Valsalva maneuver

What is Valsalva maneuver?

Valsalva maneuver is the maneuver in which air is blown into the middle ear cavity. This maneuver is done to check the function of ear drums.

Questions and answers on "Valsalva maneuver"

For the last week I have had a fever of 101.00 and a bad cough and head pressure. I have finally gotten rid of the fever, but I am nauseas and have diarrhea and pain by my kidneys. My tinnitus is also much worse than usual and the head pressure is worse. I have barely eaten in a week and have gained some weight. Any suggestions as to what is going on? I can not go to my regular doctor until the first of the year due to insurance issues. Just really sick of being nauseas and the train running through my head.

doctor1 MD

Brief Answer:
Complicated upper respiratory tract infection with sinusitis and ear block

Detailed Answer:
Detailed Answer:
Hello

Welcome to Health Care Magic.
My name is Dr Muhammad Ahmad & i will look into your problem.

I have gone through your query and would try to help you in the best...

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Can holding one's breath while lifting weights cause brain damage? There was 4-5 week period where I lifted weight 5 times a week. I held my breath while doing this for each set lasting about 30 - 40 seconds. In between sets I would rest about 1 minute. It gave me headaches a couple of hours after I left the gym. I had an mri scan 5 months later and it was clear.

doctor1 MD

Brief Answer:
Holding breath more than 3 minutes causes brain damage.

Detailed Answer:
Hello and thanks for your query here at HCM.

I have read your question and understand your concerns.

Holding breath more than 3 minutes causes definitive brain damages.

Holding breath less than 3 minutes if...

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hi recently my ear started to hurt of know where I started to hear a pulse sound in my ear and it feels blocked now it hurts when i swallow sneeze and burp. what do you think this could be? and do you think I can go on a flight in 2 days?

doctor1 MD

Brief Answer:
Eustachian tube dysfunction

Detailed Answer:
Thank you for contacting HCM with your health care concerns

I am sorry to hear that you are having problems with your ears. Your symptoms sound like you have a Eustachian tube dysfunction. This is the valve that equizes pressure from the...

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sorness when I cough behind right eye after migraine onset. No pain unless coughing or sneezing.

doctor1 MD

Brief Answer:
Headaches related to Valsalva maneuver.

Detailed Answer:
Hello and thanks for using HCM.

I have read your query and understand your concerns.

Yours is the case of headache related to sudden rise of intracranial pressure, after Valsalva maneuver.

In your case, brain vessels are more...

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I have had 4 episodes that cause dizziness, some cause fullness or clogged ear and ringing in ear. Below are the episodes in detail:
1. About a year and half ago on a business trip and leaned over to tie shoes and immediately had a dizzy feeling that lasted for 6 hours. Went to urgent care and the doctor said there was minor fluid in right ear and said use nose spray and mouthwash.
2. After a sinus cold about 2 weeks ago I was looking down in my car and immediately felt dizzy and my right ear clogged. I have confirmed there is not a wax issue. When I touch my right ear with my hand I have a muffled sound. Also this is the first time I remember a strong ringing in my right ear. This lasted for the remainder of the day and the ringing and dizziness subsided the next day but the right ear remained clogged for 5-7 days.
3. 3 Days ago I was very constipated and pushing hard to use the restroom, afterwards when I stood up I was very dizzy and the ringing in my ear was there along with the clogged ear feeling. The ringing and dizziness stopped the next morning but the clogged feeling in my right ear is still there. This prompted me to make an appointment with an ENT.
4. Today at the ENT the doctor was checking me over and said no wax or fluid, hearing test normal, use a puff of air test (not sure what this was called) and this caused no problem. So he said put me on a nose spray and antihistamine and schedule an MRI to rule out a tumor. This seems very drastic to me and wanted to get a second opinion. As I was leaving the office I decided to try and equalize the pressure by holding my nose, closing my mouth and blowing. I did this 3 times and afterwards the dizziness came back and the ringing in my ear... the clogged feeling is still there from the episode a few days ago.

I feel this is an inner ear problem and not as drastic as a tumor. I wanted to get a second opinion.

I wanted to mention the step I took in #4 to create the problem again. I was thinking if this was a tumor on the brain stem or something else, this voluntary action of holding my nose and blowing (while mouth closed) wouldn't cause the dizziness and ringing. But this is why I ask you :-)

doctor1 MD

Brief Answer:
Impedance Audiogram (Tympanogram)

Detailed Answer:
Hi,

Thank you for your query.

