Ear Issues: When to Seek ENT Consultation - Otolaryngology

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Ear problems


Hello, a few days ago, I noticed that when I shake my head from side to side, it feels like my right eardrum is moving, but that sensation has since disappeared.
However, when I tap my head or clench my teeth, my right ear feels somewhat like when water gets trapped in it, but it's very mild.
Occasionally, when I speak in a more nasal tone, I experience a slight feeling of fullness in my right ear, but this doesn't happen every time and is also very mild.
When I’m not moving, everything feels normal, and my hearing is unaffected.
Should I see a doctor about this? Thank you.

Xiao Yun, 20~29 year old female. Ask Date: 2017/03/13

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is common for small earwax near the eardrum to cause vibrations.
If the issue persists without improvement, it is recommended to visit an ENT clinic or hospital for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/13

More Info


It sounds like you're experiencing some unusual sensations in your right ear, particularly when moving your head or during certain actions like clenching your teeth. While you mentioned that your hearing remains unaffected and the sensations are mild, it’s important to consider a few factors before deciding whether to seek an ENT (Ear, Nose, and Throat) specialist.

Firstly, the sensations you describe could be related to Eustachian tube dysfunction. The Eustachian tube connects the middle ear to the back of the nose and helps equalize pressure in the ear. When you move your head or perform actions that affect your jaw, such as clenching your teeth, it may cause a temporary change in pressure or sensation in the ear. This can lead to feelings of fullness or mild discomfort, similar to what you described as feeling like water in the ear.

Another possibility is that you may be experiencing mild muscle spasms in the muscles around the ear, which can sometimes occur with certain movements. This is generally benign and may not require medical intervention unless it becomes more frequent or bothersome.

However, it’s essential to monitor your symptoms. If you notice any of the following changes, it would be wise to consult an ENT specialist:
1. Increased Frequency or Severity: If the sensations become more frequent or intense, it may indicate an underlying issue that needs to be addressed.

2. Hearing Changes: Although you mentioned your hearing is normal, any sudden changes in hearing, such as muffled sounds or ringing (tinnitus), should prompt a visit to a doctor.

3. Pain or Discomfort: If you start experiencing pain in your ear or any other associated symptoms like dizziness, it’s advisable to seek medical attention.

4. Duration: If these sensations persist for an extended period (more than a few weeks), it would be prudent to get evaluated.

5. Associated Symptoms: If you develop other symptoms such as nasal congestion, sinus pressure, or throat discomfort, these could be related and warrant further investigation.

In terms of what to expect during an ENT consultation, the doctor will likely perform a thorough examination of your ears, nose, and throat. They may use an otoscope to look inside your ear canal and check for any signs of infection or fluid buildup. Depending on their findings, they might recommend further tests, such as a hearing test or imaging studies, to rule out any structural issues.

In summary, while your current symptoms may not seem alarming, it’s crucial to remain vigilant. If you experience any changes or if the sensations become bothersome, seeking an ENT consultation would be a wise decision. Early intervention can often lead to better outcomes, especially if there is an underlying condition that needs to be addressed. Remember, your health and comfort are paramount, and it’s always better to err on the side of caution when it comes to ear-related issues.

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