Can postnasal drip and a cold cause eustachian tube inflammation?
A week ago, I visited a clinic due to a cold with post-nasal drip, sore throat, and productive cough.
I was prescribed medication for a week.
Most of the cold symptoms have resolved, leaving only slight nasal congestion, but I developed unilateral tinnitus in my left ear, and the nasal congestion is also on the left side.
Upon returning to the clinic for a follow-up, the doctor diagnosed me with Eustachian tube inflammation and changed my medication.
After taking the new medication for two days, the tinnitus has not improved.
Is this really an inflammation of that area? Should I consider seeing a different doctor?
Chen Chen, 40~49 year old female. Ask Date: 2017/07/26
Dr. Zheng Jueyi reply Otolaryngology
Hello: It is recommended to finish the prescribed medication.
If there is no improvement, you may continue to follow up with your doctor for further evaluation or go to the hospital for additional examinations.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2017/07/26
More Info
Yes, post-nasal drip and cold can indeed lead to Eustachian tube inflammation. The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure in the ear. When you have a cold or experience post-nasal drip, mucus can accumulate and block the Eustachian tube, leading to inflammation and dysfunction. This blockage can result in symptoms such as ear fullness, pressure, and tinnitus (ear ringing), which you are experiencing.
In your case, it seems that the cold symptoms have mostly resolved, but you are left with unilateral nasal congestion and tinnitus in your left ear. This suggests that the inflammation may still be affecting the Eustachian tube on that side. The fact that your doctor has diagnosed you with Eustachian tube inflammation and prescribed medication indicates that they are addressing the underlying issue. However, if you have been on medication for two days without improvement in your symptoms, it may be worth discussing your concerns with your doctor.
It's important to note that Eustachian tube dysfunction can sometimes take time to resolve, especially if there is persistent inflammation or mucus buildup. If your symptoms do not improve or worsen, it may be advisable to seek a second opinion or consult an ear, nose, and throat (ENT) specialist. They can perform a more thorough examination and may recommend additional treatments, such as nasal corticosteroids, decongestants, or even a procedure to help relieve the pressure in your ear.
In the meantime, there are some self-care measures you can take to help alleviate your symptoms. Staying well-hydrated can thin mucus, making it easier for your body to clear it. Using a saline nasal spray or performing nasal irrigation can also help clear nasal passages and reduce congestion. Additionally, practicing techniques to equalize ear pressure, such as the Valsalva maneuver (gently blowing with your mouth closed and nose pinched), may provide some relief.
In summary, post-nasal drip and colds can lead to Eustachian tube inflammation, which can cause symptoms like ear ringing and unilateral nasal congestion. If your symptoms persist despite treatment, consider consulting with an ENT specialist for further evaluation and management.
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