Ear Noises: Allergies, Infections, and What to Do

Tinnitus?

I have been visiting the doctor frequently lately due to severe nasal allergies.
A few minutes ago, when I blew my nose, I suddenly heard a sound in my ear, like a popping noise.
My mother said it might be because my cold isn't fully resolved, but I'm not sure if that's true.
I'm also worried that something might have happened to my eardrum or ear.
If something has happened, what should I do?

Niming, 10~19 year old female. Ask Date: 2016/05/08

Dr. Zheng Jueyi reply Otolaryngology

Hello! The sounds produced during nose blowing are mostly generated through the Eustachian tubes.
It is recommended to blow your nose one side at a time.
The chance of the eardrum rupturing from blowing your nose is low, but if you are concerned, you can seek medical examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/08

More Info

When it comes to ear noises, particularly in the context of allergies and infections, it's essential to understand the underlying mechanisms and potential causes. Based on your description, it sounds like you are experiencing a phenomenon that could be linked to eustachian tube dysfunction, which is common in individuals with nasal congestion or allergies.

The eustachian tube connects the middle ear to the back of the nose and helps equalize pressure in the ear. When you have nasal allergies or a cold, the eustachian tube can become inflamed or blocked, leading to a feeling of fullness in the ear and unusual sounds, such as popping or crackling noises. This can happen when you blow your nose, as the pressure changes can affect the middle ear. The sound you described, resembling a "ㄐㄧㄨ" noise, could be the result of pressure changes or fluid movement within the ear.

If your mother suggested that your symptoms are due to a lingering cold, she may be correct. Viral infections can lead to inflammation of the eustachian tube, causing similar symptoms. However, if your symptoms persist or worsen, it is crucial to seek further evaluation from a healthcare professional, preferably an ear, nose, and throat (ENT) specialist. They can perform a thorough examination and may recommend tests such as tympanometry or audiometry to assess your ear function and hearing.

In the meantime, there are several steps you can take to alleviate your symptoms:
1. Nasal Decongestants: Over-the-counter nasal decongestants can help reduce swelling in the nasal passages and improve eustachian tube function. However, these should be used with caution and not for extended periods, as they can lead to rebound congestion.

2. Saline Nasal Sprays: Using saline sprays can help moisturize the nasal passages and reduce congestion without the side effects associated with medicated sprays.

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

4. Ear Pressure Equalization: Techniques such as the Valsalva maneuver (pinching your nose and gently blowing) can help equalize pressure in the ears. However, be gentle to avoid damaging the eardrum.

5. Avoid Allergens: If allergies are a significant factor, try to identify and avoid triggers. This may include using air purifiers, keeping windows closed during high pollen seasons, and regularly cleaning your living space.

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

If you experience any of the following symptoms, you should seek medical attention promptly:
- Severe ear pain
- Discharge from the ear
- Hearing loss
- Dizziness or balance issues
- Symptoms that persist for more than a few days despite home treatment
In summary, while your symptoms may be related to allergies or a lingering cold, it is essential to monitor them closely. If they do not improve or if you have concerns about your ear health, consulting with an ENT specialist is the best course of action. They can provide a comprehensive evaluation and recommend appropriate treatment options to help you feel better.

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