Ear Congestion: Causes and When to Seek Help - Otolaryngology

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Ear fullness and discomfort?


Hello, Doctor.
I would like to ask you about a concern I have.
I often experience a feeling of fullness in my ears, especially when I feel tired, but there is no ringing—just a sensation of pressure.
Sometimes it suddenly clears up, then feels blocked again.
I also notice that when I engage in light exercise and feel fatigued, my ears can feel blocked, but after eating, the sensation improves.
Climbing stairs tends to make it feel blocked again, while sitting and resting helps a bit.
I'm unsure if this could be tinnitus, but I have tried various remedies for tinnitus, such as swallowing, pressing on my ears, and yawning, all of which have not been effective.
Could you please advise me on the possible causes and whether I should seek medical attention?

Miss Yang, 30~39 year old female. Ask Date: 2018/10/19

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common issues may be related to Eustachian tube dysfunction.
If discomfort persists, it is advisable to seek medical evaluation.
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: 2018/10/19

More Info


Ear congestion, often described as a feeling of fullness or pressure in the ear, can be a common experience for many individuals. It can be caused by a variety of factors, and understanding these causes is essential for determining when to seek medical help.


Possible Causes of Ear Congestion
1. Eustachian Tube Dysfunction: The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. When this tube becomes blocked or does not function properly, it can lead to a sensation of fullness or pressure in the ear. This dysfunction can occur due to allergies, colds, sinus infections, or changes in altitude (such as during flying or climbing).

2. Allergies and Sinus Issues: Allergies can cause inflammation and swelling in the nasal passages and Eustachian tubes, leading to congestion. Similarly, sinus infections can create pressure that affects the ears.

3. Middle Ear Infections (Otitis Media): An infection in the middle ear can cause fluid buildup, leading to a feeling of fullness. This is often accompanied by pain, fever, or hearing loss.

4. Changes in Air Pressure: Rapid changes in altitude, such as during air travel or driving through mountains, can cause temporary ear congestion. This is often relieved by yawning, swallowing, or chewing gum.

5. Physical Activity: As you mentioned, light exercise or physical exertion can sometimes lead to a feeling of ear congestion. This may be related to changes in blood flow or pressure in the body.

6. Jaw Issues: Conditions affecting the jaw, such as temporomandibular joint (TMJ) disorders, can also lead to sensations of fullness in the ear.


When to Seek Medical Help
While occasional ear congestion is common and often resolves on its own, there are certain situations where it is advisable to seek medical attention:
- Persistent Symptoms: If the feeling of fullness lasts for an extended period (more than a few days) or is recurrent, it may indicate an underlying issue that needs evaluation.

- Accompanying Symptoms: If you experience additional symptoms such as pain, fever, hearing loss, dizziness, or drainage from the ear, it is important to see a healthcare provider.

- Impact on Daily Life: If ear congestion is affecting your ability to perform daily activities, such as work or social interactions, it may be worth consulting a doctor.

- Previous Ear Issues: If you have a history of ear infections or other ear-related problems, it is wise to have any new symptoms evaluated.


Recommendations for Relief
In the meantime, there are several strategies you can try to alleviate the sensation of ear congestion:
- Yawning and Swallowing: These actions can help open the Eustachian tubes and equalize pressure.

- Nasal Decongestants: Over-the-counter decongestants may help reduce swelling in the nasal passages and Eustachian tubes.

- Warm Compress: Applying a warm compress to the affected ear can provide comfort and may help relieve pressure.

- Stay Hydrated: Drinking plenty of fluids can thin mucus and promote drainage.

- Avoid Irritants: Stay away from allergens and irritants that may exacerbate your symptoms.


Conclusion
Ear congestion can be a frustrating and uncomfortable experience, but understanding its potential causes can help you manage your symptoms effectively. If your symptoms persist or worsen, it is advisable to consult an ear, nose, and throat (ENT) specialist for a thorough evaluation and appropriate treatment. As you prepare for your future career as a pilot, addressing any ear-related issues is crucial for ensuring your health and safety in the air.

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