Blocked Eustachian Tubes | Kaiser Permanente (2024)

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What are blocked eustachian tubes?

The eustachian (say "you-STAY-shee-un") tubes connect the middle ears 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 blockage causes ear pain and sometimes trouble hearing.

What causes them?

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. 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.

How are they diagnosed?

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

How are blocked eustachian tubes treated?

Blocked eustachian tubes often get better on their own. For adults, decongestants that you take by mouth or spray into your nose may be helpful. If you have allergies, the doctor may prescribe a steroid medicine that you spray into your nose. Follow the instructions carefully.

If you have an ear infection, the doctor may prescribe antibiotics. Take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

In some cases, people need surgery for a blocked eustachian tube. The doctor makes a small cut in the eardrum to drain fluid and to make the pressure the same inside and outside the ear. Sometimes the doctor will put a small tube in the eardrum. The tube usually will fall out over time.

How can you prevent them?

If you have allergies, talk to your doctor about how to treat them so your sinuses stay clear and your eustachian tubes stay open. When you're in an airplane, you can chew gum, yawn, or drink liquids during takeoff and landing. Try the exercise where you gently blow while holding your nose shut.

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Current as of: September 27, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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Related Information »

Current as of: September 27, 2023

Author: Healthwise Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Blocked Eustachian Tubes  | Kaiser Permanente (2024)

FAQs

Blocked Eustachian Tubes | Kaiser Permanente? ›

Blocked eustachian tubes often get better on their own. For adults, decongestants that you take by mouth or spray into your nose may be helpful. If you have allergies, the doctor may prescribe a steroid medicine that you spray into your nose. Follow the instructions carefully.

How do you permanently unblock an eustachian tube? ›

You need to take the full course of antibiotics. In some cases, people need surgery for a blocked eustachian tube. The doctor makes a small cut in the eardrum to drain fluid and to make the pressure the same inside and outside the ear. Sometimes the doctor will put a small tube in the eardrum.

Does Eustachian tube dysfunction go away? ›

Eustachian tube dysfunction usually goes away in one to two weeks. People with chronic eustachian tube dysfunction may have lingering symptoms for weeks, months or even years.

What will an ENT do for blocked eustachian tube? ›

A catheter is used to insert a small balloon through the nose to open a blocked Eustachian tube. Inserting a small, balloon-like device in a blocked eustachian tube can bring relief to children and adults who suffer from chronic eustachian tube dysfunction.

Does Flonase help Eustachian tube dysfunction? ›

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.

How do you massage fluid out of an eustachian tube? ›

Perform a eustachian tube massage by running your finger from the bony bump behind your ear down the groove between your earlobe and your jaw, all the way down to your collarbone. If your eustachian tubes are blocked, try the valsalva maneuver: hold your nose shut and close your mouth.

Does hydrogen peroxide clear eustachian tubes? ›

You Can Try Putting Hydrogen Peroxide Drops into Your Ear

You might need to repeat this several times a day for a couple of days, but ultimately, the blockage should clear.

How long can you have blocked eustachian tubes? ›

Eustachian tube dysfunction symptoms

Symptoms are often mild and limited to a few days following a cold or flu. If symptoms last more than two weeks, recur frequently, or are severe, it's a good idea to schedule an appointment with your doctor.

Can a blocked eustachian tube last for months? ›

Frequently people report having had a cold that got better, but left them with a blocked ear (or ears). It usually gets better in a week or two, but can last for months afterwards. Swellings at the back of the nose (the nasopharynx) can cause the Eustachian tubes to become blocked.

Is eustachian tube dilation a permanent fix? ›

Eustachian Tube Balloon Dilation can provide long-term relief; however, patients still need to continue addressing any underlying conditions.

Can a Dr see a blocked eustachian tube? ›

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.

How can I force my eustachian tube to open? ›

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.

How did I cured my eustachian tube dysfunction naturally? ›

How do you unclog the eustachian tube? Treatment options for Eustachian Tube Dysfunction.
  1. Chewing gum or yawning. ...
  2. Nasal decongestants and medications. ...
  3. Nasal steroid sprays. ...
  4. Auto inflation. ...
  5. Regular allergy management. ...
  6. Surgical options.
Mar 1, 2024

What is the best decongestant for eustachian tube? ›

Afrin (oxymetazoline) and 4-Way (phenylephrine nasal) are among the most common and effective topical decongestants.

What is the best decongestant for eustachian tube congestion? ›

Treatment of Eustachian Tube Dysfunction

Usually first-line treatment for the is condition is use of decongestants like Afrin or Sudafed for up to 3 days only, antihsitamines, and valsalva maneuvers to pop your ears.

Which decongestant is best for clogged ears? ›

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.

What medication clears eustachian tubes? ›

The Best Decongestants for Eustachian Tube Dysfunction
  • Saline Nasal Spray. Irrigating your nose and sinuses with saline spray is a great first line of defense against eustachian tube dysfunction. ...
  • Topical Steroid Sprays. ...
  • Topical Decongestant Sprays. ...
  • Oral Decongestants. ...
  • Antihistamines.

What is the best decongestant for eustachian tube dysfunction? ›

Treatment of Eustachian Tube Dysfunction

Usually first-line treatment for the is condition is use of decongestants like Afrin or Sudafed for up to 3 days only, antihsitamines, and valsalva maneuvers to pop your ears.

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