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What Is The Cause And Treatment For Eustachian Tube Dysfunction?

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Posted on Wed, 4 Mar 2015
Question: i have had this humming noise in my left ear for months now i have taken no notice of it till now,it happens a few times a day especially at night,i shake my head and it gose away,or stops it and than comes back.I do have an enlarge lymph node on my right side of my neck,which has been there for about 5 years,the docs did tests on it and it come back it was just enlarged.I did suffer from a lot of headaches before this,i took it down as stress,as i was under a lot of stress,now im not,i do also have this problem where i have to keep clearing my voice,the doc has put it down as relfux im on meds but it hasnt stopped,especially if i laugh a lot its really bad.any advice would help please
doctor
Answered by Dr. Abubakar Siddiqh (29 minutes later)
Brief Answer:
Eustachian tube dysfunction secondary to sinusitis.

Detailed Answer:
Hi,

I have gone through your question and understand your concerns that you are having humming noise in ear.

Based on your clinical details, it appears to be Eustachian (tube connecting the middle ear and nose) tube dysfunction secondary to sinusitis.

As such, sinusitis (head-ache) can cause Eustachian tube dysfunction (ear blockage, ringing sound in ear). It's post nasal drip (sinus secretions can trickle down into throat), causes infection in throat where phlegm needs to be cleared by repeated hawking. It also descend down in to voice box and lungs and causes laryngitis, lung infection and reflux esophagitis.

I suggest the following measures, to overcome your ringing in ears and repeated clearing of throat.

1. Take anti allergic medication like tab. levocet+ d (cetrizine +phenylephrine) one at bed time.
2. stop clearing the throat (can cause local infection due to pressure changes in throat).
3. cap.amoxcillin 500 mg thrice daily (medical prescription needed).
4. steam inhalation twice daily.
5. start ppi inhibitors with prokinetics (pantoprazole + domepridone) pan-d twice daily before food (half an hour before).
6. Do valsalva exercises (watch youtube video) for ringing sensation in ears.

In case of persistence, needs to be evaluated with ENT surgeon and investigations to rule out other causes.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
Dr.
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions

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What Is The Cause And Treatment For Eustachian Tube Dysfunction?

Brief Answer: Eustachian tube dysfunction secondary to sinusitis. Detailed Answer: Hi, I have gone through your question and understand your concerns that you are having humming noise in ear. Based on your clinical details, it appears to be Eustachian (tube connecting the middle ear and nose) tube dysfunction secondary to sinusitis. As such, sinusitis (head-ache) can cause Eustachian tube dysfunction (ear blockage, ringing sound in ear). It's post nasal drip (sinus secretions can trickle down into throat), causes infection in throat where phlegm needs to be cleared by repeated hawking. It also descend down in to voice box and lungs and causes laryngitis, lung infection and reflux esophagitis. I suggest the following measures, to overcome your ringing in ears and repeated clearing of throat. 1. Take anti allergic medication like tab. levocet+ d (cetrizine +phenylephrine) one at bed time. 2. stop clearing the throat (can cause local infection due to pressure changes in throat). 3. cap.amoxcillin 500 mg thrice daily (medical prescription needed). 4. steam inhalation twice daily. 5. start ppi inhibitors with prokinetics (pantoprazole + domepridone) pan-d twice daily before food (half an hour before). 6. Do valsalva exercises (watch youtube video) for ringing sensation in ears. In case of persistence, needs to be evaluated with ENT surgeon and investigations to rule out other causes. Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.