Blocked Eustachian Tubes

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Blocked Eustachian Tubes

Topic Overview

What are the eustachian tubes, and how do they get blocked?

The eustachian (say "you-STAY-shee-un") tubes connect the middle earsClick here to see an illustration. to the back of the throat. The tubes help the ears drain fluid. They also keep air pressure in the ears at the right level.

When you swallow or yawn, the tubes open briefly to let air in to make the pressure in the middle ears equal to the pressure outside of the ears. Sometimes fluid or negative pressure gets stuck in the middle ear. The pressure outside the ear gets too high. This causes ear pain and sometimes trouble hearing.

See a picture of the eustachian tubeClick here to see an illustration..

What causes blocked eustachian tubes?

Swelling from a cold, allergies, or a sinus infection can keep the eustachian tubes from opening. This leads to pressure changes. Fluid may collect in the middle ear. The pressure and fluid can cause pain. You also can have ear pain from changes in pressure while you are flying in an airplane, driving up or down mountains, or scuba diving. Fluid in the ear can lead to an infection (acute otitis media). Young children have a high risk of ear infections, because their eustachian tubes are shorter and more easily blocked than the tubes in older children and adults.

What are the symptoms?

Blocked eustachian tubes can cause several symptoms, including:

  • Ears that hurt and feel full.
  • Ringing or popping noises in your ears.
  • Hearing problems.
  • Feeling a little dizzy.
  • A fever, which can be a sign of an ear infection.

How are blocked tubes diagnosed?

Your doctor will ask about your symptoms. He or she will look in your ears. The doctor also may check how well you hear.

How are they treated?

Blocked eustachian tubes often get better on their own. You may be able to open the blocked tubes with a simple exercise. 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.

If you can't open the tubes, your doctor may suggest an over-the-counter pain medicine. If you have allergies, the doctor may prescribe a steroid medicine that you spray in your nose. You may need antibiotics if you have an ear infection.

By: Healthwise Staff
Medical Review: Susan C. Kim, MD - Pediatrics
Charles M. Myer, III, MD - Otolaryngology
Last Revised: January 13, 2011

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