Persistent Ear Pressure: Causes and Solutions for Right Ear Discomfort

The right ear often feels stuffy?

Hello, recently I've been experiencing a feeling of fullness in my right ear, similar to the sensation you get when flying, and it occurs quite frequently.
The hearing seems normal, but I feel like my right ear is slightly swollen.
I'm not sure if this is related to working on the 26th floor or if it's due to wearing headphones at work for an extended period, which may have caused some ear discomfort.

Yi Dao, 20~29 year old female. Ask Date: 2016/04/27

Dr. Zheng Jueyi reply Otolaryngology

Hello, it may be related to Eustachian tube dysfunction.
If it continues to persist without improvement, it is recommended to seek medical evaluation.
Wishing you peace and good health.
Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/27

More Info

Persistent ear pressure and discomfort, particularly in one ear, can be quite bothersome and may stem from various causes. In your case, the symptoms you describe—such as a feeling of fullness or pressure in the right ear, akin to the sensation experienced during airplane travel—could be attributed to several factors, including Eustachian tube dysfunction, excessive earphone use, or even environmental factors related to your workplace.

Eustachian Tube Dysfunction
The Eustachian tube connects the middle ear to the back of the throat and helps equalize ear pressure. When this tube is not functioning properly, it can lead to a sensation of fullness or pressure in the ear. This dysfunction can be caused by allergies, colds, sinus infections, or even changes in altitude, which might be relevant given your work on the 26th floor. The pressure changes associated with high altitudes can exacerbate any existing issues with the Eustachian tube, leading to discomfort.

Earphone Use
Frequent use of earphones, particularly in-ear types, can also contribute to ear discomfort. Prolonged exposure to sound at high volumes can lead to temporary threshold shifts in hearing, which might manifest as a feeling of fullness or pressure. Additionally, wearing earphones for extended periods can irritate the ear canal, leading to inflammation or even a condition known as external otitis (swimmer's ear). If you have been using earphones excessively, it may be wise to give your ears a break to see if the symptoms improve.

Environmental Factors
Working on a high floor can expose you to varying air pressures, especially if the building is not well-ventilated. Changes in air pressure can affect the Eustachian tube's ability to equalize pressure, leading to discomfort. If your workplace has air conditioning or heating systems that create significant pressure changes, this could also be a contributing factor.

Recommendations
1. Ear Rest: Consider taking a break from using earphones for a few days. This can help reduce any irritation or inflammation in the ear canal.

2. Nasal Decongestants: If you suspect that allergies or sinus issues may be contributing to your symptoms, over-the-counter nasal decongestants or antihistamines may help alleviate Eustachian tube dysfunction.

3. Yawning and Swallowing: Engaging in yawning or swallowing can help open the Eustachian tube and equalize pressure. You can also try the Valsalva maneuver (gently blowing while pinching your nose) to help equalize pressure.

4. Stay Hydrated: Keeping well-hydrated can help thin mucus and promote better Eustachian tube function.

5. Consult a Specialist: If the discomfort persists, it is advisable to consult an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, including checking for any signs of infection or structural issues, and may recommend treatments such as nasal corticosteroids or other interventions.

In summary, your symptoms of persistent ear pressure and discomfort in the right ear could be due to Eustachian tube dysfunction, excessive earphone use, or environmental factors related to your workplace. Taking a break from earphones, managing any underlying allergies, and consulting with a healthcare professional if symptoms persist are prudent steps to take.

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