Ear Symptom – a Crackling Sound

by Your ER Doc on November 15, 2008

“There’s a crackling in my ear! ”
“Something’s making popping sounds in my ears!”
He was a 20 year old man, and looked quite anxious. He couldn’t sit still, and the expression on his face just said “Help me!” He was grabbing and poking at his left ear. “Get it out!”
I’ve had other patients with ear symptoms with crackling noises, but this was different. I took a look inside and sure enough, there was a pincher bug inside the ear canal. With the magnification from the ear scope, the thing looked huge. I must say, I hate even the thought of having a bug in my ear, but this thing would be a nightmare. I seriously doubt whether I would be able to sit still enough for someone to get it out.
I told him he had a pincher bug in his ear, and he was revolted. “What is it even doing in there?!”
I thought about my answer carefully, and considered a joke to lighten his mood a bit. But somehow, I didn’t think it would help if I told him it was in there building a nest, and laying eggs. I ignored his question, and got a pair of forceps and grabbed the insect by the pointy part on his rear end.
It tried to scramble away from me, digging his wiggly little legs into the poor man’s ear canal as I dragged him from his hiding place. This was probably the worst part of all.
When it was over, the patient looked like he had just run a marathon. His face was red and sweaty and he stared at the pincher bug with horror. I put the bug in a plastic cup, and handed it to the patient. He looked at him for a moment, and then smashed it into dust with his thumb, while calling the bug some names I won’t repeat. He apologized for the profanity, but I completely understood.
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{ 6 comments… read them below or add one }

Nick 11.15.08 at 1:57 pm

Working in Phoenix, we see cockroaches in ears alot, the trick is to drown them with viscous lidocaine (also numbs the canal), before trying to remove them.

Tracey 11.15.08 at 10:55 pm

why didn’t you squirt a little mineral oil in his ear to smother the beatle so you could pull him out w/o causing him more pain? I have heard from EMTs I know that that is usually less painfull than just pulling the bug out.

Your ER Doc 11.19.08 at 2:50 pm

I actually use viscous lidocaine now on bugs in the ears, and it works pretty well. However, it doesn’t make for as good a story.

freddie 03.24.09 at 6:13 pm

why couldn’t you put one of those little vaccums by his ear and suck it out?
less painful.

i HAVE THE SAME THING!!!! 12.12.09 at 9:45 pm

PLEASE HELP ME!!!! i can control the crackling, when i touch my left ear and move it a little it cracks ive had this problem like for 1 week and a half. what should i do?

i HAVE THE SAME THING!!!! 12.12.09 at 9:45 pm

PLEASE HELP ME!!!! i can control the crackling, when i touch my left ear and move it a little it cracks ive had this problem like for 1 week and a half. what should i do?!!!@#@#@ mother*&*$%

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