Why do my ears feel clogged

Patulous Eustachian tube dysfunction is a disorder of the valve of the Eustachian tube that causes it to remain open. When this valve remains open, sound can travel from the nasal-sinus cavity to the ears, allowing you to hear your own voice or your own breathing too loudly, or even the sound of blood pumping. Patulous Eustachian tube dysfunction can also alternate with obstructive Eustachian tube dysfunction.

Eustachian Tube Dysfunction

The Eustachian tube is an opening that connects the middle ear with the nasal-sinus cavity. This tube helps to:

• Balance pressure in the middle ear (commonly felt as your ears popping)
• Drain fluid from the middle ear
• Protect the ear from both hearing sounds your body causes and nasal drainage

This tube contains a valve that opens and closes. Inadequate opening of this tube can cause a buildup of fluid in the ears, which can lead to a feeling of pain and pressure in the ear. A tube that is too open can also cause a persistent feeling of pressure as well as hearing unusual sounds such as your own breathing or your own voice too loudly. Eustachian tube disorders are common and one of the leading causes of ear infections (otitis media).

Common Eustachian tube disorders include:

• Patulous Eustachian tube dysfunction
• Obstructive Eustachian tube dysfunction
• Baro-challenge-induced Eustachian tube dysfunction (obstructive Eustachian tube dysfunction when on airplanes or when SCUBA diving)

Eustachian Tube Dysfunction | FAQ

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Patulous Eustachian Tube Dysfunction

Patulous Eustachian tube dysfunction is a disorder of the valve of the Eustachian tube that causes it to remain open. When this valve remains open, sound can travel from the nasal-sinus cavity to the ears, allowing you to hear your own voice or your own breathing too loudly, or even the sound of blood pumping. Patulous Eustachian tube dysfunction can also alternate with obstructive Eustachian tube dysfunction.

Symptoms of Patulous Eustachian Tube Dysfunction

Symptoms of patulous Eustachian tube dysfunction include:

• A sense of fullness in the ears
• The ability to hear your own voice, breathing or bodily functions very loudly

Causes of Patulous Eustachian Tube Dysfunction

Causes of patulous Eustachian tube dysfunction include:

• Weight loss
• Chronic neuromuscular or immunological disease
• Chronic nasal allergy
• A history of acid reflux disease
• Stress and anxiety

Diagnosing Patulous Eustachian Tube Dysfunction

Your doctor may use a variety of techniques to diagnose patulous Eustachian tube dysfunction while viewing your ear drum (tympanic membrane). Your doctor may ask you to breathe deeply and swallow to see how the ear drum responds. Your doctor may also measure the pressure inside your ear using specialized tools.

Treatment for Patulous Eustachian Tube Dysfunction

Medical treatment for patulous Eustachian tube dysfunction includes:

• Limiting decongestants and caffeine
• Drinking more water
• Medicated nasal drops

Surgery for patulous Eustachian tube dysfunction includes:

• Implants
• Fillers
• Grafts or fat transfers

The surgical method will be determined by your doctor. In some cases, tympanostomy tubes (ear tubes) may make the condition worse. Implants, fillers, grafts and fat transfers act to fill out the tissue in the surrounding area so the Eustachian tube can close properly and return to normal function. Sometimes grafts are applied to the ear drum.

Eustachian Tube Dysfunction

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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.

Symptoms of Obstructive Eustachian Tube Dysfunction

Symptoms of obstructive Eustachian tube dysfunction include:

• Pressure and/or pain in the ears
• A sense of fullness in the ears
• Muffled hearing

Causes of Obstructive Eustachian Tube Dysfunction

Causes of obstructive Eustachian tube dysfunction include:

• Environmental allergies
• Sinusitis
• Acid reflux
• Neoplasms (abnormal growth of tissue)
• Impaired muscle coordination or muscular deficiency, for example, in patients with a cleft palate

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. Negative pressure and structural changes in the ear can also be signs of obstructive Eustachian type dysfunction.

Obstructive eustachian tube dysfunction can be chronic, intermittent or short term. This is commonly felt during flights, when you have a cold or when SCUBA diving.

