Ear Trauma: Risks of Increased Ear Pressure After Injury

Q: Ear Trauma: Risks of Increased Ear Pressure After Injury

Hello： In response to your question... <br>constipation, coughing, inversion, and even diving can increase pressure in the inner ear. <br>Hsu Chia-Chen, Keelung Hospital, Department of Health, Executive Yuan.

Ear trauma?

I experienced an impact to my ear during a minor car accident, and since then, my hearing has been impaired.
When I blow my nose, I feel air escaping from my ear, and I have a slight ringing sensation.
I suspect that I might have a ruptured eardrum, but I want to confirm this.
While looking into other issues, I found that activities that increase inner ear pressure should be avoided with a ruptured eardrum.
Could you please clarify which activities can increase inner ear pressure? Thank you, doctor.

Zhong, 10~19 year old female. Ask Date: 2004/11/17

Dr. Xu Jiazhen reply Otolaryngology

Hello: In response to your question...
constipation, coughing, inversion, and even diving can increase pressure in the inner ear.
Hsu Chia-Chen, Keelung Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/11/17

More Info

Ear trauma, particularly from incidents like car accidents, can lead to various complications, including a ruptured eardrum (tympanic membrane perforation). The symptoms you describe—hearing loss, a sensation of air escaping when blowing your nose, and tinnitus (ringing in the ears)—are indeed consistent with potential damage to the ear, including the possibility of a ruptured eardrum.
When it comes to activities that can increase ear pressure, there are several behaviors and situations to be aware of. These include:
1. Nasal Actions: Forcefully blowing your nose can create a significant pressure differential in the ear. This is particularly risky if there is already a rupture, as it can exacerbate the injury or lead to further complications.

2. Coughing and Sneezing: Similar to blowing your nose, these actions can create sudden increases in pressure in the middle ear. If you have an existing injury, it’s advisable to suppress these actions as much as possible.

3. Diving and Swimming: Activities that involve changes in water pressure, such as diving or even swimming at certain depths, can increase ear pressure. If you have a ruptured eardrum, these activities can lead to water entering the middle ear, which can cause infections or worsen the injury.

4. Altitude Changes: Traveling by airplane or driving in mountainous areas can also lead to pressure changes. The rapid ascent or descent can create a pressure imbalance that your ears may struggle to equalize, especially if there is an existing injury.

5. Heavy Lifting or Straining: Activities that involve significant physical exertion, such as lifting heavy objects or straining during bowel movements, can also increase pressure in the ear.

6. Certain Yoga Positions: Inversions or poses that put your head below your heart can lead to increased pressure in the ears.

Given your symptoms and the potential for a ruptured eardrum, it is crucial to avoid these activities to prevent further damage. If you suspect that your eardrum is ruptured, it is advisable to seek medical attention. An ENT (ear, nose, and throat) specialist can perform a thorough examination, possibly using an otoscope to visualize the eardrum and determine the extent of the injury. They may also conduct hearing tests to assess any hearing loss.

In the meantime, managing your symptoms is essential. Over-the-counter pain relievers can help alleviate discomfort, but avoid any actions that could increase ear pressure. If you experience any discharge from the ear, fever, or worsening symptoms, seek medical attention promptly, as these could be signs of an infection.

In summary, after ear trauma, it is vital to be cautious about activities that can increase ear pressure. Avoiding actions like forceful nose blowing, heavy lifting, and diving can help protect your ear from further injury. Always consult with a healthcare professional for personalized advice and treatment options tailored to your specific situation.

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