HomeAnswersOtolaryngology (E.N.T)ear blockageWhy is one of my ears blocked even after taking medications for my double ear infection?

After taking antibiotics for my double ear infection, one of my ears is still blocked. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ranjit Peter

Medically reviewed by

Dr. K. Shobana

Published At December 9, 2021
Reviewed AtAugust 29, 2023

Patient's Query

Hi doctor,

I had a double ear infection and took a course of antibiotics. One ear remains blocked still. Is there anything else I can do? I use Flonase daily. Please help.

Answered by Dr. Ranjit Peter

Hello,

Welcome to icliniq.com.

Based on the details that you have shared, the possibility of eustachian tube dysfunction or obstruction needs to be ruled out. Your current medications suggest that you have allergic airways as well as acid reflux. Both these clinical conditions can contribute to your current ear condition. I would recommend the following: 1) Avoid water entry into your ears while taking shower or avoid using Q-Tips. 2) Avoid nose blowing. 3) Chewing movements may improve the eustachian tube opening and closing, which may give you some relief. (You may try chewing gum as an exercise at your convenience on a daily basis). 4) If your nasal passages are clear, an exercise in the form of blowing balloons can be done a couple of times a day. It is worth trying as it improves eustachian tube patency. However, this exercise would be discouraged if you have a blocked or congested nose. 5) If the ear does not clear up even after a month, I would recommend getting a physical examination by an ENT (ear, nose, and throat) doctor.

The Probable causes

You may have a nasal allergy, GERD (gastroesophageal reflux disease), and cerumen in the ear.

Investigations to be done

It would be best if you did a nasal diagnostic examination.

Differential diagnosis

You have a nasal allergy, GERD (gastroesophageal reflux disease), serous otitis media, and cerumen in the ear.

Probable diagnosis

You seem to have eustachian tube dysfunction.

Treatment plan

1) Avoid water entry into your ears while taking shower or avoid using Q-Tips. 2) Avoid nose blowing. 3) Chewing movements may improve the eustachian tube opening and closing, which may give you some relief. (You may try chewing gum as an exercise at your convenience on a daily basis). 4) If your nasal passages are clear, an exercise in the form of blowing balloons can be done a couple of times a day is worth trying as it improves eustachian tube patency. However, this exercise would be discouraged if you have a blocked or congested nose. 5) If the ear does not clear up even after a month, I would recommend getting a physical examination by an ENT (ear, nose, and throat) doctor.

Preventive measures

1) Avoid water entry into your ears while taking a shower or avoid using Q-Tips. 2) Avoid nose blowing.

Regarding follow up

If the ear does not clear up even after a month, I would recommend getting a physical examination by an ENT (ear, nose, and throat) doctor.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ranjit Peter
Dr. Ranjit Peter

Otolaryngology (E.N.T)

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