4 The Definition of Professional Boundaries â¢ Mutually understood, unspoken physical and emotional limits of the relationship between the client and the counselor. â¢ When altered, what is allowed in the relationship becomes ambiguous.
Cholesteatoma usually affects only one ear (it is unilateral). The most common initial symptoms are a smelly discharge from the ear, and some hearing loss. You are also likely to have had previous problems with ear infections. Other symptoms that may occur include a ringing sound in the ear (tinnitus) and headache.
Conversely a person who reports experiencing xerostomia may not show signs of reduced salivary secretions (subjective xerostomia). In the latter scenario, there are often other oral symptoms suggestive of oral dysesthesia (burning mouth syndrome). Some symptoms outside the mouth may occur together with xerostomia.