Eardrum Pulsations: When to See an ENT Specialist

There is a pulsating sound in the eardrum?

Recently, I've been experiencing a loud pulsating sensation in my left eardrum that feels a bit frightening.
It has been ongoing for 3 to 4 days.
Should I see an otolaryngologist?

0506A, 20~29 year old female. Ask Date: 2013/09/04

Dr. Gao Qingyun reply Family Medicine

Hello, based on your statement, I recommend that you visit an otolaryngology department for relevant examinations.
Thank you.
Wishing you safety and health.
Department of Family Medicine, Taoyuan General Hospital, Ministry of Health and Welfare, Gao Qingyun.

Reply Date: 2013/09/04

More Info

Experiencing pulsations in the eardrum can be concerning, and it’s important to understand what this symptom might indicate. Pulsatile tinnitus, which is the medical term for hearing a rhythmic sound that often corresponds with your heartbeat, can arise from various causes. Given that you've been experiencing this sensation in your left ear for 3 to 4 days, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist.

There are several potential reasons for pulsatile tinnitus. One common cause is vascular issues, where blood vessels near the ear may be affected by conditions such as high blood pressure or vascular malformations. Other causes can include ear infections, eustachian tube dysfunction, or even issues related to the temporomandibular joint (TMJ). In some cases, it may also be related to changes in the inner ear or the auditory pathways.

When you visit an ENT specialist, they will likely conduct a thorough examination, which may include a physical examination of your ear, hearing tests, and possibly imaging studies like an MRI or CT scan to rule out any structural abnormalities. They will also take a detailed medical history to understand any other symptoms you may be experiencing, such as hearing loss, dizziness, or any recent illnesses.

It’s important to note that while pulsatile tinnitus can be benign, it can also indicate underlying health issues that may require treatment. For instance, if the pulsations are due to a vascular issue, addressing the root cause could alleviate the symptoms. Additionally, if there is an infection or inflammation present, appropriate medical intervention may be necessary.

In the meantime, you should avoid exposure to loud noises, as this can exacerbate any existing ear issues. If you notice any additional symptoms such as severe pain, hearing loss, or dizziness, seek medical attention promptly.

In summary, given the duration and nature of your symptoms, it is prudent to see an ENT specialist. They will be able to provide a comprehensive evaluation and determine the best course of action based on their findings. Early intervention can often lead to better outcomes, so don’t hesitate to seek help.

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