Your ears won't drain, often feeling clogged or full, because the Eustachian tube (connecting middle ear to throat) gets blocked by mucus from colds, sinus issues, or allergies, preventing pressure equalization and fluid drainage, or due to excess earwax, water, or even jaw (TMJ) problems. Causes range from infections and pressure changes (flying, diving) to allergies, smoking, and even enlarged adenoids.
But if left untreated, it could lead to serious issues like hearing loss, tinnitus or damage to your eardrum and middle ear. If you notice that symptoms don't go away on their own in a week or two, it's important to schedule a visit with your healthcare provider.
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.
Obstructive Eustachian Tube Dysfunction. Obstructive dysfunction occurs when the valve of the Eustachian tube does not open properly. This prevents pressure from balancing and fluids from draining out of the ear.
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 ease ear pain, apply a warm face cloth or a heating pad set on low.
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.
You may have water in your ears. You can even get sweat trapped in your ears from wearing earbuds. If you don't take care of it soon, you can end up with an infection known as otitis externa, or swimmer's ear. When water sits in your ear canal, bacteria that live there all the time can multiply and cause an infection.
During this procedure, an ENT surgeon creates a tiny hole in the eardrum to suction out fluid from the middle ear. Then a tiny tube is placed in the opening to ventilate the ear and prevent the buildup of fluid in the future. Usually, tubes remain in place for four to 18 months and will fall out on their own.
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.
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.
Other safe techniques include yawning or chewing gum, applying a warm compress against the ear and making gentle jaw movements. These methods can help relieve pressure and promote the natural clearing of the ears.
Ear infections that happen again and again or constant fluid in the middle ear can cause worse hearing loss. If there's lasting damage to the eardrum or other parts of the middle ear, hearing might not get better. Delays in speech or development.
A visit to the ENT surgeon allows the debris and infected material in the ear canal to be thoroughly cleaned. This aids the delivery of the topical ear drops and speeds up the treatment of the infection. This toilet or cleaning of the ear canal may have to be performed regularly in the first few weeks.
See a nurse at your GP surgery if:
Persistent blockage: if the feeling lasts a long time, or if you have pain, drainage, or hearing loss, it may be a more serious problem, like an ear infection. In this case, it's important to see a healthcare professional.
Three-finger test: Keep one finger at cymba conchae, second finger over posterior border of mastoid and third finger at mastoid tip. Maximum tenderness under first finger signifies tenderness over suprameatal triangle.
Using a cotton swab to take a sample of drainage from the outer ear is not painful. However, ear pain may be present if the ear is infected. Ear surgery is done using general anesthesia. You will be asleep and feel no pain.
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But the basic rule of thumb is that if things persist for more than a week or so, it may be a good idea to come in for a consultation.
Fluid from your ear may be caused by middle or outer ear infections, damage to the ear drum, a foreign body in your ear or a more serious infection or injury. See your doctor if you notice any fluid leaking from your ear, especially if you have a fever, hearing loss or dizziness or if your ear is red and swollen.
The symptoms of an ear infection usually start quickly and include:
Typically, clogged ears will ease up within a few days. Symptoms may last a little longer if you have a head cold, COVID infection, or allergies. But, if clogged ears continue beyond a few days, it may be time to see a healthcare professional about your treatment options.
Clogged, inflamed sinuses can block the drainage of the eustachian tube from your ear into your throat. If fluids can't drain from your tubes into your throat, they may build up in your middle ear. The excess fluid causes pressure and also can become infected.
Tilting your head to the side, gently pulling on your earlobe, or chewing can help drain trapped water. Why do my ears clog up during flights? Rapid changes in air pressure during air travel can affect your middle ear, especially during takeoff and landing.