Theoretically, antihistamines may reduce the congestion of mucous membranes and decrease obstruction of tubes lined by mucous membrane, such as the Eustachian tube. An open Eustachian tube would allow the middle ear pressure to equalize to ambient air pressure. It may also allow drainage of fluid from the middle ear.
“The first line of defense for those experiencing muffled hearing or clogged ears due to allergies is over-the-counter antihistamines,” says Patel. “Medications like Claritin, Zyrtec and their generic bottles can begin working within a few days.”
Over-the-counter options are also available. If ETD is caused by allergies, antihistamines such as Benadryl and Zyrtec may help you find relief. OTC pain relievers like Tylenol and Advil may also help relieve mild pain caused by ETD.
Pseudoephedrine is used to relieve nasal or sinus congestion caused by the common cold, sinusitis, and hay fever and other respiratory allergies. It is also used to relieve ear congestion caused by ear inflammation or infection.
We prefer non-drowsy antihistamines such as Claritin, Zyrtec, and Xyzal so you can keep your eyes open during the day. You can look for their generic counterparts — loratadine, cetirizine, and levocetirizine — which are, once again, just as effective and cheaper.
Over-the-counter medications can help if allergies are causing eustachian tube dysfunction. Try antihistamines (like cetirizine or diphenhydramine) to ease your symptoms. If you have discomfort, pain relievers — such as acetaminophen or ibuprofen — can help.
Pseudoephedrine is an ingredient found in oral decongestants. Oral decongestants are used in the treatment of eustachian tube dysfunction (ETD) and can help decrease peritubal edema provoked by allergies or URI.
Theoretically, antihistamines may reduce the congestion of mucous membranes and decrease obstruction of tubes lined by mucous membrane, such as the Eustachian tube. An open Eustachian tube would allow the middle ear pressure to equalize to ambient air pressure. It may also allow drainage of fluid from the middle ear.
If your ears are plugged, try swallowing, yawning or chewing sugar-free gum to open your eustachian tubes. If this doesn't work, take a deep breath and try to blow out of your nose gently while pinching your nostrils closed and keeping your mouth shut. If you hear a popping noise, you know you have succeeded.
The most common cause of Eustachian tube dysfunction is when the tube become swollen (inflamed) and mucus or fluid builds up. This can be caused by a cold, the flu, a sinus infection, or allergies. Some people are at greater risk for Eustachian tube dysfunction.
All ZYRTEC® medicines start working at hour 1 on the first day you take it.
NASAL STEROID SPRAYS. These sprays decrease swelling in your nose and your Eustachian tubes to help them pop open. Nasal steroid sprays must be used everyday to be effective and often take 5-7 days before you will notice their benefit.
Decongestant & Antihistamine Medications
Along the same lines as OTC options, antihistamine medications, such as Sudafed, Claritin, Zyrtec or Benadryl, can also offer sinus infection symptom relief.
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.
A saltwater gargle can aid in reducing mucus in both the nose and the ears. It is also an easy remedy. To use a saltwater gargle, a person needs to add a little salt to some water and mix them together. Once mixed, they should gargle the salt water for a few seconds then spit it out.
Allergies, head colds, pregnancy, and air pressure are some common reasons it may feel like your ears are full. Typically, plugged ears settle after a few days. Decongestants and nasal sprays are the best treatment for plugged ears that allergies and head colds cause.
If the pain and the clogging don't stop after one or two weeks, you should go see your doctor. Some more serious inner-ear infections could potentially (in rare cases) be followed by meningitis, a ruptured ear drum, or hearing loss.
Your ears will most likely go back to normal after a couple of days if the blockage is caused by air pressure. You might have to wait for your immune system to kick in if your blockage is due to an ear infection (and, if it's the latter, antibiotics can really help). This may take up to a couple of weeks.
Eustachian tube massage
Using firm, steady pressure, slide your finger down until you feel a groove between your ear lobe and jaw. Trace that groove all the way down your neck to your collarbone using the same firm pressure. Repeat this process three times on each side, three times a day.
If your ear infection is occurring in just one ear, sleep on the side of the healthy ear to avoid adding even more pressure to the affected area.
Blocked eustachian tubes can be relieved by nasal sprays and antihistamine tablets, which reduce inflammation and congestion. Recurrent eustachian tube dysfunction requires the surgical placement of tubes in the eardrum, which allows pressure to equalize in the middle ear.
Yawning or opening your mouth widely as if you were yawning, eating and drinking may all help mobilise the Eustachian tube to allow some air travel through the tube. The Valsalva manoeuvre can be done to push air into middle ear; take a deep breath, pinch your nose and close your mouth, and gently pop your ears.