Sticky Sounds in Your Ear: Causes and Solutions - Otolaryngology

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There is a sticky sound in the ear?


Hello doctor, I have noticed that when I blow air with my mouth closed, there is a sticky sound deep in my left ear, and sometimes there is a "pop" sound similar to air being compressed.
This occurs even when my ears are clean.
Additionally, when I slightly press the area behind my earlobe with my finger, I hear the same sound.
What is happening to my ear?

Albee Chang, 30~39 year old female. Ask Date: 2020/08/18

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the issues you mentioned may 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 be caused by unclean water or improper ear cleaning, leading to inflammation.
All of the above conditions can be appropriately treated with medication after consulting a physician.
If you have already undergone pure tone audiometry (which requires headphones in a soundproof booth, where sounds are presented and you respond by pressing a button, 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 period 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 ENT Department, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2020/08/18

More Info


The symptoms you are describing, particularly the "sticky" or "popping" sounds in your ear when you blow air with your mouth closed, could be indicative of several underlying issues related to the Eustachian tube and middle ear function. The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure in the ear. When this tube is not functioning properly, it can lead to a sensation of fullness, pressure, or abnormal sounds in the ear.

One common cause of these symptoms is Eustachian tube dysfunction (ETD). This condition can occur due to various factors, including allergies, sinus infections, colds, or changes in altitude, which can lead to inflammation or blockage of the Eustachian tube. When the tube is blocked, pressure cannot equalize properly, resulting in the "sticky" sounds you hear when you perform actions like blowing air or swallowing.

Another possibility is the presence of fluid in the middle ear, which can occur due to infections or allergies. This fluid can create a sensation of fullness and may produce sounds when pressure changes occur. Even if your ear appears clean and free of wax, fluid can still be present behind the eardrum, leading to these symptoms.

Additionally, the sounds you hear could be related to muscle contractions in the middle ear, particularly the tensor tympani muscle, which can react to changes in pressure or tension. This phenomenon is less common but can occur in some individuals.

To address your concerns, it is essential to consult with an otolaryngologist (ear, nose, and throat specialist) who can perform a thorough examination of your ears, including a tympanometry test to assess the function of your Eustachian tube and check for fluid in the middle ear. They may also evaluate your nasal passages and throat to rule out any underlying conditions that could be contributing to your symptoms.

In the meantime, there are a few self-care measures you can try to alleviate your symptoms:
1. Yawning or Swallowing: These actions can help open the Eustachian tube and equalize pressure in the ear.

2. Nasal Decongestants: If your symptoms are related to allergies or nasal congestion, over-the-counter decongestants may help reduce inflammation and improve Eustachian tube function.

3. Warm Compress: Applying a warm compress to the affected ear may provide some relief from discomfort.

4. Avoiding Rapid Altitude Changes: If you are flying or driving in mountainous areas, try to equalize ear pressure frequently.

5. Stay Hydrated: Drinking plenty of fluids can help keep mucus thin and may assist in keeping the Eustachian tube functioning properly.

If your symptoms persist or worsen, or if you experience additional symptoms such as hearing loss, dizziness, or severe pain, it is crucial to seek medical attention promptly. Persistent Eustachian tube dysfunction or fluid in the ear may require further intervention, such as nasal steroid sprays or, in some cases, surgical options to improve drainage and function.

In conclusion, while the sounds you are experiencing can be concerning, they are often manageable with appropriate medical evaluation and treatment. Consulting with a specialist will provide you with a clearer understanding of your condition and the best course of action to alleviate your symptoms.

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