Ear Sounds: What Does Fluid in the Ear Mean?

There is a sound of water in the ear?

For the past six months, I've been experiencing a sensation of water in my ears.
At first, I didn't think much of it and assumed it was due to unclean ears, so I cleaned them, which led to some inflammation and pain.
Eventually, it seemed to resolve, and I didn't pay much attention to it.
However, sometimes when I move my ears, I still hear a water-like sound, especially when I press down on the area below my ear bone.
Recently, I've also felt a stuffy sensation in my left ear, but it's not tinnitus.
Today, I visited a doctor because I was worried it might be nasopharyngeal cancer.
I researched some information online and went to a large hospital for an examination.
I asked the doctor for an endoscopy, but he said he didn't find any masses.
My hearing test also showed no issues, but I feel like my left ear is slightly quieter.
The doctor advised me to return next week.
There is no family history of hereditary cases, and I just turned 20 today.
Could this be a common case of nasal congestion and dampness? Can nasopharyngeal cancer be detected through an endoscopy? I haven't had a cold, and aside from the water sensation and the stuffy feeling, my ear doesn't hurt.

sy, 20~29 year old female. Ask Date: 2015/04/23

Dr. Zheng Jueyi reply Otolaryngology

Regarding the issue of nasopharyngeal carcinoma, if an endoscopic examination is deemed necessary, the physician may recommend a nasopharyngeal biopsy.
If there are no specific abnormalities, most often observation is advised.
However, your symptoms may be more indicative of Eustachian tube dysfunction, and it would be advisable to follow up in the outpatient clinic to discuss this further with a clinician.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/04/23

More Info

Understanding ear sounds, particularly the sensation of fluid in the ear, can be concerning, especially when accompanied by other symptoms. Based on your description, it seems you have been experiencing a sensation of water in your ear, occasional pressure, and a feeling of fullness, particularly in your left ear. You have also undergone an examination that included an endoscopy, which did not reveal any tumors, and your hearing tests were normal.
The sensation of fluid in the ear can be attributed to several factors, and it is essential to understand these to alleviate your concerns. One common cause is Eustachian tube dysfunction. The Eustachian tube connects the middle ear to the back of the nose and throat, helping to equalize pressure and drain fluid. When this tube does not function properly, it can lead to a feeling of fullness or pressure in the ear, as well as the sensation of fluid. This dysfunction can occur due to allergies, sinus infections, or even changes in altitude.

Another possibility is the presence of middle ear effusion, which is fluid accumulation in the middle ear space. This condition can occur without an infection and may result from Eustachian tube dysfunction. Symptoms can include a feeling of fullness, mild hearing loss, and sometimes a sensation of fluid movement when you move your head or touch your ear.
You mentioned that you do not have pain or other severe symptoms, which is a positive sign. However, it is crucial to monitor your symptoms. If the sensation of fullness persists or worsens, or if you develop pain, fever, or significant hearing loss, it would be advisable to follow up with an ear, nose, and throat (ENT) specialist. They may recommend further evaluation, such as tympanometry, to assess the function of your Eustachian tube and the status of your middle ear.

Regarding your concern about nasopharyngeal cancer, it is understandable to feel anxious, especially with the internet providing a plethora of information that can sometimes be alarming. However, the fact that your endoscopy did not reveal any masses and that you have no significant risk factors (such as family history or symptoms like severe weight loss, persistent nasal obstruction, or bleeding) is reassuring. Nasopharyngeal cancer can be diagnosed through imaging studies and biopsy, but your current examination results are encouraging.

In conclusion, the sensation of fluid in your ear is likely related to Eustachian tube dysfunction or middle ear effusion, especially given your age and the absence of alarming symptoms. Continue to monitor your symptoms, and if they persist or worsen, do not hesitate to seek further medical advice. It is always better to err on the side of caution when it comes to your health. In the meantime, staying hydrated, avoiding allergens, and practicing nasal decongestion techniques (like swallowing or yawning) may help alleviate some of the pressure you are experiencing.

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