1. Get a Impedance Audiogram (Tympanogram) done. This test will reveal any pressure changes in the middle ear or any fluid that may be responsible for your symptoms.

2. Upload the test result.Treatment...

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I had MVD craniotomy for Trigeminal Neuralgia last October 2011. The TN is much better (I can actually chew real food now!) but I've had complications like: tenderness on right side of scalp (where Mayfield clamp was); pain and pressure when sneezing, coughing, straining; and a lump behind my right ear. No one seems to know what is causing the pain when straining (had brain and neck MRI in March 2012 and radiologist says they look normal, slight bulge at C5, nothing more), and doctor doesn't know about the lump behind my right ear. The tenderness on right side was finally relieved after 6 months with nerve block shots in greater occipital nerve, but this did nothing for pain when straining, or lump. I've searched online about my symptoms and Arnold-Chiari seems to be the only thing that fits - is there anything else that might cause pain during "valsalva maneuvers"? Doc says he sees no Chiari on MRI. Tired of hurting...on Carbamezepine, Hydrocodone and Cyclobenzaprine, sometimes pain still breaks through. Don't want any more drugs. Tried meditation (works great on my back pain) and herbal nervines, no luck on the brain pain. Pain is like a spike in the lower back of my head. Sometimes it travels up along the skull toward my eyes. Sometimes the pressure is awful, like my head is going to explode, mainly in the back of my head where the skull meets the top of the neck. I've also started getting pain in the back of my head when barometric pressure drops. Please, any advice or ideas would be welcomed. I am going back to the neurosurgeon at the end of the month after getting nowhere with D.O. and neurologist. Just need some additional expert opinions, please.

doctor1 MD

Respected madam,

Hello & my best wishes for a speedy & complete recovery.
I have gone through all your history in detail.
You have undergone right MVD craniotomy in Oct 2011.
Symptoms as explained by you are most probably secondary to your craniotomy.

Right retromastoid bulge (behind ears ) is...

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On an intermittent basis I yawn and get ringing in my ears and this is usually followed with severe headaches. The headaches sometime would occur at the top of my head, on the sides of my head, the front of my head and the back of my head. I have tried over the counter tylenol to no avail.

doctor1 MD

Hi,

Thank you for your query.

1. The Eustachian tube connects the middle ear to the nose. It is normally in a collapsed state. It can be voluntarily opened by yawning, swallowing, chewing gum, blowing your nose or performing the Valsalva maneuver.

2. Get a Tympanogram done to check middle ear...

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Hi doc, I am54 year old. I have an enlarged right testis heterogeneous parenchyma, and markedly reduced blood flow in right testis. There is also a thick fluid in right hemiscrotal sac. Left sided varicocele.
Summary of findings; right testis is enlarged in size (4.21X 2.33 cm) and left testis is normal sized. (3.84X2.33cm) There is a cyst seen in left epidymis measuring about 6x6 mm. Veins of pampiniform plexus are dilated on left side. blood flow is increased on valsalva's maneuver.

doctor1 MD

Hi.
Thanks for your query.
Noted your age of 5 and having report of left varicocele, right testis problem with hetrogenous parenchyma and reduced blood flow to the testis.
This is suspicious of the cancer although there is a reduced blood flow, which does not go by the cancer.
Yet it needs...

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I have developed a problem where my ears get plugged up and I have to open my mouth several times to get my ears to pop open. When I do this I can feel fluid draining down my throat. Lately I have developed seizures that they are treating with Keppra. I just wondered if the problem with my ears plugging could be causing the seizures.

doctor1 MD

Hi,

Thank you for your query.

1. The eustachian tube connects the middle ear to the nose and helps equalize middle ear air pressure with atmospheric air pressure. It also helps drain mucus from the middle ear. This tube is normally collapsed and opens during chewing, swallowing, yawning,...

