Eustachian Tube Dysfunction: Symptoms and Self-Care Tips - Otolaryngology

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Eustachian Tube Dysfunction


I researched the symptoms of Eustachian tube dysfunction online (about 3 or 4 months ago, I had my ears checked for hearing issues, and everything was normal).
I feel that I meet the criteria (notably, symptoms improve when I bend down, and I feel more sensation when I talk).
When I experience these sensations, my eyes and ears feel dizzy and unsteady.
However, due to the recent pandemic, I prefer not to go to the hospital.
I would like to know if it is possible for this condition to resolve on its own, and if medication is necessary, can I find something at a regular pharmacy? I do not experience any pain, and the symptoms come and go.
Do you have any recommendations? Thank you 😊

Xie, 20~29 year old female. Ask Date: 2020/04/25

Dr. Zheng Jueyi reply Otolaryngology


Hello: There are many issues that can lead to Eustachian tube dysfunction, commonly associated with nasal symptoms or gastroesophageal reflux.
If the symptoms are mild and resolve quickly, it is advisable to stay hydrated and monitor the situation.
Managing nasal issues or stomach acid may lead to gradual improvement.
However, if symptoms persist or worsen, it is recommended to seek medical evaluation rather than self-medicating with over-the-counter drugs.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/25

More Info


Eustachian Tube Dysfunction (ETD) is a condition that occurs when the Eustachian tubes, which connect the middle ear to the back of the throat, fail to open and close properly. This dysfunction can lead to a variety of symptoms, including a feeling of fullness or pressure in the ear, muffled hearing, and sometimes dizziness or a sensation of imbalance, which you described as feeling "dizzy" or "wobbly" when moving your head or speaking.

The symptoms you are experiencing, such as relief when bending forward or speaking, are indeed consistent with ETD. The Eustachian tubes play a crucial role in equalizing pressure in the middle ear, and when they do not function properly, it can lead to discomfort and auditory issues. While it is possible for mild cases of ETD to resolve on their own, especially if they are related to temporary factors like allergies or a cold, persistent symptoms lasting several months may require further evaluation.

In terms of self-care, there are several strategies you can try at home to alleviate your symptoms:
1. Yawning and Swallowing: These actions can help open the Eustachian tubes. Chewing gum or sucking on candy can stimulate swallowing.

2. Nasal Decongestants: Over-the-counter decongestants can help reduce swelling in the nasal passages and Eustachian tubes, making it easier for them to function properly. However, these should be used with caution and not for extended periods.

3. Nasal Steroid Sprays: These can help reduce inflammation in the nasal passages and may be beneficial if allergies are contributing to your symptoms.

4. Warm Compress: Applying a warm compress to the affected ear can help relieve discomfort and promote drainage.

5. Avoiding Irritants: Stay away from smoke and other irritants that can exacerbate nasal congestion.

6. Hydration: Staying well-hydrated can help thin mucus, making it easier for the Eustachian tubes to function.

If your symptoms persist or worsen, it is advisable to consult a healthcare professional, even if you are hesitant to visit a hospital due to the pandemic. Many healthcare providers offer telemedicine consultations, which can be a convenient way to discuss your symptoms and receive guidance without needing to go in person.

Regarding medication, while some over-the-counter options are available, it is essential to consult with a pharmacist or healthcare provider to ensure that any medication you consider is appropriate for your specific situation. Self-medicating without guidance can sometimes lead to complications or exacerbate existing issues.

In summary, while there is a possibility of natural resolution for mild cases of Eustachian Tube Dysfunction, persistent symptoms warrant further evaluation. Implementing self-care strategies may provide relief, and consulting with a healthcare professional can help determine the best course of action tailored to your needs.

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