Ear Discomfort and Unusual Sounds When Swallowing - Otolaryngology

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Ear problems


Recently, I've been feeling discomfort in my ears when I hear others speaking, as if their voices are particularly loud.
Additionally, I notice a "clicking" sound when I swallow.
What could be the issue?

Hou Ge, 10~19 year old female. Ask Date: 2018/12/28

Dr. Zheng Jueyi reply Otolaryngology


Hello: It 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 General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/12/28

More Info


When experiencing discomfort in the ears, particularly when swallowing, and noticing that sounds seem unusually loud, it can be indicative of several underlying issues related to ear function and health. The symptoms you describe, including a sensation of fullness or pressure in the ears, discomfort when hearing others speak, and a specific sound when swallowing, may suggest a condition known as Eustachian tube dysfunction (ETD).

The Eustachian tube is a small passage that connects the middle ear to the back of the throat. Its primary function is to equalize air pressure in the middle ear and drain any fluid that may accumulate. When the Eustachian tube is not functioning properly, it can lead to a feeling of fullness or pressure in the ear, discomfort, and even altered hearing. This dysfunction can occur due to various reasons, including allergies, colds, sinus infections, or changes in altitude.

The "ㄓˇ" sound you hear when swallowing could be related to the Eustachian tube opening and closing as you swallow. If the tube is blocked or not opening properly, it can create a sensation of pressure and discomfort, and you may hear unusual sounds as the air pressure changes. This can also lead to a heightened sensitivity to sound, making normal conversations feel excessively loud.

To address your concerns, it is advisable to undergo a thorough evaluation by an ear, nose, and throat (ENT) specialist. The following tests may be recommended:
1. Audiometry: This test assesses your hearing ability and can help determine if there is any hearing loss associated with your symptoms.

2. Tympanometry: This test evaluates the function of the middle ear and the Eustachian tube by measuring the movement of the eardrum in response to changes in air pressure.

3. Eustachian Tube Function Test: This specific test can help assess how well your Eustachian tubes are functioning.

4. Nasal Endoscopy: If there are concerns about nasal or sinus issues contributing to your symptoms, a nasal endoscopy may be performed to visualize the nasal passages and sinuses.

In the meantime, there are some self-care strategies you can try to alleviate your symptoms:
- Nasal Decongestants: If your symptoms are related to allergies or a cold, over-the-counter nasal decongestants may help reduce swelling and improve Eustachian tube function.

- Swallowing or Yawning: These actions can help open the Eustachian tubes and equalize pressure in the ears.

- Avoiding Irritants: Stay away from smoke, strong odors, and allergens that may exacerbate your symptoms.

- Hydration: Staying well-hydrated can help thin mucus and promote better drainage from the Eustachian tubes.

If your symptoms persist or worsen, it is crucial to seek medical attention promptly. Persistent Eustachian tube dysfunction can lead to complications such as fluid accumulation in the middle ear, which may require further intervention. In some cases, if conservative measures do not provide relief, surgical options may be considered to improve Eustachian tube function.

In summary, the discomfort and unusual sounds you are experiencing when swallowing may be related to Eustachian tube dysfunction. A thorough evaluation by an ENT specialist will help determine the underlying cause and appropriate treatment options to alleviate your symptoms and restore normal ear function.

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