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I would like to request your opinion input analysis regarding the following description of an ascending aortic dilation that was recently accidently diagnosed about me. It has me worried. I am a 60 year old male, 5’10” in height, and weigh 180 lbs. My BSA is 2.04 and my BMI is 24.88. I have felt to be in overall good physical condition all my life with the exception of degenerative disc disease operations for my neck and lower back.
This past XXXXXXX 2011, I had a CT scan with contrast as part of testing to address a dry cough that I had. During this procedure that found a small 5mm lung nodule, it was also noted from the CT that I have a fuseform type of enlargement of my ascending thoracic aorta that they indicated in two locations as 42.5mm and two frames higher as 43.5mm in diameter. My family physician at that time recommended another CT in 6 months to monitor these findings. Because of my concern, he also referred me to a cardiologist for discussion of this. The cardiologist performed an EKG which was fine and stated that he would also perform an echocardiogram at the time of the 6 month CT.
I had the second CT with contrast in late December 2011 and the echocardiogram the very next day. The second 6 month CT scan indicated that both the lung nodule and aortic dilation as “stable” for their purposes. (The periodic cough is still with me mostly in the evening before bed. It is suspected to be caused by acid reflux and I’m going in for further ENT tests) The aortic area that was formerly noted as 42.5mm in diameter this time had a notation of 42.6mm with no additional notations. When the echocardiogram results came back and I had my meeting with the cardiologist, he showed me how he could measure the mid-ascending area as 44.2mm. Aortic walls appeared good with no indications for dissection. Other measurements on the echo for the aorta area indicate a mildly thickened normal functioning tricuspid aortic valve with no aortic valve regurgitation. There is moderate-severe Sinus of Valsalva dilation at 50mm. Sino-Tubular Junction measures 39mm, Aortic Arch measures 34mm, and Upper Abdominal location as 18mm. This Sinus of Valsalva finding at 50mm has really given me additional concern but my cardiologist doesn’t seem as concerned about this and has recommended another CT one year out for monitoring the mid-aorta, etc. I mentioned that I had read in Wikipedia that a 50mm Sinus of Valsalva aneurysm is “an indication for surgery”. cardiologist opinion is that this would be a very aggressive response at this time. The cardiologist believes my aortic condition most likely developed over many years as congenital or from atherosclerotic causes. Overall, he indicated to me that from my test results, my measurements appear as “stable” but that he wants to look at that third point of reference in a year because a mm difference on test results can also be interpreted for test difference error. I was put on a prescription for 25mg of Metoprolol Tartrate to control any periodic blood pressure issues that sometimes ranged 120-160mmHg. I have also been on 20mg Atorvastation or Lipitor for the past 10 years.
I am wondering what another cardiologist’s opinion might be for me. As I stated, I am worried about my prognosis and am hoping my measurements do not grow to a dissection or rupture emergency. I am also concerned about potential future surgery for this as I understand the procedure is quite invasive and risky. I also do not wish to be sitting on a “ticking time-bomb” when some other intervention should be considered. I would like to request your input regarding my condition, especially regarding the ascending aortic dilation and sinus of valsalva. Do you feel that I need to seek out additional opinion as to actions that need to be followed now?
For your information, the following are the full result findings indicated on the echocardiogram report that I had in December:
Impressions:
1.      Normal left ventricular chamber size. Calculated EF; 66%.
2.     No regional wall motion abnormalities.
3.     Grade ¼ left ventricular diastolic dysfunction, consistent with low to normal left ventricular filling pressure.
4.     Valve changes consistent with patient age at 60. Tricuspid aortic valve.
5.     Moderate-severe sinus of Valsalva dilation (diameter 50mm)
6.     Moderate ascending aorta dilation (diameter 44 mm at mid level).
Findings:
LEFT VENTRICLE: Normal left ventricular chamber size. Normal left ventricular wall thickness. Normal left ventricular systolic function. Calculated left ventricular ejection fraction; 66%. No regional wall motion abnormalities. Grade ¼ left ventricular diastolic dysfunction, consistent with low to normal left ventricular filling pressure. RIGHT VENTRICLE: Normal right ventricular size. Normal right ventricular systolic function. Unable to detect peak tricuspid regurgitation velocity for pulmonary artery systolic pressure calculation. ATRIA: Borderline left atrial enlargement. Left atrial volume index 29 cc/mm2. Normal right atrial size. CARDIAC VALVES: Mildly thickened aortic valve. No aortic valve regurgitation. Mildly thickened mitral valve. Trivial mitral valve regurgitation. Normal pulmonary valve. Trivial pulmonary valve regurgitation. Normal tricuspid valve. Trivial tricuspid valve regurgitation. OTHER ECHO FINDINGS: Moderate ascending aorta dilation (diameter 44 mm at mid level). Moderate-severe sinus of Valsalva dilation (diameter 50 mm). No intracardiac mass or thrombus, but the left atrial appendage cannot be visualized adequately with transthoracic echo to exclude thrombus in this location. No pericardial effusion. Normal inferior vena cava size with normal inspiratory collapse (>50%).
Again, I thank you for any input, information, or help you can give me regardingmy health situation.
Sincerely, XXXXXXX Hofmeister
1405 Lor XXXXXXX Drive
North Mankato, MN 0000
YYYY@YYYY

doctor1 MD

Hello Mr. XXXXXXX Hofmeister,

Thank you for your query.

