Ear Sounds When Swallowing and Clenching Teeth - Otolaryngology

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When swallowing saliva and clenching the teeth, there is a popping sound in the ears?


A few weeks ago, my ear felt blocked, but one day it cleared up when I swallowed and clenched my teeth, and I haven't felt it blocked since.
A few days ago, I had a headache and felt very warm, as if I had a cold, but I have recovered.
Recently, I've been experiencing a sore throat and nasal discharge, and when I swallow or clench my teeth, I hear a popping sound in my ear.
I'm not sure what this situation is.

Niming, 10~19 year old female. Ask Date: 2016/03/29

Dr. Zheng Jueyi reply Otolaryngology


Hello! It may be related to Eustachian tube dysfunction, which usually improves gradually after a cold resolves.
Wishing you health and happiness! Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/29

More Info


When you experience sounds in your ears while swallowing or clenching your teeth, it is often related to the function of the Eustachian tube, which connects the middle ear to the back of the throat. This tube helps to equalize pressure in the middle ear and drain any fluid that may accumulate. When you swallow or clench your teeth, the muscles around the Eustachian tube contract, allowing it to open and equalize pressure, which can sometimes produce a popping or clicking sound.

In your case, the sensation of your ear feeling blocked a few weeks ago, followed by relief when swallowing or clenching your teeth, suggests that there may have been a temporary dysfunction of the Eustachian tube. This can happen due to various reasons, including allergies, colds, or sinus infections, which can lead to inflammation and congestion in the nasal passages and Eustachian tube. The fact that you experienced a headache, fever, and sore throat indicates that you may have had a viral upper respiratory infection, which is common and can affect the Eustachian tube's function.

The popping sounds you hear when swallowing or clenching your teeth are generally normal and indicate that the Eustachian tube is functioning as it should. However, if you are experiencing persistent discomfort, pain, or changes in your hearing, it is essential to consult with a healthcare professional, preferably an ear, nose, and throat (ENT) specialist. They can perform a thorough examination and determine if there are any underlying issues that need to be addressed.

In addition to the Eustachian tube dysfunction, other factors could contribute to the sounds in your ears. For instance, if you have been experiencing nasal congestion or sinus pressure, this can also affect your ears. The pressure changes can create a sensation of fullness or popping sounds. If you have allergies, they can lead to inflammation and blockage of the Eustachian tube, exacerbating the issue.

To manage your symptoms at home, consider the following:
1. Stay Hydrated: Drinking plenty of fluids can help thin mucus and promote drainage.

2. Nasal Decongestants: Over-the-counter decongestants may help relieve nasal congestion and improve Eustachian tube function.

3. Steam Inhalation: Inhaling steam from a hot shower or a bowl of hot water can help relieve congestion.

4. Warm Compress: Applying a warm compress to your ears may help alleviate discomfort.

5. Avoid Allergens: If you suspect allergies, try to avoid known triggers and consider using antihistamines.

If your symptoms persist or worsen, or if you experience significant pain, hearing loss, or dizziness, it is crucial to seek medical attention. An ENT specialist can perform tests to evaluate your Eustachian tube function and determine if there are any other underlying conditions, such as fluid in the middle ear or infections that may require treatment.

In summary, the sounds you are experiencing in your ears while swallowing or clenching your teeth are likely related to the normal functioning of the Eustachian tube. However, given your recent symptoms of illness, it is essential to monitor your condition and consult a healthcare professional if necessary.

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