Inner ear issues
Hello, doctor.
About a week ago, I caught a cold and didn't take any medication.
The next day, I woke up with severe ear fullness and could hear my heartbeat.
I tried the Valsalva maneuver, but it didn't help and seemed to make it worse.
I went to see a doctor, and the initial diagnosis was middle ear effusion.
I was prescribed medication for three days, and the heartbeat sound became quieter, but the ear fullness persisted, along with a sensation of something moving around.
The doctor prescribed another three days of medication.
After finishing that, the heartbeat sound was still present but much quieter, and the ear fullness and sensation of movement remained.
I was given another three days of medication.
The heartbeat sound has almost disappeared, but the ear fullness and sensation of movement are still there.
I would like to ask the doctor if this ear fullness and the sensation of movement will improve.
I used to be a very cheerful person, but after just a few days, I'm feeling close to depression.
😭
A Yao, 40~49 year old female. Ask Date: 2024/02/10
Dr. Zheng Jueyi reply Otolaryngology
Hello, most cases of middle ear effusion improve with medication treatment.
Only a small number of cases that persist for more than a few weeks require the placement of tympanostomy tubes under local anesthesia for drainage.
Reply Date: 2024/02/10
More Info
Hello! It sounds like you're experiencing a challenging situation with your ear symptoms, and I can understand how distressing this can be. Let's break down your concerns regarding ear pressure, dizziness, and the sensations you're experiencing.
From your description, it seems that you initially had a cold, which can often lead to complications such as middle ear effusion, commonly known as fluid in the middle ear. This condition can cause a feeling of fullness or pressure in the ear, and it may also lead to hearing changes, such as the sensation of hearing your heartbeat, known as pulsatile tinnitus. The fact that you have been prescribed medication suggests that your healthcare provider is trying to manage the inflammation and fluid buildup in your ear.
The sensation of something "moving" or "swimming" in your ear can be quite unsettling. This could be related to the fluid in the middle ear affecting your balance. The inner ear, which is responsible for hearing and balance, can be quite sensitive to changes in pressure and fluid levels. When the Eustachian tube (which connects the middle ear to the back of the throat) is not functioning properly, it can lead to a feeling of pressure and imbalance.
You mentioned that you've tried the Valsalva maneuver (pinching your nose and blowing) to equalize ear pressure, but it hasn't been effective. This is not uncommon, especially if there is significant fluid buildup or if the Eustachian tube is blocked. In some cases, ENT specialists may recommend other methods to help equalize pressure, such as using decongestants, nasal sprays, or even more advanced interventions if the problem persists.
It's also important to note that emotional well-being can be affected by physical symptoms. Feeling isolated or anxious due to your ear issues can lead to a cycle of stress and discomfort. If you find that your mood is significantly impacted, it may be beneficial to speak with a mental health professional who can provide support and coping strategies.
Regarding your question about whether the ear fullness and the sensation of movement will improve, many people do recover from these symptoms, especially with appropriate treatment. However, the timeline can vary. Some individuals may notice gradual improvement over weeks, while others may take longer. It's essential to follow up with your ENT specialist to monitor your condition and adjust treatment as necessary.
In the meantime, here are a few tips that may help alleviate your symptoms:
1. Stay Hydrated: Drinking plenty of fluids can help thin mucus and may assist in clearing the Eustachian tube.
2. Warm Compress: Applying a warm compress to the affected ear can sometimes relieve discomfort.
3. Avoid Irritants: Stay away from smoke and other irritants that can exacerbate ear problems.
4. Gentle Maneuvers: If the Valsalva maneuver isn't working, you might try the Toynbee maneuver (swallowing with your nose pinched) or simply yawning frequently to help equalize pressure.
5. Follow-Up: Keep in close contact with your healthcare provider to ensure that your condition is improving and to discuss any new symptoms.
Remember, it's crucial to be patient with your recovery process. If your symptoms persist or worsen, don't hesitate to seek further medical advice. You're not alone in this, and there are resources available to help you through your recovery. Take care!
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