Ear Drops: Effective Treatment for Ear Congestion - Otolaryngology

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Ear drops are blocked?


Hello, Doctor.
A few weeks ago, my ear became blocked due to a cold when I was blowing my nose.
At that time, the mucus felt very thick, and I had to blow my nose very hard to feel clean.
Now that my cold has resolved, I still feel a pressure sensation in my ear, especially after exercising like hiking or when lying on my side, the pressure feels even greater.
Yesterday, I visited an otolaryngologist, and the doctor said I have very little earwax and that both ears are inflamed.
The doctor prescribed ear drops for me to use, advising me to apply them when I feel pain.
When I lie on my side to apply the drops, it feels similar to when water gets into my ears while swimming or washing my hair.
Can you please confirm if the drops are actually reaching the affected area? I made sure to clean my ears again with a cotton swab before applying the drops.
I kindly request your response.
Thank you.

Jason, 30~39 year old female. Ask Date: 2015/10/14

Dr. Zheng Jueyi reply Otolaryngology


After applying ear drops, you can gently press the area in front of the ear canal to help the medication penetrate deeper into the ear.
It is normal to feel a sensation of water in the ear.
You can let the drops sit for 5-10 minutes before tilting your head to the other side to allow the excess medication to drain out.
Any remaining drops on the outside can be wiped away, and it is not necessary to use a cotton swab to remove any residual medication inside the ear canal.
Wishing you safety and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/10/14

More Info


Ear congestion can be a frustrating and uncomfortable experience, especially when it persists after an illness like a cold. Based on your description, it seems that your ear congestion may be related to Eustachian tube dysfunction, which is common after upper respiratory infections. The Eustachian tube connects the middle ear to the back of the throat and helps equalize ear pressure. When you have a cold, inflammation can block this tube, leading to a feeling of fullness or pressure in the ear.

Regarding the use of ear drops, they can be effective in treating certain conditions, but their effectiveness largely depends on the underlying cause of the ear congestion. In your case, since your doctor has prescribed ear drops, it is likely that they are intended to address inflammation or infection in the ear canal. However, it is essential to understand how to use them correctly to ensure they reach the affected area.

When you lie on your side to apply ear drops, the medication should flow into the ear canal. However, if you feel like the drops are not reaching the intended area, it could be due to several factors. First, ensure that you are following the instructions provided by your doctor or the medication label. Typically, you should allow the drops to remain in the ear for a few minutes to maximize absorption. You might also want to gently massage the area around the ear to help the medication spread.

It's important to note that if you have already cleaned your ears with a cotton swab, you may have inadvertently pushed some earwax deeper into the canal, which could also contribute to the feeling of congestion. While it’s essential to keep the ear canal clean, using cotton swabs can sometimes do more harm than good. If you suspect that earwax buildup is contributing to your symptoms, it may be worth discussing this with your doctor, who can safely remove any excess wax if necessary.

In addition to ear drops, there are other methods to alleviate ear congestion. For instance, practicing the Valsalva maneuver—pinching your nose and gently blowing while keeping your mouth closed—can help open the Eustachian tubes and equalize pressure. However, this should be done cautiously, as excessive force can damage the eardrum.

If your symptoms persist despite using ear drops and trying these techniques, it may be necessary to follow up with your healthcare provider. They may recommend further evaluation, such as a hearing test or imaging studies, to rule out other issues like fluid accumulation in the middle ear or chronic sinusitis.

In summary, while ear drops can be beneficial for treating ear congestion, their effectiveness depends on proper application and the underlying cause of your symptoms. If you continue to experience discomfort or if your condition worsens, seeking further medical advice is crucial. Your health and comfort are paramount, and a healthcare professional can provide tailored guidance to help you find relief.

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