Ear Issues: Unusual Sounds and Possible Allergies - Otolaryngology

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Ear problems


Hello Doctor, since last week, my left ear has been experiencing strange sensations when I hear sounds, almost like the sound of wind passing through my eardrum.
This only happens when I hear sounds, and I can still sleep well at night; it’s not tinnitus.
It is particularly noticeable when I hear voices.
I have visited both a clinic and a hospital, and they said there is no issue with my ear, possibly related to nasal allergies.
However, my allergies haven't been as severe as before.
Nonetheless, the sounds are very bothersome, and I often feel a stuffy sensation in my ear when I wake up in the morning.
What should I do to resolve this? Thank you!

Guo Yixue, 20~29 year old female. Ask Date: 2016/05/01

Dr. Zheng Jueyi reply Otolaryngology


Hello, if the examination shows no obvious abnormalities, it is mostly benign changes.
It is recommended to observe for a while, and if there is no improvement, please visit the hospital for further examination.
Wishing you peace and health.
Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare, Dr.
Cheng Jue-Yi.

Reply Date: 2016/05/01

More Info


Hello! It sounds like you're experiencing some unusual auditory sensations in your left ear, particularly when you're listening to sounds, which you describe as resembling the sound of wind passing over your eardrum. This can indeed be quite bothersome, especially when it occurs during conversations or other auditory stimuli.
Based on the information you've provided, there are a few potential explanations for your symptoms. First, it's important to note that the sensation of hearing unusual sounds can sometimes be linked to the functioning of the Eustachian tube, which connects the middle ear to the back of the throat. If this tube is not functioning properly, it can lead to a feeling of fullness or pressure in the ear, as well as altered sound perception. This dysfunction can be exacerbated by allergies or sinus issues, which can cause inflammation and affect the Eustachian tube's ability to equalize pressure.

You mentioned that your doctors have ruled out any significant issues with your ear, which is reassuring. However, the fact that you are experiencing these sounds primarily when hearing other noises suggests that there may be a heightened sensitivity in your auditory system. This could be related to a temporary condition known as "temporary threshold shift," where exposure to certain sounds can alter your hearing sensitivity for a short period.
Additionally, allergies can indeed play a significant role in ear-related issues. Even if your allergy symptoms are not as severe as they have been in the past, the presence of allergens can still cause mild inflammation in the nasal passages and Eustachian tube, leading to the sensations you're experiencing. This could explain why you feel a sense of fullness or pressure in your ear, especially upon waking.

To address your concerns, here are a few recommendations:
1. Nasal Decongestants or Antihistamines: If allergies are suspected, over-the-counter antihistamines or nasal decongestants may help reduce inflammation and improve Eustachian tube function. However, it's essential to consult with a healthcare provider before starting any new medication.

2. Eustachian Tube Exercises: You can try performing the Valsalva maneuver (gently blowing with your mouth closed and nose pinched) to help equalize pressure in your ears. This can sometimes alleviate the sensation of fullness.

3. Stay Hydrated: Keeping well-hydrated can help thin mucus and may assist in keeping the Eustachian tubes functioning properly.

4. Avoid Irritants: Try to minimize exposure to known allergens or irritants, such as smoke or strong odors, which could exacerbate your symptoms.

5. Follow-Up with an ENT Specialist: If your symptoms persist or worsen, it may be beneficial to see an Ear, Nose, and Throat (ENT) specialist for further evaluation. They can conduct more specialized tests to assess your Eustachian tube function and overall ear health.

6. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare provider in determining the underlying cause.

In summary, while your symptoms may be related to Eustachian tube dysfunction or mild allergic reactions, they are often manageable with appropriate interventions. If the situation does not improve or if you have any new symptoms, seeking further medical advice is always a good idea. Wishing you the best in finding relief from your ear discomfort!

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