How To Pop and Unclog Your Ears

Between the area behind your eardrum and the back of your nose and throat is a tube called the Eustachian tube. You’ve got two of them — one behind each ear. “This tube helps to maintain balanced air pressure between the area behind the eardrum and the area outside of the eardrum,” Dr. Goldman explains.

You asked, we answered: How do you pop a clogged ear?

I have muffled hearing in one ear. What can I do to alleviate it?

Answered by Ear, Nose and Throat physician assistant Nicole Bowdino, PA-C:

Many times, when people feel they need to pop their ears, it’s because they have pressure behind their eardrum, which creates the feeling of fullness and may muffle their hearing. Conditions that can create the feeling of ear fullness include:

• Traveling at high altitude or on an airplane.
• Upper respiratory or sinus infection.
• Seasonal allergies.
• Wax buildup.
• Hearing loss.

Essentially, anything that causes nasal congestion can also cause your ears to become full or plugged. The ear connects to the back of the nose through the eustachian tube, which equalizes that pressure. So, if your nose has swelling, inflammation or drainage, your eustachian tube can swell and cannot equalize your ear pressure.

How to safely pop your ears

It’s safe to pop your ears through auto-insufflation, which is when you pinch your nose and blow to force air to go up your eustachian tube to open it up. This process allows air to be equalized from the middle ear space, opening the ear up. Auto-insufflation is safe in moderation – a few times a day – if you’re having symptoms of pressure and fullness in your ears.

Still, we don’t love when people repeatedly auto-insufflate to try to clear their ears. If you pop your ears too much, you can stretch your eardrum, which can, in turn, cause other problems. If you are experiencing nasal congestion, post-nasal drip or seasonal allergies with pressure in your ears, using nasal saline rinses and an over-the-counter nasal steroid spray – such as fluticasone – can be helpful. These treatments are the most effective way to treat the underlying problem.

If you’re popping your ear and not getting any improvement, or the pressure sensation isn’t going away, you should have your medical provider take a look. It could be earwax or an ear infection blocking your ear. A wax impaction can create the sensation of fullness and muffled hearing. However, popping them won’t provide any relief because the wax is blocking the ear canal.

Dealing with wax in your ear

If you have excess wax in your ear, it’s OK to use plain distilled white vinegar mixed with some rubbing alcohol. Fill your ear with a small amount of this solution and let it sit for a minute; it should help clear the wax. If that doesn’t work after doing it for a day or two, I would see a provider to have the ears examined and cleaned. Wax can often be difficult to clean at home, especially for people who frequently use cotton swabs.

Cotton swabs tend to cause wax impactions, as they typically push wax deeper into the ear. Eventually, this process results in a large ball of wax and cotton fibers that are solidified in the ear canal and can cause a sensation of fullness and muffled hearing.

We get nervous when people dig around in their ears with anything. It’s easy to damage your eardrum or scrape your ear canal, which can be painful and lead to infections and further complications. In addition to the vinegar and alcohol mix, moisturizing your ears regularly can help reduce wax buildup. Using mineral or baby oil to soften ear wax allows your natural wax cleaning mechanisms to do their job better. A drop or two of these oils a few times a month can be beneficial.

When to call your doctor

Although someone may have told you not to pop your ears, for those with generally healthy ears who don’t have a significant history of ear infections, popping your ears is safe in moderation. Consider evaluation with your medical provider if you have difficulty hearing, drainage, pain or persistent symptoms that do not resolve with conservative treatments.

The one outlier with clogged ears to be wary of is a condition called sudden sensorineural hearing loss. If you suddenly can’t hear anything out of an ear and it’s ringing and feels full, it could be sensorineural hearing loss. This condition requires evaluation with audiology and ENT as soon as possible. Sudden sensorineural hearing loss is an urgent matter that requires time-sensitive treatment.

The Nebraska Medicine ear, nose and throat team treats patients of all ages and conditions, from ear cleaning to sudden sensory neural hearing loss. Call 800.922.0000 to make an appointment today.

How To Pop and Unclog Your Ears

It’s one of the worst parts of flying: You finally hit that cruising altitude, and suddenly, you have ear congestion — that feeling that your ears are somehow plugged up.

Plugged-up ears are so common when traveling by airplane that there’s actually a special name for it: airplane ear. However, flying isn’t the only reason why your hearing might become muffled and you suddenly need to pop an ear.

