Why Do My Ears Ring When I Yawn or Sneeze? ENT Insights - Otolaryngology

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When opening the mouth wide, there is a sound in the ears?


Hello Doctor, recently I've been experiencing a ringing sound in my ears whenever I open my mouth wide or sneeze, but it doesn't occur at other times.
Should I be concerned about this issue, or will it resolve on its own? Additionally, if I need to seek medical attention, should I visit an otolaryngologist? I'm a bit worried, so I would appreciate your response.
Thank you!

Niming, 50~59 year old female. Ask Date: 2014/01/23

Dr. Zheng Jueyi reply Otolaryngology


Hello, it may be caused by dysfunction of the Eustachian tube connecting the nasopharynx and the ear.
Most cases will gradually improve, but if symptoms persist and do not improve, it is advisable to seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2014/01/23

More Info


When you experience ringing in your ears, or tinnitus, during actions such as yawning or sneezing, it can be concerning. However, this phenomenon is often related to the functioning of the Eustachian tube, which connects the middle ear to the back of the throat. The Eustachian tube plays a crucial role in equalizing pressure in the ear and draining fluid.
When you yawn or sneeze, the muscles around the Eustachian tube contract, which can cause a temporary change in pressure in the middle ear. This pressure change can lead to a sensation of ringing or buzzing in the ears. This is generally a normal physiological response and does not necessarily indicate a serious problem.
However, if this ringing is persistent or accompanied by other symptoms such as hearing loss, pain, or dizziness, it may warrant further investigation. Conditions such as Eustachian tube dysfunction, which can occur due to allergies, sinus infections, or colds, can lead to similar symptoms. In such cases, the Eustachian tube may not open properly, leading to pressure imbalances that can cause discomfort and tinnitus.

In your case, since the ringing only occurs during specific actions and not at other times, it is likely a benign condition. However, if you have concerns or if the symptoms worsen, it would be wise to consult an Ear, Nose, and Throat (ENT) specialist. An ENT can perform a thorough examination, including hearing tests and possibly imaging studies, to rule out any underlying issues.

In addition to the Eustachian tube dysfunction, other factors could contribute to tinnitus, including exposure to loud noises, earwax buildup, or even stress. If you have a history of allergies or sinus issues, these could also play a role in your symptoms.
To manage your symptoms, consider the following:
1. Stay Hydrated: Keeping your body well-hydrated can help maintain the mucous membranes in your throat and Eustachian tubes, promoting better function.

2. Avoid Loud Noises: Protect your ears from loud environments, as exposure can exacerbate tinnitus.

3. Manage Allergies: If you have allergies, managing them with appropriate medications can help reduce Eustachian tube dysfunction.

4. Yawning and Swallowing: If you feel pressure in your ears, yawning or swallowing can help open the Eustachian tube and equalize pressure.

5. Consult a Specialist: If symptoms persist, an ENT specialist can provide targeted treatments, which may include nasal decongestants or other medications to help with Eustachian tube function.

In summary, while the ringing in your ears during yawning or sneezing is likely a normal response related to Eustachian tube function, it’s important to monitor your symptoms. If you experience any changes or additional symptoms, seeking medical advice from an ENT specialist is a prudent step. They can provide reassurance and appropriate management options based on a comprehensive evaluation of your ear health.

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