Managing Ear Pain After Sinus Pressure: Tips for Relief Before Your Appointment - Otolaryngology

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Ear congestion with water buildup can cause pain when pinching the nose and blowing air?


Hello Doctor, for the past two weeks, my ear has been inflamed due to an infection.
During my follow-up appointment this week, the doctor mentioned that I have fluid in my right ear.
He performed a "right ear drainage" and advised me to perform the Valsalva maneuver by pinching my nose and blowing.
Since I also have allergic rhinitis, my nose felt uncomfortable tonight, but after it cleared up, I started doing the Valsalva maneuver.
Suddenly, I heard a popping sound in my ear, and now it has started to sting.
I have no idea what to do now.
Is it possible that I caused a rupture in my eardrum by blowing too hard? I have an appointment at National Taiwan University on Tuesday for my nasal allergies, and I would like to check my ear as well.
What should I do to alleviate or manage this situation until Tuesday? Thank you, Doctor.
=)

QQ, 10~19 year old female. Ask Date: 2017/06/17

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is recommended to stop the action of pinching your nose and blowing air, and to continue managing the symptoms of allergic rhinitis.
If discomfort persists, it is advisable to visit a clinic for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/06/17

More Info


It sounds like you're experiencing a challenging situation with your ear and sinus issues. Based on your description, it seems that you have been dealing with ear pain and pressure due to a recent ear infection and possibly related sinus issues. The popping sound you heard when you blew your nose could be related to changes in pressure within your ear, which can sometimes lead to discomfort or pain.
First, let’s address your concern about the possibility of a ruptured eardrum. While it is possible to rupture the eardrum by applying excessive pressure (such as forceful nose blowing), it is not always the case. Symptoms of a ruptured eardrum can include sudden sharp pain, drainage from the ear, hearing loss, or a ringing sensation. If you did not experience any drainage or significant hearing loss after the popping sound, it may be less likely that you have a rupture. However, it’s essential to monitor your symptoms closely.

To manage your ear pain and discomfort until your appointment on Tuesday, here are some tips:
1. Avoid Forceful Nose Blowing: While it may be tempting to clear your sinuses, avoid blowing your nose forcefully, as this can increase pressure in the ears and potentially worsen your symptoms.

2. Warm Compress: Applying a warm compress to the affected ear can help alleviate pain and provide comfort. The warmth can promote blood flow and help reduce inflammation.

3. Stay Hydrated: Drinking plenty of fluids can help thin mucus and promote drainage from your sinuses, which may relieve some pressure in your ears.

4. Over-the-Counter Pain Relief: Consider taking over-the-counter pain relievers such as ibuprofen or acetaminophen to help manage your pain. Be sure to follow the recommended dosage on the package.

5. Nasal Decongestants: If you have nasal congestion, using a saline nasal spray or a decongestant may help relieve pressure in your sinuses and ears. However, be cautious with decongestant nasal sprays, as they should not be used for more than a few days in a row.

6. Gentle Ear Pressure Equalization: You can try gentle techniques to equalize ear pressure, such as yawning, swallowing, or gently pinching your nose and blowing softly (the Valsalva maneuver). However, be cautious not to apply too much force.

7. Avoid Water Exposure: Try to keep your ear dry and avoid submerging it in water (like swimming or bathing) until you can see a doctor.

8. Rest: Ensure you get plenty of rest, as your body needs energy to fight off any infection and heal.

Since you have an appointment scheduled soon, it's crucial to communicate all your symptoms to your healthcare provider. They may perform an examination to check for any signs of a ruptured eardrum or other complications. If your symptoms worsen, such as experiencing severe pain, fever, or drainage from the ear, seek medical attention sooner.

In summary, while it’s understandable to be concerned about your ear pain and potential complications, following these management strategies can help you cope until your appointment. Remember to listen to your body and seek immediate care if your condition changes significantly. Take care, and I hope you feel better soon!

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