You have given an excellent and detailed description of the problem. As I understand, you are a 60 year old gentleman on treatment for hypertension with periodic cough, a lung nodule and asymptomatic fusiform dilatation of the ascending...

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Recent questions on  Valsalva maneuver

doctor1 MD

I'm not married.I`m 24 years old and 70Kg weight.
With these results Is there a need for a varicocele operation?

Scrotal Doppler (US) Report
*Mild (left) varicocele (up to 2.7mm) with no reflux by doppler study under Valsalva maneuver
*Mild (right) varicocele (up to 2.6mm) with no reflux by doppler study under Valsalva maneuver
* normal size,shape,site,vascularity and echogenecity of both testicles.
*normal both epididymis.
*no hydrocele.

Seminal Fluid Analysis
Test Resultes
Volume                3 ml
PH           Alkaline
Liquifacation          30 min
Colour                 Grayish-White
Viscosity          Mucoid
Abstinence          4 days
Sperm Concentration 30 millions

doctor1 MD

Hi,

I am 28yrs old, VSD was detected in my heart during my childhood, however doctors suggested to wait and see if it closes by itself, however when 27 the symptoms grew and the Hole in Heart lead to dilation and slight rupture of Sinus of valsalva, I ended up having an open heart invasive surgery. Surgery treatment included closure of VSD as well as RSOV

I was told there was imbalance pressure at my left and right half of heart, and pressure difference was roughly 20 or 30 mmHg more than should have been for a normal heart, meaning one side(right) of heart was handling more pressure by 20mmHg than should have while the other half(left) was handling pressure by 20mmHg lesser than should have, and also there was mixing of oxygenated and de-oxygenated blood.

I have not gained weight even after surgery(surgical treatment done when i was 27yrs old)

My questions are:
1. What is my life expectancy? Have my life expectancy decreased by now than compared to what it would have been if I would have been normal from my birth, is there a maximum cap on the number of years I can live now?

I did try asking above question to my cardio surgeon but he did not provide a clear answer, just mentioned that I am normal now and would not have any problems

2. Before surgery I was told that the reason I had long hands and underweight was due to the defect VSD, due to the pumping of the heart at wrong pressures and causing different pressure values at arteries and veins, So my question is would I really some back to normal after the surgery? would my heart not have been adjusted to the earlier pressures(i would imagine the structure of heart to be adopted since the defect was from birth), so rectifying RSOV alone would have been sufficient and that closure of VSD wouldnt have adverse effect on my body as well as heart?

3. Since lesser percentage of oxygenated blood was circulating through my system including my brain all these years, would I have any issues like memory loss or underdeveloped brain, attributed due to that?

4. Would I be prone to any of the heart diseases in future or and related diseases like high/low Blood Pressure?

Please respond to my queries asap.

Thanks,
Murali

doctor1 MD

Hi there, I have suffered from (I think) Eustachian Tube Dysfunction for 3 years now. I have never had ear problems in the past and am a healthy 31 year old female. All of a sudden one day, my right ear started feeling as though I was descending on a plane at all times. I am able to clear it by doing valsalva maneuver but about 5-10 minutes after I do it my ear feels even worse (more pressure/fullness). Continuing to do valsalva just makes the problem much worse. Every once in a while I will swallow or yawn and my ear will clear and it s the most amazing feeling in the world, but within 5-30 minutes, the pressure is back. It seems like the more I try to fake yawn to clear my ear, the more the pressure builds. This is seriously affecting my day to day life - it is on my mind at all times and I have been to several doctors with no answers. Thank you in advance for any recommendations!

doctor1 MD

Is it possible that I could have a sliding hernia just under my breast bone that causes a tightness in my upper abdomen. When I stress that area it feels like my intestines are trying to push through. I have never actually seen or felt a bulge but...

doctor1 MD

Hi. I have a sharp pain that radiates posteriorly down my right leg when I defecate (specifically when I perform the Valsalva movement). The pain arose today and I have never had this type of pain before. I do not currently have a sore back nor a history of overuse/intensive exercise. Help!

doctor1 MD

Hi, I feel myself ok untill the time of bowel movements. Before bm my blood pressure gets a little high, I feel constipated, hard with bm. Do not use any laxatives. After inducing myself to have bm I have high blood pressure? What can it be. My...

doctor1 MD

we moved on the third floor and I started to feel like pressure in the ears and lighheaded is it possible being on third floor i was on the second you meant moving from the 2nd floor to the 3rd would not cause this thats good it had me worried I...

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