Blowing the nose causes pain in the left ear?
Hello Doctor: Today, I noticed a slight pain in my left ear while blowing my nose.
The pain goes away after I'm done blowing my nose, but there is mild discomfort during the process.
I later realized that my technique for blowing my nose might not be correct.
Currently, I am blowing both nostrils at the same time, and my left ear does not hurt.
Should I see a doctor, or can I wait a few days to see if the pain persists when blowing my nose before seeking medical attention? Thank you.
qì'é, 30~39 year old female. Ask Date: 2022/09/07
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) Otitis media: a) Acute otitis media: Often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in severe cases, there may be discharge from the ear.
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 contaminated water or improper ear cleaning.
All of the above conditions can be appropriately managed with medication through medical consultation.
Wishing you safety and good health.
Reply Date: 2022/09/07
More Info
Experiencing ear pain during sneezing or blowing your nose can be concerning, and it’s understandable to wonder whether this warrants a visit to the doctor. The connection between ear pain and actions like sneezing or blowing your nose often relates to the Eustachian tube, which connects the middle ear to the back of the throat. This tube helps equalize pressure in the ear and drain fluid. When you sneeze or blow your nose, the pressure changes can affect the Eustachian tube, leading to discomfort or pain in the ear.
In your case, the mild pain in your left ear during sneezing could be attributed to a few factors:
1. Eustachian Tube Dysfunction: If the Eustachian tube is not functioning properly, it may not equalize pressure effectively, leading to a sensation of fullness or pain in the ear when you sneeze or blow your nose. This is often temporary and can resolve on its own.
2. Sinus Pressure: If you have a cold or allergies, sinus congestion can create pressure that affects the ears. This pressure can be felt during sneezing or blowing your nose, resulting in discomfort.
3. Middle Ear Issues: Conditions like otitis media (middle ear infection) can also cause pain during pressure changes. If you have had a recent upper respiratory infection, this could be a possibility.
Given that the pain is mild and resolves quickly after sneezing, it may not be a cause for immediate concern. However, it’s essential to monitor your symptoms. Here are some guidelines on when to seek medical attention:
- Persistent Pain: If the ear pain continues or worsens over the next few days, it would be wise to consult a healthcare professional. Persistent pain could indicate an underlying issue that needs to be addressed.
- Additional Symptoms: If you experience other symptoms such as fever, hearing loss, drainage from the ear, or severe discomfort, you should see a doctor promptly. These could be signs of an ear infection or other complications.
- Changes in Hearing: If you notice any changes in your hearing, such as muffled sounds or ringing in the ear (tinnitus), it’s advisable to seek medical evaluation.
- Frequency of Pain: If you find that sneezing or blowing your nose consistently causes ear pain, it may be worth discussing with a doctor, even if the pain is mild.
In terms of self-care, you can try to avoid forceful nose blowing, as this can exacerbate Eustachian tube dysfunction. Instead, use a gentle technique, such as pinching your nose and gently blowing while keeping your mouth closed (the Valsalva maneuver), to help equalize pressure without causing pain.
In summary, while your current symptoms may not necessitate an immediate visit to the doctor, it’s essential to keep an eye on how they develop. If the pain persists or if you experience any concerning symptoms, seeking medical advice would be the best course of action. Always trust your instincts—if something feels off, it’s better to get it checked out.
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