question-icon

What Causes Pressure In The Ears Along With Tinnitus?

default
Posted on Sat, 4 Nov 2017
Question: Doctor said I had fluid in my ears which she said was caused by allergies. Also have pressure and ringing. Was in a car wreck two days before it started but don't recall hitting my head on anything. Seatbelt kept me in place but may have gone forward because of seatbelt but I don't remember. I'm also having more confusion since then. It's only been 6 days since the accident. doctor gave me drops for ears. Could I have a concussion that is causing all this including the confusion?
doctor
Answered by Dr. Antoneta Zotaj (53 minutes later)
Brief Answer:
Several possible causes discussed and recommendations given

Detailed Answer:
Hello,
Thank you for asking at healthcare magic.

There are several causes of the pressure and ringing in the ears.
The car trauma is a factor that might affect through physical and psychiological routes also. This means that concussion is a common complication in car accidents. In you case this does not seem very likely due to the protection of the seat belt, this gives some assurance but does not rule it out completely. Psychilogical route i mean stress and anxiety after a difficult event, in this case the car accident- this might cause us to have the symptoms you are experiencing.

Allergies can also cause feeling of pressure and ringing in the ears and mostly is due to the blockage of the tubes that connect the ears with the throat. In this case the drops would be helpful in they are taken by the nose. Ear drops will not reach the area behind the tympanic membrane if there is fluid behind it, but nose drops can reduce irritation of those tubes that connect the ears with the throat and help release the symptoms of pressure and ringing.
Allergy on the other hand would have caused you the symptoms on and off for a while and would not expect that you would have these symptoms from allergy and caused only the last couple of weeks.

Another cause of the ear pressure and ringing is if you are having a viral infection that might be affecting the ears also. This can cause the symptoms for a few weeks and should fade with time.

So to conclude i would say:
- if you have no other symptoms like vomiting, vision changes, speech problems, weakness or numbness in legs or arms or any other neurological symptoms than it is less likely the symptoms are due to concussion. If any of the above symptoms develop you will need a visit with the doctor as soon as possible.
- stress might also contribute to some of the symptoms but is generally a basket diagnosis (which means is something we consider if all the other causes are ruled out)
- allergy might cause pressure and ringing in the ears due to fluid collection behind the tympanic membrane, i don't see how the ear drops will help in your case if the tympanic membranes are intact (they should be intact for the fluid to collect behind them)
- viral causes seem more likely especially if less than a couple of weeks- in this case it is self limiting and nothing to worry but see a doctor if no improvement in a few weeks or any of the symptoms mentioned above happen.

I hope this answers to your question and is helpful to you but please feel free to reply in case anymore clarification is needed on this.

Kind regards,

Antoneta Zotaj, MD


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Antoneta Zotaj (16 hours later)
What kind of nose drops? Doctor only gave me ear drops with neomycin and something else.
Still have headache and fullness in the right ear. Don't remember if I told you that on Monday night after the wreck on Sunday, I had earphones in to talk on the phone. A beep came through that hurt my right ear and that's when the ringing and pain started along with the mild headache. Had no problem on the left ear but when I saw the doctor she said I had fluid in both ears.
doctor
Answered by Dr. Antoneta Zotaj (3 days later)
Brief Answer:
There are several nosal drops- explained

Detailed Answer:
Hello again,

The nose drops would be used if we suspect the blockage of the eustachian tubes (the tubes that connect the ears with the throat) and the blockage of that tube would be due to local swelling from allergy or a viral infection.

If it is due to a viral infection we would not use specific treatment as it is self-limiting, sometimes nose drops with decongestants that reduce congestion in the nose can be used for a few days to release the swelling locally and help reduce the ear blockage also.

If allergic rhinitis is suspected than nose drops with steroids to help with the allergy would release the swelling locally and help with the symptoms due to eustachian tubes also.

Nasal saline solution lavage of the nose is helpful to empty the nose cavity of secretions and reduce symptoms of congestion in both viral and allergy-related cases.

I hope this helps clarify the questions you have but please feel free to contact us in case more clarification is needed on this.

Kind regards,

Antoneta Zotaj, MD
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4436 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Pressure In The Ears Along With Tinnitus?

Brief Answer: Several possible causes discussed and recommendations given Detailed Answer: Hello, Thank you for asking at healthcare magic. There are several causes of the pressure and ringing in the ears. The car trauma is a factor that might affect through physical and psychiological routes also. This means that concussion is a common complication in car accidents. In you case this does not seem very likely due to the protection of the seat belt, this gives some assurance but does not rule it out completely. Psychilogical route i mean stress and anxiety after a difficult event, in this case the car accident- this might cause us to have the symptoms you are experiencing. Allergies can also cause feeling of pressure and ringing in the ears and mostly is due to the blockage of the tubes that connect the ears with the throat. In this case the drops would be helpful in they are taken by the nose. Ear drops will not reach the area behind the tympanic membrane if there is fluid behind it, but nose drops can reduce irritation of those tubes that connect the ears with the throat and help release the symptoms of pressure and ringing. Allergy on the other hand would have caused you the symptoms on and off for a while and would not expect that you would have these symptoms from allergy and caused only the last couple of weeks. Another cause of the ear pressure and ringing is if you are having a viral infection that might be affecting the ears also. This can cause the symptoms for a few weeks and should fade with time. So to conclude i would say: - if you have no other symptoms like vomiting, vision changes, speech problems, weakness or numbness in legs or arms or any other neurological symptoms than it is less likely the symptoms are due to concussion. If any of the above symptoms develop you will need a visit with the doctor as soon as possible. - stress might also contribute to some of the symptoms but is generally a basket diagnosis (which means is something we consider if all the other causes are ruled out) - allergy might cause pressure and ringing in the ears due to fluid collection behind the tympanic membrane, i don't see how the ear drops will help in your case if the tympanic membranes are intact (they should be intact for the fluid to collect behind them) - viral causes seem more likely especially if less than a couple of weeks- in this case it is self limiting and nothing to worry but see a doctor if no improvement in a few weeks or any of the symptoms mentioned above happen. I hope this answers to your question and is helpful to you but please feel free to reply in case anymore clarification is needed on this. Kind regards, Antoneta Zotaj, MD