Tinnitus After Exercise: Is It Related to Sinus Infection Treatment? - Otolaryngology

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Tinnitus after exercise?


Hello Doctor: Two weeks ago, I was diagnosed with sinusitis and started taking antibiotics after a visit to the clinic.
I have also been using a nasal irrigation device, and my sinusitis symptoms have started to improve, with my nasal discharge turning white.
However, about a week ago, I began experiencing tinnitus every time I exercise, especially after running.
The tinnitus worsens when I am out of breath, and I can hear my breathing in my ears, as well as an echo when I speak.
Could this be caused by the nasal irrigation (once in the morning and once at night), possibly due to residual water or mucus entering my middle ear? Should I see a doctor for this? Thank you for your response.

Kent, 20~29 year old female. Ask Date: 2012/08/05

Dr. Xu Yingzhuo reply Otolaryngology


Hello Kent: Your symptoms are related to dysfunction of the Eustachian tube, which connects the ear and nasal passages to equalize internal and external pressure.
Additionally, middle ear effusion may also cause these symptoms.
It is advisable to seek professional assistance from an otolaryngologist.
This message is from Dr.
Hsu Ying-Shuo, Head of the Otolaryngology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/08/05

More Info


Tinnitus, or ringing in the ears, can be a perplexing symptom, especially when it appears after a recent illness or treatment. In your case, the onset of tinnitus following a sinus infection and the use of a nasal irrigation device raises several important considerations.

Firstly, sinus infections can lead to inflammation and congestion in the nasal passages and the Eustachian tubes, which connect the middle ear to the back of the throat. This congestion can affect the pressure balance in the middle ear, potentially leading to symptoms such as tinnitus. When you exercise, particularly if you are running and breathing heavily, the increased pressure in your head and neck can exacerbate these symptoms. The act of exercising may also cause changes in blood flow and oxygen levels, which can further influence ear function and contribute to the perception of tinnitus.

Regarding your concern about the nasal irrigation, it is generally a safe practice when done correctly. However, if water or mucus were to inadvertently enter the Eustachian tubes, it could lead to a sensation of fullness in the ears or even contribute to tinnitus. This is more likely if the irrigation is performed with excessive force or if there is pre-existing inflammation that makes the Eustachian tubes more susceptible to blockage.

Given that your sinus infection is improving and the nasal discharge has changed to a clearer color, it suggests that the infection is resolving. However, if the tinnitus persists or worsens, it is advisable to consult with a healthcare professional. An ear, nose, and throat (ENT) specialist can perform a thorough examination to rule out any underlying issues, such as fluid in the middle ear, Eustachian tube dysfunction, or other conditions that may be contributing to your symptoms.

In the meantime, here are a few recommendations:
1. Monitor Symptoms: Keep track of when the tinnitus occurs, its intensity, and any associated symptoms (like ear fullness or hearing changes). This information can be helpful for your healthcare provider.

2. Avoid Irritation: If you suspect that nasal irrigation might be contributing to your symptoms, consider reducing the frequency or adjusting the technique. Ensure that you are using sterile or distilled water and that the device is clean.

3. Hydration and Humidity: Staying well-hydrated and using a humidifier can help keep your nasal passages moist, which may alleviate some of the congestion and pressure.

4. Gentle Exercise: While you may want to continue exercising, consider moderating the intensity if you notice that it exacerbates your tinnitus. Activities that are less strenuous may be beneficial until your symptoms improve.

5. Consult a Professional: If the tinnitus continues for more than a few weeks or if you experience additional symptoms such as dizziness, hearing loss, or severe pain, seek medical attention. An ENT specialist can provide targeted treatment options and further evaluation.

In conclusion, while your recent sinus infection and the use of a nasal irrigation device could be related to your tinnitus, it is essential to monitor your symptoms and consult with a healthcare professional if they persist. Tinnitus can have various causes, and a thorough evaluation will help determine the best course of action for your situation.

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