Why One Ear Collapses When Pinching Nose and Blowing: Causes and Solutions

Q: Why One Ear Collapses When Pinching Nose and Blowing: Causes and Solutions

Hello, the issue you mentioned could be due to： 1) Eustachian tube dysfunction： This is the most common cause and can occur not only during flying, climbing, or diving but also when forcefully blowing your nose or bending over. <br>2) Sudden sensorineural hearing loss. <br>3) Oti

Pinching the nose and blowing can cause one ear to collapse?

Hello, recently the doctor mentioned that I have Eustachian tube dysfunction and advised me to pinch my nose and blow.
At first, both ears would inflate normally, but now only one side is functioning properly.
The other side inflates but quickly collapses again, accompanied by a popping sound.
This symptom has persisted for a month.
Medication and nasal sprays have not improved the situation, and I also experience tinnitus and intermittent ear pain.
What could be causing this, and how can I improve it?

ERIC, 20~29 year old female. Ask Date: 2018/11/03

Dr. Ji Zhaoyun reply Otolaryngology

Hello, the issue you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving but also when forcefully blowing your nose or bending over.
2) Sudden sensorineural hearing loss.
3) Otitis media: a) Acute otitis media: often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in severe cases, there may be ear discharge.
b) Chronic otitis media with acute exacerbation: typically occurs when there is a pre-existing perforation in the eardrum, which can become inflamed due to unclean water or improper ear cleaning.
All of the above conditions can be appropriately treated with medication after consulting a healthcare provider.
If you have already undergone pure tone audiometry (which requires headphones and is conducted in a soundproof room where you respond to sounds by pressing a button, rather than just using a tuning fork), and it has been confirmed that you do not have sudden sensorineural hearing loss, then medication may suffice.
However, if you have not had a pure tone audiometry test, it is advisable to visit a hospital for evaluation to rule out sudden hearing loss.
The golden treatment window for sudden sensorineural hearing loss is two weeks, and early treatment yields better outcomes.
Wishing you safety and health.
Sincerely, Dr.
Chi Chao-Yun, Head of the ENT Department, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2018/11/03

More Info

The symptoms you're experiencing, particularly the sensation of one ear collapsing when you pinch your nose and blow, along with the accompanying tinnitus (ear ringing) and pain, suggest a dysfunction of the Eustachian tube. The Eustachian tube connects the middle ear to the back of the nose and throat, playing a crucial role in equalizing ear pressure and draining fluid from the middle ear. When this tube is blocked or not functioning properly, it can lead to a variety of symptoms, including the ones you described.

Causes of Eustachian Tube Dysfunction
1. Allergies and Sinus Issues: Allergic reactions can cause inflammation and swelling in the nasal passages, which can extend to the Eustachian tube, leading to blockage. Conditions like sinusitis can also contribute to this dysfunction.

2. Upper Respiratory Infections: Viral infections, such as the common cold, can lead to swelling and mucus production that obstructs the Eustachian tube.

3. Barometric Pressure Changes: Rapid changes in altitude, such as during flying or diving, can affect the pressure in the middle ear if the Eustachian tube cannot equalize it effectively.

4. Structural Issues: Anatomical variations, such as a deviated septum or enlarged adenoids, can predispose individuals to Eustachian tube dysfunction.

5. Chronic Conditions: Chronic conditions like rhinitis or frequent ear infections can lead to persistent dysfunction of the Eustachian tube.

Symptoms of Eustachian Tube Dysfunction
- A feeling of fullness or pressure in the ear.

- Difficulty hearing or muffled sounds.

- Tinnitus (ringing or buzzing in the ear).

- Pain or discomfort in the ear, especially when swallowing or yawning.

- A popping or clicking sensation in the ear.

Solutions and Treatments
1. Nasal Decongestants: Over-the-counter nasal decongestants can help reduce swelling in the nasal passages and Eustachian tube, allowing for better drainage and pressure equalization.

2. Nasal Steroid Sprays: These can help reduce inflammation in the nasal passages and Eustachian tube, particularly if allergies are a contributing factor.

3. Eustachian Tube Exercises: Techniques such as the Valsalva maneuver (pinching the nose and blowing) can help equalize pressure. However, if one ear collapses while the other does not, it may indicate a more significant blockage.

4. Chewing Gum or Swallowing: These actions can help open the Eustachian tube and relieve pressure.

5. Avoiding Irritants: Reducing exposure to allergens and irritants (like smoke) can help minimize symptoms.

6. Surgery: In cases where conservative treatments fail, surgical options such as the insertion of tympanostomy tubes may be considered to facilitate drainage and pressure equalization.

7. Consultation with an ENT Specialist: Given the persistence of your symptoms, it would be prudent to consult an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination, possibly including audiometric tests and imaging studies, to determine the underlying cause of your symptoms and recommend appropriate treatment.

Conclusion
Your symptoms of one ear collapsing when blowing your nose, along with tinnitus and pain, are indicative of Eustachian tube dysfunction. While there are several potential causes, the most effective treatment will depend on the specific underlying issue. It is essential to follow up with a healthcare professional who can provide a tailored treatment plan based on a comprehensive evaluation of your condition. In the meantime, practicing Eustachian tube exercises and using decongestants may provide some relief.

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