Persistent Ear Sounds and Mild Throat Irritation After Cold: What Could It Be?

Regarding persistent ear sounds and mild pharyngitis?

Hello, about five months ago I had a severe cold due to an infection.
I went to the emergency room, but no specific illness was diagnosed; it was noted to be similar to a severe flu.
At that time, my throat was examined and there was white pus, which was very painful.
After about 1-2 weeks, that pain subsided, but since then, I have had persistent nasal congestion on one side.
When I swallow, I hear a popping sound in one ear (which used to indicate that I was sick).
Additionally, I have mild discomfort in my throat (I can see that it is slightly red, but it doesn't hurt).
These mild symptoms have persisted for five months without returning to normal.
What condition might I be experiencing?

Austin, 20~29 year old female. Ask Date: 2021/10/06

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on your description, it is possible that you have an upper respiratory infection complicated by otitis media.
It is recommended that you visit an otolaryngology clinic for a detailed examination.
Thank you for your inquiry.

Reply Date: 2021/10/06

More Info

It sounds like you have been experiencing persistent symptoms following a severe cold approximately five months ago. Based on your description, it seems you are dealing with a combination of ear-related issues and mild throat irritation. Let's break down your symptoms and explore potential underlying conditions.

1. Persistent Ear Sounds: The "popping" or "bubbling" sounds you hear in your ear when swallowing could be indicative of Eustachian tube dysfunction. The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. After a cold, inflammation or mucus can block this tube, leading to feelings of fullness, pressure, or unusual sounds in the ear. This dysfunction can also lead to a sensation of ear fullness or muffled hearing.

2. Mild Throat Irritation: The mild discomfort and redness in your throat, especially if it is not accompanied by severe pain, could be a residual effect of the viral infection. Post-viral inflammation can lead to lingering symptoms, including throat irritation. Additionally, if you have been experiencing nasal congestion, post-nasal drip could be contributing to throat discomfort as mucus drips down the back of your throat.

3. Chronic Sinusitis or Rhinitis: Given that you have had nasal congestion for an extended period, it is possible that you may be experiencing chronic sinusitis or allergic rhinitis. Chronic sinusitis can develop after a viral infection, leading to prolonged symptoms such as nasal obstruction, facial pressure, and ear discomfort. Allergic rhinitis could also cause similar symptoms, especially if you are exposed to allergens in your environment.

4. Possible Treatment Options:
- Nasal Decongestants: Over-the-counter nasal decongestants can help relieve nasal congestion, allowing the Eustachian tube to function better.

- Saline Nasal Sprays: These can help moisturize the nasal passages and reduce inflammation.

- Antihistamines: If allergies are suspected, antihistamines may help alleviate symptoms.

- Steam Inhalation: Inhaling steam can help relieve nasal congestion and promote drainage.

- Consultation with an ENT Specialist: If symptoms persist, it would be wise to consult an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination, possibly including a nasal endoscopy, to assess the condition of your nasal passages and Eustachian tubes. They may also recommend imaging studies, such as a CT scan, to evaluate for chronic sinusitis.

5. When to Seek Immediate Care: If you experience worsening symptoms, such as severe pain, fever, or changes in hearing, it is important to seek medical attention promptly. These could be signs of a more serious condition, such as an ear infection or sinus infection.

In summary, your symptoms are likely related to post-viral changes affecting your Eustachian tube and throat. While these symptoms can be frustrating, they are often manageable with appropriate treatment. If your symptoms do not improve or worsen, please consult a healthcare professional for a comprehensive evaluation and tailored treatment plan.

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