Ear fullness sensation
Hello Doctor: About two weeks ago, I experienced poor sleep for two days, and then I started having tinnitus in my left ear.
I went to an ENT specialist, and the examination with an endoscope showed that my ear was normal.
Since last Tuesday, the tinnitus has stopped, but I still occasionally feel a slight fullness in my left ear, although it is not constant.
Should I undergo a hearing test at this point?
Xiao Shen, 20~29 year old female. Ask Date: 2020/04/06
Dr. Zheng Jueyi reply Otolaryngology
Hello: If there is no persistent tinnitus or noticeable change in hearing, you may observe your condition for now.
However, if you clearly feel a deterioration in your hearing, it is advisable to visit a hospital for a hearing examination.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2020/04/06
More Info
When it comes to ear congestion and related symptoms, understanding when to seek further evaluation is crucial for maintaining auditory health. Based on your description, it seems that you experienced a transient episode of tinnitus (ear ringing) in your left ear, which has since resolved, but you are still experiencing occasional feelings of fullness or pressure in that ear.
Firstly, it's important to note that ear congestion can arise from various causes, including allergies, sinus infections, changes in atmospheric pressure, or issues with the Eustachian tube, which connects the middle ear to the back of the throat. Given your recent history of poor sleep, it's possible that stress or fatigue may have contributed to your symptoms, as these factors can exacerbate existing conditions or lead to temporary auditory disturbances.
Since you mentioned that you underwent an examination by an ENT specialist who used an endoscope to inspect your ear and found it to be normal, this is a positive sign. It indicates that there are no visible obstructions, such as earwax buildup or structural abnormalities, that could be causing your symptoms. However, the lingering sensation of fullness in your ear warrants further consideration.
In terms of whether you should pursue additional hearing tests, it largely depends on the persistence and severity of your symptoms. If the feeling of fullness continues or worsens, or if you begin to experience other symptoms such as hearing loss, dizziness, or pain, it would be advisable to seek further evaluation. A comprehensive hearing test can provide valuable insights into your auditory function and help identify any underlying issues that may not have been apparent during the initial examination.
Hearing tests typically include pure-tone audiometry, which assesses your ability to hear different frequencies and volumes, and tympanometry, which evaluates the condition of the middle ear and Eustachian tube function. These tests can help determine if there is any conductive hearing loss, which may be related to Eustachian tube dysfunction or other middle ear issues.
Additionally, if you have a history of allergies, it may be beneficial to discuss this with your healthcare provider. Allergic reactions can lead to inflammation and congestion in the nasal passages and Eustachian tubes, contributing to feelings of ear fullness. Managing your allergies through avoidance strategies or medications may alleviate some of your symptoms.
In summary, while your initial examination yielded normal results, the occasional sensation of fullness in your ear suggests that monitoring your symptoms is essential. If these feelings persist or are accompanied by other concerning symptoms, a follow-up appointment for a hearing test and further evaluation would be prudent. Always trust your instincts regarding your health, and don't hesitate to seek further medical advice if you feel it is necessary. Your auditory health is important, and proactive measures can help ensure that any potential issues are addressed promptly.
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