<s>[INST] Hi doctor,About a week ago, I got a sinus infection which turned into two ear infections. I have now been on Z-pak as well as Flonase and steroids for four days. My left ear feels substantially better. My right ear, however, is still a little plugged, and now I am experiencing pressure in my temple and jaw area on the right side of my head. Should I be worried? I have one more day left of Z-pak and steroids. [/INST] Hello. How do you feel now? Are you better? Did the pressure in the temple and area around the right jaw resolve? The reason for those two is the block of the eustachian tube on that particular side. This is the tube that equates pressure on either side of the eardrum by connecting back of the nose to the ear. When it gets blocked due to sinus or nasal problems we feel a sense of block and pressure classically in the area between jaw and ear. If the two have resolved and you are feeling better, then it is good. Otherwise, we have to check if the infection is persisting. Probably, the organism would be resistant to that particular antibiotic. In that case, I would suggest you take a course of Ciprofloxacin and Tinidazole and send a swab from the nasal cavity for pus culture sensitivity. Based on the report, we can change the antibiotic again. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Good supportive treatment is required - steroid sprays for the nose, systemic decongestants (Phenylephrine), and an antihistaminic (Allegra) to help keep the ear dry. A persistent sinus infection with ear problems requires a nasal endoscopy with documentation of ear findings also. Do revert with more details so that we can help you further. Hoping that you are just fine and that you do not require any further medical attention. For more information consult an ENT otolaryngologist online --> </s>