Right Ear Issues: Possible Sudden Hearing Loss Causes

Right ear issues?

Hello Doctor,
Since April 9th, I have been experiencing a feeling of fullness and pressure in my right ear upon waking up.
I went to the hospital for a hearing test, and the results indicated hearing loss in my right ear, with the ability to hear only at 40-50 decibels.
The doctor did not specify where the issue lies and prescribed Compesolon 5 mg/tablet and Nilasen 16 mg/tablet.

Starting on the evening of April 10th, I began to notice an echo in my right ear, and this symptom has persisted until now, April 12th.
I do not have a cold or dizziness.
Could I possibly be experiencing sudden sensorineural hearing loss or Eustachian tube dysfunction? What further examinations should I undergo? Thank you.

Wen, 20~29 year old female. Ask Date: 2014/04/12

Dr. Zheng Jueyi reply Otolaryngology

Dear Wen,
Hello, it is possible that you are experiencing sudden sensorineural hearing loss.
You can start with medication treatment in conjunction with your physician.
Most cases show improvement in hearing, but if there is no improvement, you may consult with a clinical physician to determine if further hearing tests or an MRI should be arranged to rule out other issues.
Wishing you safety and health.
Sincerely,
Dr.
Jue-Yi Cheng
Director, Department of Otolaryngology
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2014/04/12

More Info

Hello,
Thank you for sharing your concerns regarding your right ear issues. Based on the symptoms you've described, including the sensation of fullness in your right ear, the significant hearing loss (40-50 dB), and the echo-like sounds you're experiencing, there are several potential causes to consider.

One possibility is Sudden Sensorineural Hearing Loss (SSNHL), which is characterized by a rapid loss of hearing, often in one ear, and can occur without any obvious cause. This condition requires prompt medical attention, as early treatment may improve outcomes. The fact that you have not experienced any cold symptoms or dizziness is noteworthy, as SSNHL can sometimes occur in isolation without accompanying symptoms.

Another potential cause could be Eustachian Tube Dysfunction (ETD). The Eustachian tube helps equalize pressure in the middle ear and can become blocked due to various factors, including allergies, sinus infections, or even changes in altitude. When this tube does not function properly, it can lead to a feeling of fullness, muffled hearing, and sometimes even echoing sounds, especially in response to changes in position or pressure.

Given your current symptoms and the results of your hearing test, it is crucial to follow up with an Ear, Nose, and Throat (ENT) specialist for a comprehensive evaluation. Here are some recommended steps you should consider:
1. Further Audiometric Testing: A more detailed hearing test, including pure-tone audiometry and speech discrimination tests, can help determine the extent and nature of your hearing loss.

2. Imaging Studies: Depending on the findings from your initial evaluation, your doctor may recommend imaging studies such as an MRI or CT scan to rule out any structural abnormalities or lesions affecting the auditory pathways.

3. Eustachian Tube Function Tests: These tests can help assess whether your Eustachian tube is functioning properly. This may involve techniques to measure the pressure in your middle ear or observing how your ear responds to changes in pressure.

4. Medical Management: Since you have already been prescribed medications like Compesolon (a corticosteroid) and Nilasen (an antihistamine), it is essential to monitor your response to these treatments. Corticosteroids are often used in cases of sudden hearing loss to reduce inflammation and potentially restore hearing.

5. Follow-Up Appointments: Regular follow-ups with your ENT specialist are vital to monitor your condition and adjust treatment as necessary. If your symptoms persist or worsen, further interventions may be required.

In conclusion, while your symptoms could indicate either sudden hearing loss or Eustachian tube dysfunction, a thorough evaluation by an ENT specialist is necessary to determine the exact cause and appropriate treatment. Early intervention is key, especially in cases of sudden hearing loss, so I encourage you to seek medical attention as soon as possible.
Wishing you a speedy recovery and improved hearing health.

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