Tympanic membrane hemorrhage?
Hello, doctor.
I have a situation where I experience tinnitus more easily than others when traveling by car, and while others can equalize their ears, it takes me some time.
Previously, after flying, I had a very painful experience; upon landing, I discovered that one of my ears was leaking fluid.
When I returned home and consulted a doctor, he mentioned that there was slight bleeding in my eardrum.
I took medication but did not follow up since my ear was no longer uncomfortable.
However, I still occasionally experience a feeling of fullness and tinnitus upon waking, which are ongoing issues.
I would like to know if it is safe for me to fly again, or if there are any methods to improve my situation.
Wu, 20~29 year old female. Ask Date: 2009/10/29
Dr. Hu Kexin reply Otolaryngology
Hello: Based on your description, it seems more like a dysfunction of the Eustachian tube.
There are many causes for Eustachian tube dysfunction, and I recommend that you see an otolaryngologist for a thorough examination.
If you experience extreme discomfort in your ears every time you fly, then it is certainly not advisable to fly again, especially not when you have a cold, as it can exacerbate your symptoms.
Dr.
Hsu Ke-Hsin, Otolaryngology.
Reply Date: 2009/10/29
More Info
When it comes to managing ear drum bleeding and ensuring safe air travel, it is crucial to understand the underlying mechanisms of ear pressure regulation and the potential complications that can arise during flights. Based on your description, it appears that you have experienced issues related to eustachian tube dysfunction, which can lead to discomfort, ear ringing (tinnitus), and even bleeding from the ear drum, especially during changes in altitude, such as during takeoff and landing.
Understanding Eustachian Tube Dysfunction
The eustachian tube connects the middle ear to the back of the throat and plays a vital role in equalizing ear pressure. When this tube is not functioning properly, it can lead to a buildup of pressure in the middle ear, resulting in pain, discomfort, and potential injury to the ear drum. Symptoms such as ear ringing and a feeling of fullness in the ear can indicate that the eustachian tube is not opening effectively, which is often exacerbated by flying, especially if you have a history of allergies or sinus issues.
Risks of Flying with Ear Drum Issues
Given your history of ear drum bleeding and ongoing symptoms, flying may pose risks. The changes in cabin pressure during ascent and descent can further stress an already compromised ear structure. If you have experienced bleeding from the ear drum, it is essential to consult with an Ear, Nose, and Throat (ENT) specialist before considering air travel again. They can assess the current state of your ear health and provide tailored advice based on your specific condition.
Tips for Safe Air Travel
1. Consult a Specialist: Before flying, it is advisable to have a thorough examination by an ENT specialist. They can evaluate your ear health, check for any residual issues from the previous bleeding, and determine if it is safe for you to fly.
2. Manage Allergies and Sinus Issues: If you have allergies or sinus problems, managing these conditions can help improve eustachian tube function. Consider using antihistamines or nasal decongestants as recommended by your doctor before your flight.
3. Use Pressure-Equalizing Techniques: During takeoff and landing, employ techniques to help equalize ear pressure. This can include swallowing, yawning, or performing the Valsalva maneuver (gently blowing with your nose pinched shut). Chewing gum or sucking on candy can also stimulate swallowing.
4. Stay Hydrated: Drink plenty of fluids before and during the flight to keep mucous membranes moist, which can help with eustachian tube function.
5. Avoid Flying When Ill: If you are experiencing a cold, sinus infection, or any other upper respiratory issue, it is best to postpone your flight. These conditions can exacerbate eustachian tube dysfunction and increase the risk of complications.
6. Consider Alternative Travel Options: If flying is too risky, consider alternative modes of transportation, such as trains or cars, which do not involve rapid changes in altitude.
7. Post-Flight Care: After your flight, if you experience any unusual symptoms such as persistent pain, drainage, or changes in hearing, seek medical attention promptly.
Conclusion
In summary, while it may be possible for you to fly again, it is essential to prioritize your ear health and consult with a healthcare professional before making any travel plans. They can provide personalized advice and potentially recommend treatments to improve your eustachian tube function, thereby reducing the risk of complications during air travel. Safe travels!
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