Q. What can be done to manage sinusitis with ear blockage and nasal drip?

Answered by
Dr. Vandana Andrews
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Mar 23, 2020

Hello doctor,

I am female, 25 years old, 159 cm and 52 kg. I have experienced sinusitis last year, I felt pressure behind my left eyes and it went away after 4 days. Then I noticed my left ear is slightly blocked and slight post nasal drip, I went to a ENT specialist at my vacation destination and was given Amoxicillin for 3 days, and later Augmentin and Amoxicillin for 5 days. I felt my ear was getting better but it did not fully recover. Back in my country, it is dificult to see a specialist so I finally went to onenext month. Eardrum normal, hearing test came back normal and I was given Nasonex and Loratadine and was told to give it sometime and wait for the next appointment.

I went to another specialist and was given another course of antibiotics and oxy-nase for 2 weeks and was told to do the exercise of pinching my nose and swallow. Due to covid19 I am unable to visit the doctor again. Recently I found out if I lay on my left side for a period of time my left ear will feel more blocked and a slight hearing loss, it goes away 5 to 10 mins after I sit upright. When I am bloated in the morning after waking up, my swollen left eye would go away slower than my right eye. What is wrong with me?

Dr. Vandana Andrews

Internal Medicine
#

Hi,

Welcome to icliniq.com.

I can understand your concern, happy that you could connect over here, in times of outbreak when going outside will not be safe. I have read your query and you have mentioned everything so clearly. Now coming to the point of your query, the symptoms you are experiencing is due to middle ear infection, one thing I would still need to know that if the doctor had a look inside your ear and told there was no rupture of tympanic membrane, if not, then this can be purely middle ear infection and may take some time to subside.

Other reasons can be sinusitis, wax impact, which can take longer time to recover. Although clogged ear can be annoying, here are some tips that can help alleviate the symptoms. Continue to do Valsalva maneuver, inhale steam, take OTC medicine as advised by your doctor. Do not use earplugs, earbuds, avoid any kind of water going to ears. Resting or sleeping sitting up rather than lying down can help fluid in your ear drain. This could ease pressure and pain in your middle ear. Prop yourself up in bed with a stack of pillows, or sleep in an armchair that leans back a bit. If all of the above things are helping alleviate the symptoms, then I would not worry and only give time for sinusitis to resolve. Please feel free to reach out in case of any doubt


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