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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ears Clogged After Hearing A Noise. Nasal Endoscopy - Normal. On Valsalva Manuever. What Could It Be?

Last week I heard a noise that was a little loud (it was two porcelain dinner dishes banging together about 1.5 - 2 feet from my head) and I felt some discomfort (but not pain) in my left ear. After a couple of seconds the discomfort went away but then the left ear clogged up. I tried valsalva maneuver but it didn't help, and it made my right ear feel clogged too. I had a cold last month which caused sinus problems and clogged ears/tubes, but it got better after 8-10 days. I've been fine for almost 2-3 weeks, but now this noise has made my ear clog again. I saw my ENT 2 days ago (April 10 2013) and he looked at my eardrum and did a nasal endoscopy, he said both looked okay. He did say my ears still looked a little congested. He did a Weber test and my reaction was fine as well. I have a hearing test + follow up with my ENT in 10 days. I don't feel as though I have hearing loss, just a clogged up feeling. Today my eustachian tubes seem to be functioning ok. I don't hear any crackling/popping and when I do the valsalva manuever my ears pop just fine. But my left ear still feels a bit clogged/full and pressure sometimes as well. What could be the problem? I didn't think two porcelain dinner dishes hitting together could be loud enough to cause hearing loss, but what else could it be? It's been over a week now and left ear consistently feels slightly clogged, sometimes with a pressure feeling that lasts a few seconds. It's driving me crazy!
Mon, 1 Jul 2013
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Allergist and Immunologist 's  Response
if you take paracetamol and antibiotics in cold it can cause acute sinusitis which cause postnasal drip of mucus in middle ear through eustachian tubes and there is clgging of ears and ringing
youcan start with metronidazole 200 mg bd for 10 days as it is the fastest clearing agent of sinus infection take for 10 days
add antiallergic fexofenadine 120 mg bd for 21 days
add liquid antacid tds
apply neomycin h opintment in nose bd
sea water two drops at night each nose tto clear back of throat and eustachian tubes
valsulva can be contd
take 3 week
get xray pns water view to see condition of sinuses and act according to results to prevent recurences of cols and sisus infections
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Ears Clogged After Hearing A Noise. Nasal Endoscopy - Normal. On Valsalva Manuever. What Could It Be?

if you take paracetamol and antibiotics in cold it can cause acute sinusitis which cause postnasal drip of mucus in middle ear through eustachian tubes and there is clgging of ears and ringing youcan start with metronidazole 200 mg bd for 10 days as it is the fastest clearing agent of sinus infection take for 10 days add antiallergic fexofenadine 120 mg bd for 21 days add liquid antacid tds apply neomycin h opintment in nose bd sea water two drops at night each nose tto clear back of throat and eustachian tubes valsulva can be contd take 3 week get xray pns water view to see condition of sinuses and act according to results to prevent recurences of cols and sisus infections