Ear problems
The left ear feels blocked, and pulling on it produces a loud whooshing sound.
123, 20~29 year old female. Ask Date: 2020/06/04
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 (like the common cold) and sinusitis, and in severe cases, there may be ear discharge.
b) Chronic otitis media with acute exacerbation: This 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 managed with medication after consulting a physician.
If you have already undergone pure tone audiometry (which requires headphones in a soundproof room, where you press a button in response to sounds, 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: 2020/06/04
More Info
Ear blockage, particularly in the left ear, can be a frustrating and uncomfortable experience. Based on the symptoms you've described, there are several potential causes and solutions to consider.
Causes of Ear Blockage
1. Eustachian Tube Dysfunction: The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. If this tube is not functioning properly, it can lead to a sensation of fullness or blockage in the ear. This dysfunction can be caused by allergies, sinus infections, or even changes in altitude.
2. Earwax Buildup: Excessive earwax can accumulate and block the ear canal, leading to a feeling of fullness, muffled hearing, and sometimes even pain. This is often exacerbated by attempts to clean the ear with cotton swabs, which can push wax further in.
3. Middle Ear Infections (Otitis Media): Infections can cause fluid buildup in the middle ear, leading to pressure and discomfort. Symptoms may include pain, fever, and sometimes drainage from the ear.
4. Barotrauma: This occurs when there is a significant difference in pressure between the inside of the ear and the external environment, often experienced during flights or scuba diving. It can cause a feeling of fullness and discomfort.
5. Temporomandibular Joint (TMJ) Disorders: Problems with the jaw joint can sometimes manifest as ear pain or a sensation of fullness, especially when chewing or moving the jaw.
Solutions for Ear Blockage
1. Nasal Decongestants: If your ear blockage is related to allergies or sinus congestion, over-the-counter nasal decongestants or antihistamines may help alleviate symptoms by reducing swelling and allowing the Eustachian tube to function properly.
2. Earwax Removal: If earwax buildup is suspected, it’s advisable to consult a healthcare professional for safe removal. Avoid using cotton swabs, as they can push wax deeper into the ear canal.
3. Valsalva Maneuver: This technique involves closing your mouth, pinching your nose shut, and gently blowing to equalize pressure in the ears. This can sometimes help relieve the sensation of blockage.
4. Warm Compress: Applying a warm compress to the affected ear can help alleviate discomfort and promote drainage if there is fluid buildup.
5. Stay Hydrated: Drinking plenty of fluids can help thin mucus and promote drainage from the Eustachian tube.
6. Consult an Ear, Nose, and Throat Specialist: If symptoms persist or worsen, it’s essential to seek medical advice. A specialist can perform a thorough examination, including hearing tests and imaging if necessary, to determine the underlying cause and appropriate treatment.
When to Seek Immediate Help
If you experience severe pain, fever, or drainage from the ear, or if your hearing is significantly affected, it’s crucial to seek medical attention promptly. These could be signs of a more serious condition that requires immediate treatment.
In summary, while ear blockage can be caused by various factors, understanding the underlying issue is key to finding an effective solution. Whether it’s through home remedies or professional medical intervention, addressing the problem can lead to relief and improved ear health.
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