Ear Issues: Persistent Noises and Discomfort in the Right Ear - Otolaryngology

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It seems there is an issue with the right eardrum?


I have been experiencing a peculiar sensation in my right ear for quite some time now.
In noisy environments, I hear sounds resembling a soft rumbling or hissing, similar to the sound of tiny bubbles popping near my ear.
Sometimes, when I take a shower and the water is loud, my right ear also reacts in this way.
If I am in a very loud place, the sound I perceive feels like a strong wind blowing directly against my eardrum, producing a "whooshing" noise.
Recently, while listening to music in the car at a high volume, I distinctly felt a "thumping" vibration in my right ear, and afterward, my hearing felt off for an entire week, as if something was blocking my ear.
I visited a small clinic to have my right ear checked, but the doctor said that the eardrum appeared normal.
However, I frequently experience this strange sensation in noisy places.
Should I go to a larger hospital for further examination? What could this possibly indicate?

momoiro, 20~29 year old female. Ask Date: 2004/04/11

Dr. Ye Dawei reply Otolaryngology


Since the clinic physician could not identify any issues with the otoscope, it would be advisable for you to come to our department for a hearing evaluation to better understand your concerns.

Reply Date: 2004/04/11

More Info


It sounds like you are experiencing a range of troubling symptoms in your right ear, particularly in noisy environments. The noises you describe, such as bubbling sounds or the sensation of wind blowing against your eardrum, can be quite distressing. Given your experiences, it is important to consider several potential underlying causes and the appropriate steps for further evaluation.

Based on your description, it seems that you may be dealing with a condition related 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. If the Eustachian tube is not functioning properly, it can lead to a sensation of fullness, muffled hearing, and even tinnitus (ringing or buzzing in the ear). This dysfunction can be exacerbated by environmental factors, such as changes in altitude, allergies, or upper respiratory infections.

The symptoms you describe, particularly the sensitivity to loud sounds and the feeling of pressure or fullness, could also indicate a condition known as hyperacusis. This is an increased sensitivity to normal environmental sounds, which can lead to discomfort or pain in response to sounds that would not typically be bothersome. Hyperacusis can sometimes be associated with underlying hearing loss or other auditory processing issues.

Another possibility is that you may be experiencing a form of ear barotrauma, which occurs when there is a significant difference in pressure between the inside of the ear and the external environment. This can happen in loud environments or during activities like flying or diving. The sensation of "popping" or "bubbling" in the ear can be a sign that the pressure is not equalizing properly.

Given that you have already visited a clinic where the doctors found no visible issues with your eardrum, it may be beneficial to seek a more comprehensive evaluation at a specialized ear, nose, and throat (ENT) clinic or a larger hospital. An ENT specialist can perform more detailed tests, such as tympanometry, audiometry, or even imaging studies if necessary, to assess the function of your Eustachian tube and the overall health of your auditory system.

In the meantime, there are some strategies you can try to alleviate your symptoms. If allergies are a contributing factor, managing them with antihistamines or nasal corticosteroids may help. Additionally, practicing techniques to equalize ear pressure, such as the Valsalva maneuver (gently blowing with your nose pinched shut), can sometimes provide relief.

It is also important to protect your ears from loud noises. Using earplugs in noisy environments can help prevent further irritation or damage to your hearing. If you find that certain sounds consistently trigger discomfort, it may be worth discussing this with your doctor to explore potential therapies or interventions.

In summary, while your symptoms are concerning, they may be related to Eustachian tube dysfunction, hyperacusis, or ear barotrauma. Seeking a thorough evaluation from an ENT specialist is a prudent next step to determine the underlying cause and appropriate treatment options. Your hearing health is important, and addressing these issues early can help prevent further complications.

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