the Feeling of Blocked Ears: Causes and When to Seek Help - Otolaryngology

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The sensation of having a blocked ear?


Hello, Doctor: I often experience a sensation in my ears where I can't hear clearly, as if they are blocked.
I can still hear, but everything sounds quieter.
Sometimes it's just one ear, and other times it's both.
This usually happens when I'm feeling unwell, but it resolves on its own after a few days.
I would like to ask if this is normal and if it might be related to my habit of wearing headphones to listen to music.
Should I go to the hospital for an examination? Thank you, Doctor!

Niming, 20~29 year old female. Ask Date: 2017/01/02

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common causes include earwax impaction or Eustachian tube dysfunction.
If symptoms persist or if there are changes in hearing, it is advisable to seek medical evaluation.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/01/02

More Info


The sensation of blocked ears, often described as a feeling of fullness or pressure, can be quite bothersome and may stem from various underlying causes. This condition is commonly associated with dysfunction of the Eustachian tube, which connects the middle ear to the back of the throat and helps equalize pressure in the ear. When the Eustachian tube is not functioning properly, it can lead to a feeling of fullness, muffled hearing, and even discomfort.

Several factors can contribute to Eustachian tube dysfunction. Allergies, colds, sinus infections, and changes in altitude (such as during air travel or driving in mountainous areas) can all affect the function of this tube. In your case, the intermittent nature of your symptoms, especially during times of illness, suggests that it may be related to upper respiratory infections or allergies. The fact that your symptoms resolve after a few days indicates that they may be temporary and linked to these conditions.

Using headphones or earbuds to listen to music can also play a role in ear health. Prolonged exposure to loud sounds can lead to temporary changes in hearing and may contribute to a sensation of fullness or pressure in the ears. It is essential to practice safe listening habits, such as keeping the volume at a moderate level and taking breaks to prevent potential damage to your hearing.

If you are experiencing these symptoms frequently or if they are accompanied by pain, significant hearing loss, or other concerning symptoms, it is advisable to seek medical attention. An ear, nose, and throat (ENT) specialist can perform a thorough examination, including hearing tests and possibly imaging studies, to determine the underlying cause of your symptoms. They can also assess for any signs of infection, fluid buildup, or other abnormalities that may require treatment.

In the meantime, there are several self-care measures you can try to alleviate the sensation of blocked ears. Chewing gum, yawning, or swallowing can help open the Eustachian tube and equalize pressure. Additionally, using a saline nasal spray or a decongestant may help if your symptoms are related to nasal congestion or allergies. However, it is essential to consult with a healthcare professional before starting any new medications, especially if you have underlying health conditions or are taking other medications.

In summary, while occasional feelings of blocked ears can be normal, especially during illness, persistent or severe symptoms warrant further evaluation. Maintaining good ear health, practicing safe listening habits, and addressing any underlying allergies or infections can help manage your symptoms effectively. If your condition does not improve or worsens, do not hesitate to reach out to a healthcare provider for further assessment and treatment options.

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