Family medicine specialist Matthew Goldman, MD, explains how to unclog your ears, what causes them to feel plugged up in the first place and how to safely pop your ears if you feel the need to relieve the pressure.

How to pop your ears safely

Having plugged-up ears is an annoying problem at best and a frustrating, painful one at worst. Sometimes, a clogged ear will go away by itself, but Dr. Goldman shares a few ways you can try to relieve the pressure and get your ears to pop.

Open your Eustachian tubes

Between the area behind your eardrum and the back of your nose and throat is a tube called the Eustachian tube. You’ve got two of them — one behind each ear. “This tube helps to maintain balanced air pressure between the area behind the eardrum and the area outside of the eardrum,” Dr. Goldman explains.

If you’ve ever had clogged ears, there are two methods you can try to unclog them. The pressure these two maneuvers create can help open your Eustachian tubes. Research shows that these two methods have about the same success rate at unplugging, or “popping,” your ears.

The Valsalva maneuver

Close your mouth and pinch your nostrils closed. Then, breathe out forcefully — but don’t let any air escape through your mouth or nose.

The Toynbee maneuver

Close your mouth, pinch your nostrils closed and swallow.

Swallow or yawn to equalize the pressure

Your Eustachian tubes are typically closed, opening when you perform activities like swallowing and yawning. So intentionally doing these things may help unclog your ears, especially if there’s no underlying cause like allergies or an infection.

“There are different ways to equalize the pressure that creates the plugged-up sensation,” Dr. Goldman says, including chewing gum, swallowing and yawning.

Use a saline spray

Using a nasal spray can relieve sinus blockage and inflammation, which can ultimately help unplug your ears. Just be sure you’re using the nasal spray correctly by aiming it toward the back of your nose rather than toward your septum (the middle of your nose).

Address the underlying condition

Have you ever known someone who gets recurrent ear infections and has to have ear tubes put in? This is one of a few ways doctors can address chronic Eustachian tube dysfunction, which is common in children.

Why your ears get plugged up to begin with

Dr. Goldman says plugged ears can be uncomfortable and occur for a few reasons, including:

• Changes in air pressure. “Sudden pressure changes like driving upward into the mountains and scuba diving can also create this sensation,” Dr. Goldman says. As the pressure changes around you, the air pressure inside of your inner ears tries to adjust along with it.
• Ear infections. When infected fluid gets trapped behind your eardrum, it can swell and bulge, leading to ear infections, which cause pain and that plugged-up feeling.
• Swimmer’s ear. An infection in the lining of your ear canal, known as swimmer’s ear, can also cause blocked ears. This is an infection of your external ear, rather than your middle ear.
• Sinus infections. “Sinus infections can change the pressure behind your eardrum,” Dr. Goldman notes.
• Allergies. Achoo! Allergies come with a lot of unpleasant symptoms, and you can add plugged-up ears to the list.
• Eustachian tube problems. “Sometimes, when there is an imbalance between the air pressure within the Eustachian tube and the pressure outside of the eardrum, we may feel a plugged-up sensation,” explains Dr. Goldman. In some cases, you may have a condition that directly affects your Eustachian tubes. “Rarely, growths may affect the Eustachian tubes, which can create issues,” Dr. Goldman says, “and being born with abnormally shaped Eustachian tubes can also be a cause.”

When to call your doctor about plugged ears

“Most of the time, these are all safe and effective methods,” Dr. Goldman says, “but depending on the cause, these methods could be unsafe and could even cause damage.”

If you’re traveling in high altitude changes or know you’re in the midst of an allergic flare-up, your clogged ears likely aren’t a problem and should resolve pretty quickly. But clogged ears that persist or are accompanied by other symptoms can indicate a more serious issue. Pay attention to issues like:

• Pain.
• Discharge.
• Dizziness.
• Hearing loss
• Ringing.

In these cases, it’s time to see your doctor, who’ll be able to determine the root cause of your issues and figure out a treatment plan.

If you’re experiencing something like swimmer’s ear or allergies, you can best treat your plugged-up ears by treating the medical condition that’s causing them.

“Depending on the cause, antihistamines, decongestants, nasal sprays and occasionally surgery may be needed to help manage and/or treat the root of the problem and/or mask the symptoms until the cause has resolved,” Dr. Goldman says.