Persistent Ear Ringing After Severe Ear Infection: What to Do? - Otolaryngology

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The right ear has been feeling stuffy for several days, similar to tinnitus?


These past few days, due to the Lunar New Year, I returned to my hometown in the mountains.
On Sunday night, I couldn't sleep because of sudden severe pain in my right ear.
So, I went to see a doctor at noon.
The doctor said I have a serious ear infection, diagnosed as otitis media and acute sinusitis.
After taking medication for the past few days, the pain in my ear has decreased, but the tinnitus has not stopped and continues to be very uncomfortable.
I really don't know what to do.

Xiao Lin, 10~19 year old female. Ask Date: 2017/02/01

Dr. Zheng Jueyi reply Otolaryngology


Hello: After otitis media, there may be temporary middle ear effusion or Eustachian tube dysfunction, which can lead to sensations of ear fullness or tinnitus.
It is advisable to monitor the situation, and if there is no significant improvement, a follow-up examination is recommended.
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: 2017/02/01

More Info


Persistent ear ringing, or tinnitus, following a severe ear infection such as otitis media (middle ear infection) can be a distressing experience. Tinnitus is often described as a ringing, buzzing, or hissing sound in the ears that is not caused by an external sound source. It can occur for various reasons, including exposure to loud noises, earwax buildup, and infections.

In your case, the severe ear pain and subsequent diagnosis of middle ear infection and acute sinusitis suggest that the inflammation and fluid buildup in the middle ear may have affected the auditory system, leading to the persistent ringing in your ear. This is not uncommon, as infections can irritate the auditory nerve or cause changes in the inner ear that result in tinnitus.

Here are some steps you can take to manage your symptoms:
1. Follow-Up with Your Doctor: Since you have already seen a doctor and are on medication, it is crucial to follow up if the tinnitus persists. Your doctor may want to reassess your condition to ensure that the infection has fully resolved and that there are no complications, such as fluid retention in the middle ear.

2. Medication: Sometimes, medications such as corticosteroids may be prescribed to reduce inflammation and swelling in the ear, which could help alleviate tinnitus. Ensure you are taking your prescribed medications as directed.

3. Avoid Loud Noises: Protect your ears from loud sounds, as exposure can exacerbate tinnitus. If you must be in a noisy environment, consider using earplugs or noise-canceling headphones.

4. Manage Stress: Stress and anxiety can worsen tinnitus. Engaging in relaxation techniques such as deep breathing, meditation, or yoga may help reduce your perception of the ringing.

5. Stay Hydrated: Proper hydration can help maintain overall ear health. Drink plenty of fluids, especially if you are recovering from an infection.

6. Limit Stimulants: Caffeine and nicotine can sometimes exacerbate tinnitus. Consider reducing your intake of these substances to see if your symptoms improve.

7. Sound Therapy: Some individuals find relief from tinnitus through sound therapy, which involves using background noise or white noise to mask the ringing. This can be particularly helpful at night when trying to sleep.

8. Consult an Audiologist: If your tinnitus persists, consider seeing an audiologist who specializes in hearing disorders. They can provide further evaluation and recommend treatments such as hearing aids or tinnitus retraining therapy.

9. Be Patient: Tinnitus can sometimes resolve on its own, especially if it is related to an acute condition like an ear infection. However, it may take time for your auditory system to recover fully.

In summary, while persistent tinnitus after an ear infection can be concerning, it is often manageable with appropriate medical care and lifestyle adjustments. Keep an open line of communication with your healthcare provider, and do not hesitate to seek further evaluation if your symptoms do not improve or worsen. Your comfort and well-being are paramount, and there are various strategies to help you cope with this condition.

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