Popping Sounds in the Ear: When to See an ENT Specialist - Otolaryngology

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There is a popping sound when I apply pressure to my ear?


A few days ago, I started to hear a popping sound in my left ear when yawning or hiccuping.
There is also a popping sound when I apply pressure to my ear, but it does not affect my hearing or daily life.
What could this issue be, and should I see an otolaryngologist for an examination?

Shu, 20~29 year old female. Ask Date: 2023/04/10

Dr. Li Jiaxuan reply Otolaryngology


It is recommended to test the function of the Eustachian tube and consult an otolaryngology clinic.
Wishing you good health.

Reply Date: 2023/04/10

More Info


When experiencing popping or "bubbling" sounds in the ear, especially during actions like yawning or swallowing, it is often related to the Eustachian tube's function. The Eustachian tube connects the middle ear to the back of the nose and throat, helping to equalize pressure and drain fluid from the middle ear. When you yawn or swallow, the muscles around the Eustachian tube contract, allowing air to enter the middle ear and equalize pressure. This can sometimes create a popping or bubbling sound, which is generally normal and not a cause for concern.

In your case, since the popping sounds occur without any accompanying hearing loss or significant discomfort, it is likely a benign phenomenon. However, if the sounds persist, worsen, or are accompanied by other symptoms such as pain, dizziness, or changes in hearing, it would be advisable to consult an ENT specialist.
Here are some key points to consider regarding your symptoms:
1. Eustachian Tube Dysfunction: The popping sounds you hear could be a sign of Eustachian tube dysfunction, which can occur due to allergies, colds, sinus infections, or changes in altitude. This dysfunction can lead to a feeling of fullness or pressure in the ears, but if you are not experiencing these symptoms, it may not be a significant issue.

2. Barotrauma: If you have recently experienced changes in altitude (such as flying or driving in mountainous areas), the popping could be related to barotrauma, which is the discomfort or pain in the ear due to pressure changes. This is usually temporary and resolves as the pressure equalizes.

3. Middle Ear Issues: Occasionally, fluid accumulation in the middle ear can cause sounds like popping or crackling. This is often associated with infections or allergies. If you notice any signs of infection, such as fever or discharge from the ear, you should seek medical attention.

4. When to See a Specialist: If the popping sounds become frequent, are accompanied by pain, hearing loss, or any other concerning symptoms, it would be prudent to see an ENT specialist. They can perform a thorough examination, which may include a hearing test and an evaluation of the Eustachian tube function, to determine if there is an underlying issue that needs to be addressed.

5. Self-Care Measures: In the meantime, you can try some self-care measures to help with Eustachian tube function, such as staying hydrated, using a saline nasal spray, or practicing the Valsalva maneuver (gently blowing while pinching your nose) to help equalize ear pressure.

In conclusion, while the popping sounds you are experiencing are likely normal and not a cause for concern, it is essential to monitor your symptoms. If they change or worsen, or if you develop additional symptoms, do not hesitate to seek the advice of an ENT specialist for further evaluation and peace of mind.

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