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Blocked ears, dizziness, BP 120/66, tooth removal done recently, fever

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my son woke up this morning with both ears stopped up and he felt funny/dizzy. i took his blood pressure and it was 120/66. he recently had a tooth pulled(2 days ago)
Posted Tue, 17 Apr 2012 in General Health
Follow-up: Blocked ears, dizziness, BP 120/66, tooth removal done recently, fever 6 minutes later
is his bp normal for a 13 year old boy
Answered by Dr. Naveen Kumar 49 minutes later

Thanks for the query

The blocking of the ears could be due to various reasons. In your child’s case, there seems to be a Eustachian tube block causing this problem. Eustachian tube is a narrow tube connecting the nose and the ear. This tube helps in maintaining the pressure balance between the nose and the ear. Sometimes if the ear block is of a sudden in onset, few individuals tend to develop a sort of dizziness or head discomfort.

The blood pressure in the systolic part is normal (120) whereas the diastolic part is (66) is slightly lower than the normal, but with one reading we cannot come to any conclusion.

To sum it up, I would like to know few more things:
1.     Is this the first time that your child is experiencing this sort of problem?
2.     Did he have cold/flu/sinus problems in the past few days?
3.     If there are no complaints of either cold or flu, did he have any nasal block?
4.     Did he use ear buds to clean the ear on the previous night?
Hope you will return back with the answers soon.

Dr. Naveen Kumar
Above answer was peer-reviewed by
Follow-up: Blocked ears, dizziness, BP 120/66, tooth removal done recently, fever 6 minutes later
he has a 100.4 fever and he has a slight cough and some nasal congestion
Answered by Dr. Naveen Kumar 6 hours later

Thanks for your follow up,

That says it all; the nasal congestion is the prime reason for the Eustachian tube to be blocked. Whenever there is flu or sinus problem there will be congestion of nasal mucosa secondary to the inflammation. The congestion around the opening of the nasal end of the tube induces negative pressure inside the middle ear causing ear blockage or fullness in the ear.

This ear blockage is a temporary phenomenon, if not treated promptly can lead to collection of thick secretion inside the middle ear which is termed as ‘Secretory Otitis Media’.

My advice is to encourage your son to do steam inhalation 2-3 times/day as the steam vapors reduce the nasal congestion and assist in the drainage of the sinus secretions and opening of the Eustachian tube as well. Also, he should drink plenty of warm water, do keep himself well hydrated and to reduce the cough. You can try using saline nasal drops 3-4 times/day which aids in restoring the normal ciliary movements of the nasal mucosa. As fever is still there, give paracetamol tablets to reduce the fever. If the symptoms do not improve within 2-3 days please do consult a good ENT specialist.

Wish him good health.

Dr. Naveen Kumar
Above answer was peer-reviewed by
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