Sudden Right Ear Tinnitus: When to Seek Medical Attention? - Otolaryngology

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Sudden tinnitus in the right ear?


Hello, doctor.
Currently, I am abroad and unable to visit the hospital for a consultation.
Since the 27th, I have suddenly experienced tinnitus in my right ear, as if there is a thin membrane covering it.
When I hold my breath and apply pressure to the gas in my mouth, I can hear a leaking sound in my right ear, but after doing this a few times, the tinnitus improves.
I am not taking any medication at the moment.
My family medical history includes my mother having had a brain tumor.
Should I go to the hospital for an examination?

Xiang Xiang, 30~39 year old female. Ask Date: 2020/07/29

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 contaminated water or improper ear cleaning.
All of the above conditions can be appropriately treated with medication through medical consultation.
If symptoms persist, it is advisable to seek medical evaluation and treatment.
Wishing you safety and good health.

Reply Date: 2020/07/29

More Info


Sudden onset of tinnitus, especially in one ear, can be concerning and warrants careful consideration. Tinnitus is often described as a ringing, buzzing, or hissing sound in the ears, and it can be caused by a variety of factors, including exposure to loud noises, earwax buildup, ear infections, or even underlying health conditions. Given your description of the sensation in your right ear, it is important to assess the situation further.

Since you mentioned that the tinnitus started on the 27th and that it feels as if there is a membrane in your ear, this could suggest a few possibilities. One common cause of such symptoms is Eustachian tube dysfunction, where the tube that connects the middle ear to the back of the throat does not open properly. This can lead to a feeling of fullness in the ear, changes in hearing, and tinnitus. Other potential causes could include middle ear infections (otitis media), sudden sensorineural hearing loss, or even issues related to your auditory nerve.

Given your family history of a brain tumor, it is understandable that you may be more anxious about your symptoms. While it is not necessarily indicative of a serious condition, it is always prudent to err on the side of caution, especially with new and unexplained symptoms. If the tinnitus persists, worsens, or is accompanied by other symptoms such as hearing loss, dizziness, or balance issues, it would be advisable to seek medical attention as soon as possible.

In your current situation, since you are abroad and unable to visit a hospital immediately, consider the following steps:
1. Monitor Your Symptoms: Keep track of the frequency and intensity of the tinnitus. Note if it changes with certain activities, such as exposure to loud noises or changes in altitude (like flying).

2. Avoid Irritants: Stay away from loud environments, and avoid inserting anything into your ear, including cotton swabs, as this can worsen the situation.

3. Manage Stress: Stress and anxiety can exacerbate tinnitus. Engage in relaxation techniques such as deep breathing, meditation, or gentle exercise.

4. Stay Hydrated: Sometimes, dehydration can contribute to ear issues. Ensure you are drinking enough fluids.

5. Seek Local Medical Advice: If your symptoms do not improve or if they worsen, seek out a local healthcare provider. Many countries have urgent care facilities or clinics that can provide assistance for ear-related issues.

6. Consider a Hearing Test: If possible, a hearing test can help determine if there is any underlying hearing loss associated with the tinnitus.

In summary, while occasional tinnitus can be benign, persistent or sudden onset tinnitus, especially with accompanying sensations or changes in hearing, should be evaluated by a healthcare professional. If your symptoms do not resolve or if you experience any additional concerning symptoms, it is important to seek medical attention promptly. Your health and peace of mind are paramount, and addressing these symptoms early can help prevent potential complications.

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