HomeAnswersOtolaryngology (E.N.T)eustachian tube dysfunctionMy left ear feels blocked and muffled following a COVID-19 infection. Please help.

What are the reasons for having blocked and muffled ears following a COVID-19 infection?

Share

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. Murari. M.

Medically reviewed by

iCliniq medical review team

Published At November 4, 2023
Reviewed AtJanuary 11, 2024

Patient's Query

Hello doctor,

My left ear feels blocked. I recently had a COVID-19 infection and in about three days, my ear began to feel muffled. There is nothing in my ear but when I look up it unblocks but if I look forward or bend down it gets blocked again. I experienced a similar issue about seven months back but last time my ear was just blocked, and I was not able to unblock it even if I looked up. Now, I have tried popping it, but it has been of no use. Please help.

Answered by Dr. Murari. M.

Hello,

Welcome to icliniq.com.

I am here to extend a helping hand to you.

This seems to be a eustachian tube dysfunction. In this, the ventilation to the ear is interrupted due to the blockage of a small tube that connects the ear to the back of the nose known as the eustachian tube.

The reasons could be as follows:

  1. An upper respiratory tract infection (URTI) which is very common.
  2. Allergy or rhinitis.
  3. Growth in the postnasal space such as in case of a nasopharyngeal cancer (especially if unilateral).

This can usually unblock by itself, and you will feel ventilated within a few weeks.

I suggest you do the following:

  1. Use a decongestant nasal spray or drops for five days like Xylometazoline. Use two puffs twice a day for five days.
  2. Do the Valsalva maneuver (ear popping).

Kindly follow up in a week to reassess the symptoms and if you do not get better, please do the suggested investigations.

I hope I have resolved your queries. Do get back if you have any further queries.

Thank you.

The Probable causes

The probable causes could be due to an upper respiratory tract infection (URTI which is very common), allergy or rhinitis, or growth in the postnasal space like the presence of nasopharyngeal cancer (especially if unilateral).

Investigations to be done

Hearing and middle ear function studies and endoscopy must be planned if the condition does not improve during follow-up.

Differential diagnosis

The differential diagnosis could be a Eustachian tube dysfunction secondary to an upper respiratory tract infection (URTI which is very common), allergy or rhinitis, or growth in the postnasal space like the presence of nasopharyngeal cancer (especially if unilateral).

Preventive measures

Kindly do the Valsalva maneuver.

Regarding follow up

Please follow up within seven days.

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

Dr. Murari. M.
Dr. Murari. M.

Otolaryngology (E.N.T)

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Otolaryngology (E.N.T)

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy