Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues

Q: Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues

Hello： You mentioned that "the left ear is more affected by allergies (the left side is more prone to nasal congestion and post-nasal drip, etc.)," which may indicate a problem with the Eustachian tube. <br>It is recommended to identify the allergens and reduce the occurrence of

Is peaceful coexistence enough?

Hello Doctor, I gave birth in September and was diagnosed with COVID-19 in October after completing my postpartum confinement.
Since the diagnosis, I have noticed that I feel more fatigued and easily drowsy.
Additionally, I have suddenly experienced a thumping sound in my left ear during certain movements, which feels like a heartbeat.
Sometimes, when I turn my head to the right, I can feel a thumping sensation in my left ear, but it goes away when I turn back.
This can also happen when I exert myself, stand up suddenly, first thing in the morning before hydrating, when I have nasal congestion, or when my allergy symptoms are more severe.
However, it does not occur every time I change positions.
I have also noticed that my right ear occasionally experiences this, but it is very mild, as my left ear is usually more affected by allergies (it tends to get congested and have post-nasal drip).
I visited a large hospital and saw an ENT specialist who mentioned that it is usually an issue with the Eustachian tube and advised me to return if the heartbeat sound persists, suggesting I coexist peacefully with it.
A cardiologist said that this is actually palpitations, which may not indicate any serious problem, possibly due to autonomic nervous system dysregulation or long COVID, and advised me to ignore it.
For me, it does not cause any discomfort in my daily life, nor does it affect my sleep or mood.
I would like to ask if I should continue to coexist peacefully and self-monitor? Thank you.

Xingxing, 30~39 year old female. Ask Date: 2022/12/06

Dr. Jiang Junyi reply Neurology

Hello: You mentioned that "the left ear is more affected by allergies (the left side is more prone to nasal congestion and post-nasal drip, etc.)," which may indicate a problem with the Eustachian tube.
It is recommended to identify the allergens and reduce the occurrence of allergic rhinitis.
If your symptoms persist or worsen, it is advisable to seek medical attention.
You may consider undergoing a self-paid MRI to examine any issues with the intracranial blood vessels.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares about you.

Reply Date: 2022/12/06

More Info

It sounds like you have been through quite a lot recently, especially with the challenges of postpartum recovery and then contracting COVID-19. Your symptoms, including fatigue, ear pulsations, and the sensation of heartbeats in your ear, can indeed be concerning, but it's important to understand them in the context of post-COVID conditions and other potential factors.

Firstly, it's not uncommon for individuals recovering from COVID-19 to experience a range of lingering symptoms, often referred to as "long COVID" or post-COVID syndrome. These can include fatigue, cognitive difficulties (often referred to as "brain fog"), and various neurological symptoms. The fact that you are experiencing increased fatigue and unusual sensations in your ears could be related to this condition.

The ear symptoms you describe, such as hearing a heartbeat or a "thumping" sound, can be attributed to several factors. One possibility is related to the Eustachian tube, which connects the middle ear to the back of the throat. If this tube is not functioning properly, it can lead to pressure changes and sensations that might feel like a heartbeat. Allergies and nasal congestion, which you mentioned, can exacerbate this issue.
Additionally, the autonomic nervous system, which regulates involuntary bodily functions, can be affected by stress, anxiety, and illnesses like COVID-19. This dysregulation can lead to symptoms such as palpitations or the sensation of heartbeats in the ears. The fact that your healthcare providers have suggested that these symptoms may not be serious and could be managed through observation is a positive sign.
In terms of managing your symptoms, it seems that your current approach of self-monitoring and maintaining a level of peace with your condition is reasonable, especially since you report that these symptoms do not significantly impact your daily life, sleep, or mood. However, it's crucial to remain vigilant. If your symptoms worsen or if you experience new symptoms, it would be wise to follow up with your healthcare providers.

Here are some additional strategies you might consider to help manage your symptoms:
1. Stay Hydrated: Dehydration can exacerbate feelings of fatigue and may also affect your ear symptoms. Ensure you are drinking enough fluids throughout the day.

2. Manage Allergies: Since you mentioned that your left ear is more affected by allergies, consider using antihistamines or other allergy medications as recommended by your doctor to help alleviate nasal congestion and its effects on your ears.

3. Stress Management: Engaging in relaxation techniques such as mindfulness, meditation, or gentle yoga can help manage stress and may improve your overall sense of well-being.

4. Regular Check-ups: Continue to have regular check-ups with your healthcare providers, especially if you notice any changes in your symptoms. Keeping an open line of communication with your doctors can help ensure that any potential issues are addressed promptly.

5. Physical Activity: If you feel up to it, light physical activity can help improve your energy levels and overall health. However, listen to your body and avoid overexertion.

6. Sleep Hygiene: Ensure you are practicing good sleep hygiene, which includes maintaining a regular sleep schedule, creating a restful environment, and avoiding screens before bedtime.

In conclusion, while it is reasonable to adopt a "live and let live" approach to your current symptoms, staying proactive about your health is essential. If your symptoms change or worsen, do not hesitate to seek further medical advice. Your well-being is paramount, and being informed about your health can empower you to make the best decisions moving forward.

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