Ear Pressure and Hearing Loss: Causes and Solutions - Otolaryngology

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The ears feel stuffy, and hearing is somewhat impaired?


Hello doctor, I am in the ninth grade this year.
Recently, for the past couple of days, I have been experiencing a feeling of fullness in both ears, and sounds seem quieter than usual.
Taking a deep breath and holding it doesn't help.
I have a cold, and I've been coughing for over two weeks, often coughing quite forcefully.
I have a habit of wearing headphones while doing homework, averaging about 2 to 3 hours a day.
Could the feeling of fullness in my ears be due to pressure, my cold, or the use of headphones? How can I alleviate this discomfort in my ears?

Qingxin, 10~19 year old female. Ask Date: 2016/04/13

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is common for earwax to block the ear or for fluid to accumulate in the middle ear due to a cold.
If the condition persists without improvement, it is advisable to seek medical evaluation and treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/13

More Info


Hello! It sounds like you're experiencing some discomfort in your ears, which can be quite concerning, especially at your age. Based on the symptoms you've described—ear pressure, muffled hearing, and a history of a persistent cough and cold—there are several potential causes to consider.

Firstly, the sensation of ear pressure and muffled hearing can often be attributed to Eustachian tube dysfunction. The Eustachian tubes are small passages that connect the middle ear to the back of the throat. They help equalize pressure in the ears and drain fluid. When you have a cold or allergies, these tubes can become swollen or blocked, leading to a feeling of fullness in the ears and decreased hearing. This is particularly common when you have been coughing heavily, as the pressure changes can affect the Eustachian tubes.

Additionally, using headphones for extended periods can contribute to ear discomfort. While listening to music or studying with headphones, especially at high volumes, can lead to temporary changes in hearing, it's essential to ensure that the volume is at a safe level to prevent potential damage to your hearing over time.
To alleviate your symptoms, here are some steps you can take:
1. Nasal Decongestants: Over-the-counter nasal decongestants can help reduce swelling in the nasal passages and Eustachian tubes, allowing for better drainage and pressure equalization. However, be sure to follow the instructions and consult with a healthcare provider if you're unsure.

2. Steam Inhalation: Inhaling steam can help relieve nasal congestion. You can do this by taking a hot shower or using a bowl of hot water with a towel over your head to trap the steam.

3. Yawning and Swallowing: These actions can help open the Eustachian tubes. You can also try the Valsalva maneuver: take a deep breath, pinch your nose shut, close your mouth, and gently blow as if you are trying to exhale through your nose. This can help equalize the pressure in your ears.

4. Avoiding Irritants: If you are using headphones, try to limit the time you spend wearing them, especially at high volumes. Give your ears regular breaks to reduce strain.

5. Stay Hydrated: Drinking plenty of fluids can help thin mucus and promote drainage.

6. Consult a Doctor: If your symptoms persist or worsen, it’s crucial to see a healthcare professional. They can perform a thorough examination, including checking for any signs of infection or other underlying conditions that may be contributing to your symptoms.

In summary, your ear discomfort is likely related to your recent cold and the associated congestion affecting your Eustachian tubes. By taking steps to relieve nasal congestion and avoiding prolonged headphone use, you should see an improvement. However, if the symptoms do not resolve, seeking medical advice is essential to rule out any other issues. Take care of your health, and I hope you feel better soon!

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