Ear and Throat Issues: Common Symptoms and Concerns - Otolaryngology

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Ear, nose, and throat issues?


Hello Doctor, about a week ago on January 22, I felt pain in my right ear and when I moved my head, I heard a sound like earwax in my left ear.
I went to see a family doctor (since I live in Canada), but the doctor didn’t say much and prescribed me some medication.
Eventually, the pain in my right ear went away before I even used the drops, and the sound in my left ear also disappeared, but suddenly I felt like there was something blocking my left ear.
My hearing doesn’t seem to be affected (I think).
I went back to see the doctor, and he said my eardrum looked very clear, and there was some earwax outside, but it was nothing to worry about.
A day ago on January 26, I felt some itching in my ear, but mainly I felt like there was phlegm in my throat, which felt stuck, and I had some nasal discharge (without blood).
My head also occasionally hurts, and I’m not sure if it’s because I’m too anxious (I’m quite nervous).
Can you tell me what might be happening? I’m quite worried about developing something.
I have some doubts about the medical skills here; should I return to Taiwan for treatment? Thank you for your response, Dr.
Zheng.

Di Bao, 10~19 year old female. Ask Date: 2020/01/28

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no pain and no significant changes in hearing, and the physician did not find any abnormalities, it is recommended to monitor the situation yourself for now.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/01/28

More Info


Hello! It sounds like you're experiencing a combination of ear discomfort and throat issues that can be quite concerning. Based on your description, there are several potential factors at play, and I’d like to help clarify what might be happening.

Firstly, the symptoms you mentioned, such as ear pain, a feeling of fullness or pressure in the ear, and throat discomfort, can often be related to issues with the Eustachian tube, which connects the middle ear to the back of the throat. When this tube is not functioning properly, it can lead to a sensation of pressure or fullness in the ear, often described as having something stuck in the ear. This dysfunction can occur due to allergies, sinus infections, or even changes in atmospheric pressure, which is common in individuals who fly frequently or have recently experienced a cold.

The presence of earwax (cerumen) can also contribute to sensations of fullness or discomfort in the ear. While your doctor noted that your eardrum appeared clear and transparent, the presence of earwax can sometimes cause temporary hearing changes or a feeling of blockage. If the earwax is significant, it may need to be removed by a healthcare professional.

Your mention of a "thick" sensation in your throat, along with nasal congestion, suggests that you may be experiencing post-nasal drip, which occurs when mucus accumulates in the back of the throat. This can happen due to allergies, sinusitis, or even a common cold. The irritation from post-nasal drip can lead to throat discomfort and a sensation of needing to clear your throat frequently.

Headaches can also be a result of tension, especially if you are feeling anxious or stressed. Tension headaches are common and can be exacerbated by muscle tightness in the neck and shoulders, which may occur when you are feeling nervous or tense.

Given that your symptoms have fluctuated and you have concerns about the quality of care you are receiving, it may be beneficial to seek a second opinion, especially if your symptoms persist or worsen. An ear, nose, and throat (ENT) specialist can provide a more thorough evaluation, including hearing tests and possibly imaging studies if necessary, to rule out any underlying conditions.

In the meantime, here are a few suggestions that may help alleviate your symptoms:
1. Stay Hydrated: Drinking plenty of fluids can help thin mucus and reduce post-nasal drip.

2. Steam Inhalation: Inhaling steam from a hot shower or a bowl of hot water can help relieve nasal congestion and soothe your throat.

3. Warm Compress: Applying a warm compress to your ear may help alleviate discomfort.

4. Over-the-Counter Medications: Antihistamines or decongestants may help if allergies or nasal congestion are contributing to your symptoms. However, consult with a healthcare provider before starting any new medication.

5. Relaxation Techniques: If anxiety is contributing to your symptoms, consider practicing relaxation techniques such as deep breathing, meditation, or yoga.

If your symptoms persist, or if you experience any new symptoms such as fever, severe pain, or changes in hearing, it is important to seek medical attention promptly. Your health and well-being are paramount, especially as you prepare for your future career as a pilot. Wishing you a speedy recovery and peace of mind!

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