Ear Noises: Causes and Treatment for Ear Issues - Otolaryngology

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Ear problems


I experience a clicking sound in my left ear when I jump in place or go up and down stairs, and occasionally while walking.
The sound resembles a mouse click or small steel balls colliding.
It does not seem to occur in a rhythmic pattern, and I do not hear it when my body is still or not making large movements.
My hearing is normal, and this has been happening for almost three weeks now.
I visited an otolaryngologist in the second week, and there were no foreign objects in my ear canal.
The doctor explained that it might be due to abnormal function of the tensor tympani or stapedius muscles.
I would like to ask the doctor: 1.
Why do I hear sounds in my ear when I move my body? 2.
Prior to this issue, I was undergoing dental treatment and could only chew food on the left side, which is the same side where the ear problem occurred.
Could this be related? 3.
The doctor prescribed me muscle relaxants and asked me to monitor the situation.
Is this a condition that can recover? If not, what other possibilities could there be? Thank you for your answers, doctor!

Mr. Li, 30~39 year old female. Ask Date: 2023/12/12

Dr. Zheng Jueyi reply Otolaryngology


The tensor tympani muscle and stapedius muscle are small muscles in the middle ear.
When these muscles contract, they may produce sounds within the ear.
However, it is unclear whether there is a correlation with dental treatment.
It is advisable to use medication and observe the situation; if there is no improvement, a follow-up visit to an otolaryngologist for further evaluation is recommended.

Reply Date: 2023/12/12

More Info


Understanding ear noises, particularly in the context of your symptoms, can be quite complex. Based on your description, it seems you are experiencing a phenomenon known as "pulsatile tinnitus," which is characterized by hearing rhythmic sounds that often coincide with your heartbeat or other bodily movements. This can be particularly noticeable during physical activities such as jumping or climbing stairs, as you mentioned.

1. Why do I hear sounds in my ear when I move?
The sounds you are experiencing in your left ear during movement could be attributed to several factors. One possibility is that the muscles in the middle ear, specifically the tensor tympani and stapedius muscles, may be reacting to the movement or pressure changes in your body. These muscles help to dampen loud sounds and can sometimes contract involuntarily, leading to the perception of sound in the ear. This is particularly true if there is any tension or dysfunction in these muscles, which may be exacerbated by physical activity.

Additionally, the Eustachian tube, which connects the middle ear to the back of the throat, plays a crucial role in equalizing ear pressure. If there is any dysfunction in this area, it could lead to abnormal sounds during movement. Since you mentioned that your hearing is normal and there are no obstructions in the ear canal, it is likely that the issue is related to muscle tension or Eustachian tube dysfunction rather than a structural problem.


2. Could dental treatment be related to my ear issues?
Yes, it is possible that your recent dental treatment could be related to the symptoms you are experiencing. The jaw and ear are closely connected anatomically and functionally. Issues such as temporomandibular joint (TMJ) dysfunction can lead to referred pain or sounds in the ear. If you have been favoring one side of your mouth due to dental work, it could lead to muscle tension or strain in the jaw, which may, in turn, affect the muscles around the ear. This could explain why the symptoms are occurring on the same side as your dental treatment.


3. Is this a recoverable condition, and what other possibilities exist?
The condition you are experiencing is often treatable, especially if it is related to muscle tension or Eustachian tube dysfunction. The muscle relaxants prescribed by your doctor may help alleviate any tension in the muscles surrounding the ear, potentially reducing the sounds you hear. It is essential to follow your doctor's advice and monitor your symptoms. If there is no improvement, further evaluation may be necessary.

Other potential causes of ear noises could include:
- Eustachian Tube Dysfunction: This can lead to pressure changes in the ear, causing sounds during movement.

- Muscle Spasms: As mentioned, spasms in the muscles of the middle ear can create sounds that may be perceived as clicking or popping.

- Tinnitus: While you describe the sounds as rhythmic, it’s important to consider that tinnitus can manifest in various forms, including pulsatile tinnitus.

- Jaw Issues: As previously discussed, TMJ disorders can lead to ear symptoms.


Conclusion
In summary, the sounds you are experiencing in your left ear during physical activity may be related to muscle tension or Eustachian tube dysfunction, potentially exacerbated by your recent dental treatment. The muscle relaxants prescribed may help, and it is advisable to keep a close watch on your symptoms. If they persist or worsen, further evaluation by an ear, nose, and throat specialist may be warranted to explore other underlying causes. Always ensure to communicate any changes in your symptoms to your healthcare provider for the best management plan.

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