Baro-Challenge-Induced Eustachian Tube Dysfunction

When obstructive Eustachian tube dysfunction is only felt during airplane flights or SCUBA diving, this is known as baro-challenge-induced Eustachian tube dysfunction.

Treatment for Obstructive Eustachian Tube Dysfunction

Following evaluation and diagnosis, your doctor will determine the best course of treatment. This may include medication or surgery, and a doctor may recommend avoiding triggers. Surgical treatments include:

• Tympanostomy tubes (ear tubes)
• Balloon dilation of the eustachian tube
• Adenoidectomy (removal of adenoids in the back of the nose)
• Potassium titanyl phosphate (KTP) laser to reduce inflamed tissue

Common Misconceptions About Eustachian Tube Dysfunction

A common course of treatment for Eustachian tube dysfunction is the use of decongestants or antihistamines. In some cases, this treatment may make the condition worse. If decongestants or antihistamines do not provide relief, contact your doctor. You may need to see an ear, nose and throat specialist for treatment.

Johns Hopkins Eustachian Tube Health Center

The Johns Hopkins Eustachian Tube Health Center provides comprehensive evaluation, diagnosis and management of Eustachian tube dysfunction that include medical, multidisciplinary and surgical approaches.

Why do my ears feel clogged?

There are times when you purposely plug your ears—think fingers or earplugs—and then there are, well, other times when your ears feel clogged or plugged up for no good reason.

Why is sound muffled when there doesn’t appear to be anything inside your ear canal? 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.

Here are four of the most common reasons why your ears might feel clogged or plugged up:

Impacted earwax

Normally, earwax is the body’s way of protecting the ear. Its sticky consistency traps dirt and other pollutants, act as a lubricant, and because it naturally falls out of the ear canal on its own, serves as a natural self-cleaning agent. On occasion, however, it can become impacted and affect your ability to hear.

According to the American Academy of Otolaryngology-Head and Neck Surgery, the following symptoms indicate earwax is causing a problem:

• A feeling that the ear is clogged
• An earache
• Partial hearing loss
• Tinnitus, or ringing in the ear
• Itching, odor or discharge
• Coughing

The only way to know for sure—and to remove the earwax safely from the affected ear—is to see a physician or your hearing healthcare professional for ear cleaning. Please note that it is never appropriate to try and remove the earwax yourself using a cotton swab, baby oil, or hydrogen peroxide. Not only could you accidentally puncture your eardrum or push the earwax deeper into the canal and cause impaction, removing this natural protective lubricant can lead to the development of dry, itchy ears. It’s best to let a professional determine whether or not your ears need a more thorough cleaning beyond what you can safely do with a warm, soapy washcloth.

Fluid in the ear

Fluid can develop in the ear for several reasons. Here are some of the most common:

Children and adults who develop middle ear infections, known as otitis media, may experience a plugged ear sensation due to fluid build-up behind the eardrum. Although this condition usually clears on its own, it can be painful. It’s time to call a doctor if the pain is severe, you notice a fluid discharge or symptoms persist for more than a day. Children younger than six months should be seen immediately.

Another reason to appreciate earwax? It acts as a deterrent for water to enter the ear when you swim or bathe. Even so, there are times water can get trapped in the ears, bathing or moist environments. If it does, try these simple techniques to encourage it to drain.

• Tilt your head sideways and pull the earlobe gently.
• Use a warm compress. This helps open up the eustachian tubes so water can drain naturally.
• Yawn, chew, take a deep breath or use the Valsalva maneuver by holding your nose and blowing gently, the same methods that work for stuffy ears on an airplane.

Sinus pressure

You may be familiar with stuffed nasal passages and facial tenderness brought about by sinus pressure, but did you know it can also cause temporary hearing loss? The sinus cavities—hollow spaces located in your bones near the nose and between the eyes—are also located beside the ear canal. When you experience an inflammation in your sinus cavities, it can cause your eustachian tubes to swell, known as eustachian tube dysfunction.

When that happens, the connection between the middle ear and throat is closed which puts pressure on the eardrum causing that clogged ear feeling—or worse—pain and hearing loss. Both spring allergies and a sinus infection can cause stuffy ears, though infections are typically more painful. Also, in some cases, allergies can cause temporary hearing loss.

