#MedicalCase

Ear Blockage (Internal Medicine)

Dr. Shakti Mishra., B.P.T, M.I.A.F.T, M.I.A.P, M.P.T

 

Medical Case Details:

A patient having ear block (left side) . Having cold n cough, on medication like azithral, grelinctus.
Travelled through flight and ear got blocked since two days. difficulty in hearing as well.
Tried all methods like nasal spray, gulping air, but of no use.
Male, age-33 yrs.

 


    Discussions


    Dr. Shakti Mishra
    Nutritionist

    Anyone for any suggestions???

    28.Oct, 10:09am

    Dr. Syed Tehmid

    Two manoeuvres will be particularly useful
    1.Valsalva manoeuvre performed by exhaling against a closed airway, done by closing one's mouth, pinching one's nose shut while pressing out as if blowing up a balloon.
    2. Tonbyee manoeuvre
    by pinching the nose and swallowing.
    3.alternating Valsalva with Tonbyee manoeuvre

    ▲ 4
    28.Oct, 01:19pm

    Dr. Shakti Mishra
    Nutritionist

    Thank u sir

    28.Oct, 06:06pm

    Dr. Anuj Gupta

    Yes both of these manoeuvre are really helpful

    29.Oct, 05:55pm

    Dr. Parth R Goswami

    Eustachian tube edema or blockage.Tympanic membrane retraction also can be there. So Otoscopy ear examination should be done. Valsalva manouver helpful. Steam inhalation also advisable. Meanwhile decongestant can be continued.

    29.Oct, 09:06pm

    Dr. Sheetal Kamble

    Just sharing my personal experience.... Few months back I suffered from similar problem, I tried all the techniques mentioned above but nothing worked... At last I just used the Johnson's earbuds...it worked very well. It opened up blocked ear in just a few minutes. But kindly note, it works after taking steam inhalation and after performing valsalva maneuver.

    30.Oct, 04:30am

    Dr. Shakti Mishra
    Nutritionist

    Thank u all

    31.Oct, 06:58pm

    Dr. Dheeraj Kumar Jonnalagadda

    First of all after traveling through flight , his Eustachian tube got blocked and there might be fluid behind the ear which is causing pain and reduced hearing . The main thing to do is to check for any fluid behind the ear drum , Get a audio gram and tympanogram done and can confirm that .Secondly start with a week course of antibiotics, methylprednisolobe 16mg in a tapered dose ,nasal spray , and an antacid along with antihistamine for a week and examine the patient back . If he still has fluid behind the ear drum , post him for tympanotomy and advise him to continue with nasal spray for two to three months to keep Eustachian tube opened .

    07.Dec, 05:04pm

    Dr. Dheeraj Kumar Jonnalagadda

    First of all after traveling through flight , his Eustachian tube got blocked and there might be fluid behind the ear which is causing pain and reduced hearing . The main thing to do is to check for any fluid behind the ear drum , Get a audio gram and tympanogram done and can confirm that .Secondly start with a week course of antibiotics, methylprednisolobe 16mg in a tapered dose ,nasal spray , and an antacid along with antihistamine for a week and examine the patient back . If he still has fluid behind the ear drum , post him for tympanotomy and advise him to continue with nasal spray for two to three months to keep Eustachian tube opened .

    07.Dec, 05:04pm

    Dr. Kuldeep Meena

    Ear pain due to eustachian tube blocked during journey in flight
    eustachian tube blocked because sudden pressure changes .
    so Valsalva moneuvre is useful
    and for allergic rhinitis
    tablet montair lc hs
    fluticasone nasal spray sos


    10.Dec, 10:26am



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