Sudden Ear Pulsations: Should You See a Doctor?

Q: Sudden Ear Pulsations: Should You See a Doctor?

Hello, the issues 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) O

Sudden thumping or pounding sounds in the ear?

A few days ago, I felt something pulsating near the left side of my neck, close to my shoulder.
However, this sensation has disappeared over the past couple of days.
I also felt a sensation of something rushing up from my neck to my head, and there was a slight pressure in the back of my head.
Additionally, I have been experiencing a significant feeling of tightness on both sides of my neck.
I am unsure if this is related to the constant vibration I feel in my left ear, which seems to be rhythmic, like "thump thump...
thump thump thump thump thump thump" (the thumps are somewhat rapid), with pauses in between.
This has been ongoing for a while now, and even while typing, I still feel the "thump thump thump thump thump." Today is a holiday, and I would like to know if I should see a doctor about this situation.
The "thumping" is making me quite anxious.

Xiao Ke, 30~39 year old female. Ask Date: 2019/03/23

Dr. Ji Zhaoyun reply Otolaryngology

Hello, the issues 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: usually 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 in a soundproof room where sounds are presented for you to respond to, 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 Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2019/03/23

More Info

Sudden ear pulsations, often described as a rhythmic sound or sensation in the ear, can be concerning and may warrant a visit to a healthcare professional. Your description of the sensation in your neck and the pressure you feel could be related to several underlying issues, and it’s important to consider these symptoms in context.

Firstly, the sensation of pulsations in the ear, known as pulsatile tinnitus, can be caused by various factors. It may be related to vascular issues, such as changes in blood flow or blood vessel abnormalities near the ear. Conditions like high blood pressure, atherosclerosis, or even benign tumors like glomus tumors can lead to this type of tinnitus. Additionally, muscle spasms in the neck or jaw can sometimes create sensations that are perceived as pulsations in the ear.

The pressure and tightness you describe in your neck could also be indicative of muscle tension or stress, which can contribute to ear symptoms. Stress and anxiety can exacerbate tinnitus, making it feel more pronounced. If you have been experiencing increased stress or anxiety, this could be a contributing factor to your symptoms.

Given that your symptoms have persisted for a while and you are experiencing discomfort, it is advisable to seek medical attention. A healthcare provider, particularly an otolaryngologist (ear, nose, and throat specialist), can perform a thorough examination. They may conduct a physical exam, review your medical history, and possibly recommend imaging studies, such as an MRI or CT scan, to rule out any structural issues.

In the meantime, there are a few self-care strategies you can consider. Reducing stress through relaxation techniques, such as deep breathing exercises, yoga, or meditation, may help alleviate some of the tension in your neck and potentially reduce the perception of pulsatile tinnitus. Additionally, ensuring you are well-hydrated and maintaining a healthy diet can support overall well-being.

If you notice any worsening of your symptoms, such as increased intensity of the pulsations, hearing loss, dizziness, or any new symptoms, it is crucial to seek immediate medical attention. These could be signs of a more serious condition that requires prompt evaluation.

In summary, while occasional ear pulsations can be benign, the combination of your symptoms—especially the pressure in your neck and the rhythmic sensation in your ear—suggests that a medical evaluation is warranted. It’s always better to err on the side of caution when it comes to health concerns, particularly those involving the ears and neck. Seeking professional advice will provide you with clarity and peace of mind regarding your symptoms.

Similar Q&A

Understanding Ear Pulsations: Causes and When to Seek Help

Hello Doctor, I have been busy preparing for graduate school entrance exams these past few days. Occasionally, I experience a sensation of my eardrum twitching, but it hasn't been significant or frequent, so I haven't paid much attention to it. However, since last night...

Dr. Ji Zhaoyun reply Otolaryngology
Hello, the issues you mentioned could be due to 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during air travel, hiking, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis m...

Unusual Ear Sounds: When to Seek Medical Advice for Pulsatile Tinnitus

Hello Doctor, recently while staying at home, I have noticed an irregular heartbeat sound in my ears almost every day, but it does not sync with my actual heartbeat. I have searched online, but the information doesn't seem to match my issue. My daily routine is normal, and I...

Dr. Zheng Jueyi reply Otolaryngology
Hello, if there are no obvious changes in hearing or other discomforts, and if the tinnitus is not persistent, you may observe it yourself. However, if you experience any of the above symptoms or have concerns, you should consult an otolaryngologist for examination and confirmati...

Understanding Eardrum Pulsations: When to See an ENT Specialist

Recently, I've been experiencing a loud pulsating sensation in my left eardrum that feels a bit frightening. It has been ongoing for 3 to 4 days. Should I see an otolaryngologist?

Dr. Gao Qingyun reply Family Medicine
Hello, based on your statement, I recommend that you visit an otolaryngology department for relevant examinations. Thank you. Wishing you safety and health. Department of Family Medicine, Taoyuan General Hospital, Ministry of Health and Welfare, Gao Qingyun.

Understanding Eardrum Tremors: Causes and When to See a Doctor

Hello, Doctor: I would like to ask about a sudden sensation of my eardrum vibrating, producing a sound similar to a thumping noise (like a jackhammer) for about three to four seconds. I could clearly feel the vibrations in my ear, and I was just sitting still without moving aroun...

Dr. Zheng Jueyi reply Otolaryngology
Hello: If the symptoms persist, it is recommended to visit an otolaryngologist for an examination. If it is only temporary, you may continue to observe the situation. Wishing you safety and good health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otolaryngology, Ta...