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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Ear Blockage With Fluids

My left ear is blocked. It feels like there is fluid in the ear, not as a result of swimming, more like flying at altitude. If I blow my nose I can hear it crackle but get no relief. This has been going on for about 10 days and my hearing is impaired/miffled.
Thu, 11 Sep 2014
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ENT Specialist 's  Response
Hi. The feeling of the ear being clogged with fluid or blocked can be explained by the blockage of the eustachian tube (ET) due the pressure changes while flying at altitude. This is called eustachian tube dysfunction due to otic barotrauma.

The eustachian tube (ET) connects the back of the nose to the middle ear region (This explains why you hear a crackle every time you blow your nose). The ET is important for equalizing the pressure between the ear and the atmospheric environment. During ascent or descent in an aircraft, due to negative cabin pressure, the ET collapses and creates blockage leading to a negative pressure within the ear which pulls the ear drum inwards leading to pain and feeling of blockage. Middle ear produces mucus and secretions which drain into the nose through the ET. When the ET is blocked, this fluid accumulates inside the middle ear and creates the feeling of fluid in the ear.

Since you mention that you need to blow your nose, this may suggest allergy. Therefore it is possible that the allergy has made the lining of the ET edematous and hence it persists to remain blocked for 10 days.

ET dysfunction is treatable if the ET is blocked by a mucous plug or swelling.
The mainstay of treatment is opening the ET. Toynbee maneuver can be tried 3-4 times a day for about a week to help unclog the ET. The maneuver involves pinching the nose and swallowing. Swallowing pulls open the eustachian tubes while the movement of the tongue, with the nose closed, compresses air which passes through the tubes to the middle ear. (When you pinch the nose and swallow the first time, you should feel like your ears are closed. After this you must swallow once again without pinching the nose. This time your ears will feel like they have popped open)

In addition to this, you may require nasal decongestants, mucolytics, anti allergy medications and nasal sprays to take care of the allergy, edema or mucus blockage. You will need to see an ENT specialist for a prescription. A hearing test is also indicated as barotrauma is known to affect the auditory nerve.

Hoping for your speedy recovery. Please let me know if you have any further questions.
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Suggest Remedy For Ear Blockage With Fluids

Hi. The feeling of the ear being clogged with fluid or blocked can be explained by the blockage of the eustachian tube (ET) due the pressure changes while flying at altitude. This is called eustachian tube dysfunction due to otic barotrauma. The eustachian tube (ET) connects the back of the nose to the middle ear region (This explains why you hear a crackle every time you blow your nose). The ET is important for equalizing the pressure between the ear and the atmospheric environment. During ascent or descent in an aircraft, due to negative cabin pressure, the ET collapses and creates blockage leading to a negative pressure within the ear which pulls the ear drum inwards leading to pain and feeling of blockage. Middle ear produces mucus and secretions which drain into the nose through the ET. When the ET is blocked, this fluid accumulates inside the middle ear and creates the feeling of fluid in the ear. Since you mention that you need to blow your nose, this may suggest allergy. Therefore it is possible that the allergy has made the lining of the ET edematous and hence it persists to remain blocked for 10 days. ET dysfunction is treatable if the ET is blocked by a mucous plug or swelling. The mainstay of treatment is opening the ET. Toynbee maneuver can be tried 3-4 times a day for about a week to help unclog the ET. The maneuver involves pinching the nose and swallowing. Swallowing pulls open the eustachian tubes while the movement of the tongue, with the nose closed, compresses air which passes through the tubes to the middle ear. (When you pinch the nose and swallow the first time, you should feel like your ears are closed. After this you must swallow once again without pinching the nose. This time your ears will feel like they have popped open) In addition to this, you may require nasal decongestants, mucolytics, anti allergy medications and nasal sprays to take care of the allergy, edema or mucus blockage. You will need to see an ENT specialist for a prescription. A hearing test is also indicated as barotrauma is known to affect the auditory nerve. Hoping for your speedy recovery. Please let me know if you have any further questions.