Ear Congestion: Causes and Solutions for Relief - Otolaryngology

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Ear fullness sensation


On January 19, I visited the clinic for a cold.
Starting January 20, I began to feel a sensation of ear fullness, but yawning would temporarily relieve it.
On January 21 at 9:10 PM, the fullness returned, and even after yawning, it did not improve.
What should I do now?

Qin Qin, 10~19 year old female. Ask Date: 2021/01/22

Dr. Zheng Jueyi reply Otolaryngology


Hello: The symptoms may be due to a cold causing dysfunction of the Eustachian tube.
It is recommended to drink plenty of water, and if you need to blow your nose, do it one side at a time.
If your condition does not improve after finishing the prescribed medication, it is advisable to return for a follow-up examination and treatment.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2021/01/22

More Info


Ear congestion can be a frustrating and uncomfortable experience, often caused by various factors such as allergies, infections, or changes in atmospheric pressure. In your case, it seems that the congestion began shortly after you experienced cold symptoms. This is not uncommon, as upper respiratory infections can lead to inflammation and blockage of the Eustachian tubes, which connect the middle ear to the back of the throat. When these tubes become swollen or blocked, it can result in a feeling of fullness or pressure in the ears, commonly referred to as ear congestion.


Causes of Ear Congestion
1. Eustachian Tube Dysfunction: The Eustachian tubes help equalize pressure in the middle ear. When you have a cold, the lining of these tubes can become inflamed, leading to dysfunction. This can cause a sensation of fullness or pressure in the ears.

2. Sinus Congestion: Sinus infections or allergies can lead to swelling and blockage of the sinus passages, which can also affect the Eustachian tubes and contribute to ear congestion.

3. Fluid Accumulation: In some cases, fluid can accumulate in the middle ear due to infections or allergies, leading to a feeling of fullness and potential hearing issues.

4. Changes in Atmospheric Pressure: Rapid changes in altitude, such as during flying or driving in mountainous areas, can also cause ear congestion as the Eustachian tubes struggle to equalize pressure.


Solutions for Relief
1. Yawning and Swallowing: These actions can help open the Eustachian tubes and equalize pressure. If you find that yawning or swallowing temporarily relieves the pressure, it indicates that the tubes are not completely blocked.

2. Nasal Decongestants: Over-the-counter nasal decongestants can help reduce swelling in the nasal passages and Eustachian tubes, promoting drainage and relieving congestion. However, these should be used as directed and not for extended periods.

3. Steam Inhalation: Inhaling steam can help moisten the nasal passages and Eustachian tubes, potentially easing congestion. You can do this by taking a hot shower or using a bowl of hot water with a towel over your head.

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

5. Avoiding Irritants: Stay away from smoke, strong odors, and allergens that may exacerbate your symptoms.

6. Consulting a Healthcare Provider: If your symptoms persist or worsen, it is essential to consult a healthcare provider. They may perform a thorough examination, including checking for signs of infection or fluid buildup in the ears. In some cases, they may recommend further treatments, such as prescription medications or even a referral to an ear, nose, and throat (ENT) specialist.


When to Seek Medical Attention
If you experience severe pain, fever, or if the congestion lasts more than a few days without improvement, it is crucial to seek medical attention. These could be signs of a more serious condition, such as an ear infection or sinusitis, that may require specific treatment.

In summary, ear congestion can often be managed with simple home remedies and over-the-counter medications. However, if symptoms persist or worsen, it is important to seek professional medical advice to ensure proper diagnosis and treatment.

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