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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blocked eustachian tube. Taking sudafed, applying nasal spray. Suggest best treatment?

My daughter (adult) has a blocked eustachian tube. She has been using nasal aprays, and is now taking 120 mg Sudafed daily . However the symptoms are only slowly going away. What is the best treatment for her? She went to an urgent care center one week ago here in LA and has been following the regimen that they suggested.

Pleasae help me to help her. Thank you. YYYY@YYYY
Sat, 26 Oct 2013
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Thanks for writing in.

Blocked eustachian tubes often get better on their own. She may be able to open the blocked tubes with a simple exercise. Ask her to close your mouth, hold her nose, and gently blow as if you are blowing her nose. Yawning and chewing gum also may help. She may hear or feel a "pop" when the tubes open to make the pressure equal between the inside and outside of the ears.

If she can't open the tubes, the doctor may suggest an over-the-counter pain medicine. If she has allergies, the doctor may prescribe a steroid medicine that she spray in your nose. She may need antibiotics if you have an ear infection.

A warm washcloth or a heating pad set on low can help with ear pain. Put a cloth between the heating pad and the skin so you don't burn your skin.

In some cases, people need surgery for a blocked eustachian tube. The doctor makes a small cut in the eardrum to drain fluid and to make the pressure the same inside and outside the ear. Sometimes the doctor will put a small tube in the eardrum. The tube will fall out over time.

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