Ear Noises and Unexplained Chest Swelling - Otolaryngology

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Ear problems and swelling under the chest?


Hello doctor, I have been experiencing a persistent sound in my left ear recently, which only occurs when I move my head.
My right ear has not had any issues.
This has been happening for about 1 to 2 weeks.
What could this condition be? Additionally, I have noticed an unexplained swelling below my left chest, which is not present on the right side.
This has also been noticeable for about 2 weeks and is not painful, approximately the size of an egg.
What could this be, and should I consider getting a health check-up?

mei, 20~29 year old female. Ask Date: 2017/02/28

Dr. Zheng Jueyi reply Otolaryngology


Hello: The sound in your left ear may be related to issues with the outer or middle ear.
If it persists without improvement, it is advisable to seek medical evaluation for a definitive diagnosis.
Regarding the issue with your left chest, it is recommended to consult a general surgeon or a breast surgeon for further examination.
Wishing you peace and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/02/28

More Info


Hello! Thank you for reaching out with your concerns regarding the noises in your left ear and the unexplained swelling in your left chest area. Let's break down your symptoms and explore potential causes and recommendations for further evaluation.


Ear Noises
The persistent sound in your left ear, which occurs when you move your head, could be indicative of several conditions. One common cause is Eustachian tube dysfunction, where the tube that connects the middle ear to the back of the nose does not open properly. This can lead to pressure changes in the ear, resulting in sounds or sensations that may feel like popping, crackling, or even a vibrating noise.
Another possibility is muscle spasms in the middle ear, specifically involving the stapedius muscle, which can create unusual sounds in response to head movements or loud noises. This is often benign but can be bothersome.

Additionally, tinnitus, which is the perception of noise in the absence of an external sound, could also be a factor. Tinnitus can manifest in various forms, including ringing, buzzing, or other sounds, and can sometimes be triggered by head movements or changes in pressure.

Given that you have experienced these symptoms for 1-2 weeks, and particularly since they are localized to one ear, it would be advisable to consult an otolaryngologist (ENT specialist). They can perform a thorough examination, including audiometric testing and possibly imaging studies, to rule out any underlying issues such as fluid accumulation, infection, or structural abnormalities.


Chest Swelling
Regarding the swelling in your left chest area, which is approximately the size of a chicken egg and has been present for about two weeks without pain, there are several potential explanations.
1. Lymphadenopathy: This refers to swollen lymph nodes, which can occur due to infections, inflammation, or other conditions. If the swelling is near the surface, it could be a lymph node reacting to a localized infection or systemic condition.

2. Cyst or Lipoma: A benign cyst or lipoma (a fatty tumor) could also present as a painless swelling. These are generally harmless but can be evaluated for reassurance.

3. Muscle Strain or Hernia: Sometimes, muscle strain or a hernia can cause localized swelling in the chest area. If you have engaged in any physical activity that could have led to strain, this might be a consideration.

4. Other Conditions: While less common, other conditions such as infections or even more serious issues like tumors could present as swelling.
Given that this swelling has persisted for two weeks, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies, such as an ultrasound or CT scan, to better understand the nature of the swelling.


Conclusion
In summary, both your ear noises and chest swelling warrant further investigation. It is essential to consult with healthcare professionals who can provide a comprehensive evaluation and appropriate diagnostic tests. Early assessment is crucial, especially to rule out any serious underlying conditions. Please do not hesitate to seek medical attention, as your health and peace of mind are paramount.

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