Why Do My Ears Make Sounds When Swallowing or Drinking?

Hearing sounds in the ears when swallowing saliva or drinking beverages?

Hello doctor, after taking a shower today, I noticed a sound in my ears when I drink water or swallow saliva.
This just started happening; it wasn't an issue a few days ago.
Is this normal?

Mr. Su, 20~29 year old female. Ask Date: 2016/05/04

Dr. Zheng Jueyi reply Otolaryngology

Hello, this may be related to eustachian tube dysfunction.
It is advisable to monitor the situation, and if there is no improvement after one week, it is recommended to seek medical evaluation.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/04

More Info

When you experience sounds in your ears while swallowing or drinking, it can be concerning, especially if it is a new symptom. This phenomenon is often related to the function of the Eustachian tube, which connects the middle ear to the back of the throat. The Eustachian tube plays a crucial role in equalizing pressure in the middle ear and draining any fluid that may accumulate.
When you swallow, the muscles around the Eustachian tube contract, allowing air to flow into the middle ear and equalize pressure. If there is any dysfunction in this mechanism, you may hear sounds such as popping, crackling, or even a sensation of fullness in your ears. This can happen for several reasons:
1. Eustachian Tube Dysfunction: This is the most common cause of sounds in the ear during swallowing. It can occur due to allergies, colds, sinus infections, or even changes in altitude. If the Eustachian tube is not opening properly, it can lead to a sensation of pressure and the associated sounds.

2. Fluid in the Middle Ear: If there is fluid buildup in the middle ear, it can create a sound when you swallow. This fluid can be a result of an upper respiratory infection or allergies, leading to a condition known as otitis media with effusion.

3. Earwax Buildup: Sometimes, excessive earwax can block the ear canal and cause sounds when swallowing. This is usually accompanied by a feeling of fullness or pressure in the ear.

4. Changes in Air Pressure: Rapid changes in air pressure, such as when you are in a plane or diving, can also cause sounds in the ears. However, this is less likely to be the cause if you are simply swallowing after a shower.

5. Muscle Spasms: Occasionally, muscle spasms in the middle ear can create sounds during swallowing. This is less common but can happen.

In your case, since this is a new occurrence, it is advisable to monitor the situation. If the sounds persist for more than a week or are accompanied by other symptoms such as pain, hearing loss, or dizziness, it would be prudent to consult an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, which may include checking for fluid in the middle ear, assessing the Eustachian tube function, and looking for any signs of infection or blockage.

In summary, while it is not uncommon to hear sounds in your ears when swallowing, especially if it is a new symptom, it is essential to pay attention to any accompanying signs. If the issue continues or worsens, seeking medical advice is the best course of action to ensure proper diagnosis and treatment.

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