Fortunately, most hearing loss caused by sinus pressure is temporary and hearing returns to normal once the sinus congestion clears. Even so, if you experience pain or sudden hearing loss due to sinus congestion, contact your family doctor. They can determine the cause of your discomfort and prescribe medication to alleviate the pain and swelling. Sometimes the solution is as simple as swallowing or yawning to equalize the pressure in the inner ears.

Ear stuffiness, earache and COVID-19

Because COVID-19 is a respiratory virus, it can sometimes cause congestion, sinus pressure and ear pain—just like the common cold can make your ears stuffy or achy. Common symptoms of the coronavirus include fatigue, sore throat, cough, fever and chills. As with any upper respiratory infection, it can lead to ear congestion and earaches.

In very rare cases, the virus has been linked to sudden hearing loss. If you are experiencing any cold or flu symptoms, it’s best to contact your doctor, who can advise you if you should get tested.

Noise damage

Noise-induced hearing loss (NIHL) is one of the most common types of sensorineural hearing loss. According to the National Institute on Deafness and Other Communication Disorders (NIDCD), as many as 40 million Americans have hearing loss in one or both ears which may have been caused by exposure to excessive noise over a long period of time or a one time exposure to an extremely loud noise, such as an explosion or blast.

If your ears feel clogged or you hear ringing in your ears (tinnitus) after an evening with friends at the club or an afternoon in a rowdy sports stadium, it’s likely due to excessive noise exposure. The muffled sounds you may hear after are known as temporary threshold shift. Although these symptoms typically clear within 48 hours, you can prevent permanent hearing loss by taking precautions the next time you know you’ll be in a noisy environment:

• Wear earplugs or other hearing protective devices when you’re involved in an activity where sound measures more than 85 decibels (dB).
• Turn down the volume on the television, car radio or any personal electronic device with which you use earbuds.
• If you can’t protect your hearing from the noise or reduce the volume, move as far away from it as possible.

Other less common causes

Anxiety can cause ear fullness, pressure and pain

Some people with severe chronic anxiety or panic disorder may experience ear pain and pressure, especially during a panic attack or when under a lot of stress. You may experience this as ear pressure, fullness, pain or even that your ears simply “feel weird.” You may have a near-constant urge to pop your ears to relieve the pressure, but the ear popping does little to help you feel better.

Why does this happen? The inner ears are very sensitive to changes in fluid and blood supply. If your heart is racing and/or your blood pressure is elevated because you feel anxious (and/or you have a heart condition), your ears can be affected very quickly. Likewise, elevated stress hormones can alter the delicate balance of fluids in your ear, making them swell.

Meniere’s disease and balance disorders

People with inner ear conditions, such as Meniere’s, may experience what they perceive as “ear fullness” due to an imbalance of ear fluids in the inner ear. If this symptom if accompanied by dizziness, tinnitus, balance problems or hearing loss, you should seek medical help.

Outer ear infection (“swimmer’s ear”)

The first stages of an outer ear infection, known as swimmer’s ear, often include muffled hearing or a feeling of clogged ears. In some cases, there may be discharge.

Traumatic brain injury or concussion

Traumatic head injuries can hearing loss, tinnitus and a feeling of “aural fullness,” which is the feeling that your ears won’t pop.

Seek help for clogged ears

Although we’ve covered four of the most common reasons you ears may feel clogged, it’s always wise to seek the advice of a hearing healthcare professional whenever you are having trouble hearing. Unclogging your ears at home using home remedies such as ear candling or a cotton swab is never a good idea.

Here’s a tip: Find a doctor, hearing specialist or audiologist near you and have your hearing evaluated before trouble starts. The baseline information the initial test provides will be a good benchmark for your medical team to use in an emergency situation and to monitor your hearing health.

Debbie Clason , staff writer , Healthy Hearing

Debbie Clason holds a master’s degree from Indiana University. Her impressive client list includes financial institutions, real estate developers, physicians, pharmacists and nonprofit organizations. Read more about Debbie.