Eustachian tube dysfunction may occur when the mucosal lining of the tube is swollen, or does not open or close properly. If the tube is dysfunctional, symptoms such as muffled hearing, pain, tinnitus, reduced hearing, a feeling of fullness in the ear or problems with balance may occur.
Blocked eustachian tubes can cause several symptoms. For example, your ears may hurt or feel full. You may have ringing or popping noises in your ears. Or you may have hearing problems or feel a little dizzy.
Popping your ears can help open the eustachian tube, allowing fluid to drain. The simplest way to pop your ears is to yawn, chew, or swallow. You may also want to try popping your ears using something called the Valsalva maneuver: Take a deep breath and hold it.
Most instances of this type of ETD resolve themselves within a matter of hours or days, and frequently don't require treatment. Longer-lasting ETD: Eustachian tube dysfunction can also be caused by blockage from excess mucus caused by allergies and illnesses, including colds, the flu, and sinus infections.
You can do exercises to open up the tubes. This includes swallowing, yawning, or chewing gum. You can help relieve the “full ear” feeling by taking a deep breath, pinching your nostrils closed, and “blowing” with your mouth shut.
Diagnosing Obstructive Eustachian Tube Dysfunction
Over time, negative pressure can build up in the ear, causing pain, ear fullness and muffled hearing. When this occurs, sometimes your doctor can see the ear drum (tympanic membrane) change shape due to this pressure and become concave.
Colds, flus, sinus infections, or allergies can cause the Eustachian tube in one or both ears to become inflamed, preventing proper mucus drainage and leading to symptoms. Altitude changes can also cause problems with the Eustachian tubes or aggravate existing inflammation.
Obviously, ear drops will not work because the eardrum prevents anything administered through the ear canal from getting to the eustachian tube which is located BEHIND the eardrum.
Close your mouth, hold your nose, and gently blow as if you are blowing your nose. Yawning and chewing gum also may help. You may hear or feel a "pop" when the tubes open to make the pressure equal between the inside and outside of your ears.
Pop Your Ears by Holding Your Nose
Then close your mouth and nostrils with your fingers. Lightly blow out against the pressure. This should make your ears pop. The pressure you're blowing against forces your Eustachian tubes open a little which drains pressure and fluid stuck in your ear.
A myringotomy is a procedure to create a hole in the ear drum to allow fluid that is trapped in the middle ear to drain out. The fluid may be blood, pus and/or water. In many cases, a small tube is inserted into the hole in the ear drum to help maintain drainage.
The treatment for ETD is aimed at opening up the eustachian tube in the back of the nose. The main treatment is using a steroid nasal spray to help shrink the tissue where the ear drains. Nasal steroid (Flonase, Nasonex, Nasacort) – 2 sprays into each nostril twice daily.
This can happen for brief periods during air travel, but also due to allergies, sinus or ear infections, or other respiratory viruses (including COVID-19). Sudden onset of muffled hearing in one ear may signal an urgent problem requiring prompt treatment to prevent or reduce possible hearing loss.
Sometimes, dried mucus or other particles can get stuck in or near the eustachian tube and cause symptoms. Clearing the passageways can help eliminate anything clogged in the passage.
Myringotomy (ear tube placement)
Through this outpatient ENT surgery, we make a small incision in the eardrum and place a pressure equalization tube in it to allow fluid to escape. As a result, it not only resolves chronic earaches, but Eustachian tube problems as well.
Massaging your eustachian tubes is a great way to combat ear infection pain. Using a gentle amount of pressure, press lightly on the area along the back of the ear that meets your jawbone, continuously push and release this flap of skin several times to open the eustachian tubes up.
The surgeon makes a tiny incision in the ear drum using a small scalpel or laser, then suctions the fluid out of the middle ear. The doctor inserts a small tube in the incision in the eardrum to allow fluid to drain.
Most cases of Eustachian tube dysfunction clear up in a few days with the help of over-the-counter medication and home remedies, but symptoms can last one to two weeks. If you're still having symptoms after two weeks, or they're getting worse, you may need more aggressive treatment.
Though rare, a nasopharynx tumor or a tumor behind the eardrum can mimic eustachian tube dysfunction symptoms.
Common causes of blocked or plugged up ears
The causes can range from the earwax to allergies to infections (yes, including COVID) to more insidious conditions like an anxiety disorder or Meniere's disease.