevent irritation. Avoid ear instruments: Do not use ear buds or other objects to clean your ears. Get an HRCT scan: A High-Resolution CT of the temporal bones will help diagnose any underlying issues.
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