Feeling of noise and stuffiness in the ear without pain: what to treat?

Ear pains are very strong and give a person a lot of unpleasant moments. The obstruction of the ear without pain is no less evil, because gives completely unpleasant sensations, heaviness and noise in the head, distorts the perception of familiar sounds to the unrecognized. Sometimes you hear a ringing in your ear, and your own voice seems strange. Particular discomfort occurs when both ear are involved in the pathological process. From what it can happen?

[1],

Epidemiology

The stasis statistics of the ear is very extensive, considering the number of people moving on airplanes, submerging in water depths, undergoing head and nose injuries. Adding to this seasonal rhinitis, cold and infectious diseases, cases of hypertension, you can talk about the multimillion army of people who have experienced such an unpleasant symptom.

[2], [3], [4], [5], [6], [7]

Causes of the ear congestion without pain

The causes of ear congestion without pain lie in the following:

• sulfur fuses;
• inflammation of the eustachian (auditory) tube that connects the middle ear to the pharynx (tubo-otitis);
• curvature of the nasal septum;
• foreign body entry in the ear;
• rhinitis and sinusitis;
• water in the ear;
• atmospheric pressure drop;
• impaired mobility of the temporomandibular joint;
• Meniere's syndrome;
• a brain tumor or auditory nerve;
• the effect of individual components of medications.

[8], [9], [10]

Risk factors

The risk factors include high blood pressure, changes in the hormonal background due to pregnancy or menopause, head trauma, leading to blood flow disorders, strokes.

[11], [12]

Pathogenesis

The pathogenesis of ear congestion is due to its structure. The ear has three sections: the outer, the middle and the inner. The outer consists of a tympanic membrane and an ear canal. The border between him and the middle ear is the eardrum. It is not static, but vibrates all the time. The drum cavity and the Eustachian tube are the territory of the middle section. The sound, getting on this site, is repeatedly amplified and transferred to a complex internal structure in its structure. On the auditory tube air from the larynx reaches the middle ear and maintains a balance between the pressure in it and the atmospheric. If for one of the reasons listed this tube overlaps, the balance is broken, the eardrum "sinks", sticks like a sucker, the air stops moving freely through the auditory tube, the ear becomes obstructed.

[13], [14], [15], [16], [17], [18], [19]

Symptoms of the ear congestion without pain

Symptoms of stuffiness of the ear without pain immediately make themselves felt. The first signs are a familiar sensation that water has got into the ear. Often along with zalozhennostyu there is noise, but without pain. In severe cases, the known sounds that we expect to hear from any movements or movements (the same sound of the door being opened) suddenly becomes unrecognizable. His own voice is heard differently.

Stuffing of the ear without pain after a cold

Ejaculation of the ear without pain after a cold is due to its residual effects. As a rule, the rhinitis does not pass quickly, even if the person is already feeling quite well, there are remains of mucus in the nasal passages, which prevents free circulation of air along the eustachian tubes. The obstruction of the ear without pain in the cold is due to the same reasons. In addition to nasal congestion, there are also frequent smocks that increase the pressure in the tympanum.

Pinging and stuffiness in the ear without pain

The ringing and stuffiness in the ear in medical terminology was called tinnitus. If such a phenomenon is observed without pain and cold, then it is necessary to understand the causes of what is happening in order to identify possible serious pathologies, which are signaled by the ears. These symptoms can be caused by loud sounds: music, production noise, etc .; flight by plane, staying under water (pressure drop); the use of medications marked ototoxicity (furasemide, gentamicin, streptomycin, etc.). In such cases, ringing and congestion pass after some time after the elimination of the causative agent of this condition.

Prolonged obstruction of the ear without pain can indicate an increased arterial pressure, hypertensive crisis. Dizziness, impaired coordination of motion, flies before the eyes in combination with ringing in the ears - a menacing signal about the possible multiple sclerosis. A decrease in the hearing of one ear, its congestion, noise can speak of a tumor - the neuritis of the auditory nerve.

Ear congestion without pain and swelling

Ejaculation of the ear without pain and swelling is possible due to inflammation of the nasopharynx, progressing to the area of the Eustachian tube, bruising or head trauma, diving under the water. The edema of the ear can be caused by ultraviolet and radio irradiation, which a person undergoes during instrumental examinations. Edema of the auditory canal also occurs as a result of allergic reactions, blockage by foreign objects.

[20]

Ejaculation of the ear without pain in the child

Little children are great lovers of stuffing things into your nose and ears. The obstruction of the ear without pain in the child gives an occasion to check the presence of a foreign body in it. Another cause may be sulfur plug. It is also possible to get water during bathing. The defect of the nasal septum, which parents do not suspect, is not excluded. In any case, an appeal to the otolaryngologist is inevitable. Hearing is an important organ of perception of the world, without which the child will be doomed for the rest of his life not to know or do not hear a variety of sounds.

[21],

Complications and consequences

Such, at first glance, an unimportant problem of how the stuffiness of the ear can lead to serious consequences and complications if left unattended. It can be partial or total hearing loss.

[22], [23], [24], [25]

Diagnostics of the ear congestion without pain

Diagnosis of ear congestion without pain is based on otoscopy - examination by the doctor of the auditory canal and the patient's septum for puffiness, redness, discharge of fluid. To confirm the alleged diagnosis resort to additional instrumental research and analysis.

If a suspected inflammation in the ear is directed to a general blood test. Elevated ESR and leukocytes will confirm the hypothesis. It is possible to sow the flora from the ear and nasopharynx.

The standard instrumental diagnosis is video endoscopy of the ear, nasopharynx, ear microscopy, auditory acuity check with an audiometer, tympanometry - examination of the middle ear, the degree of mobility of the tympanic membrane, conduction of auditory ossicles with the help of various sound pressure. Other diagnostic methods are possible: CT and MRI of the brain and temporal bones, ultrasound of the vessels of the neck.

[26], [27], [28]

Differential diagnosis

The task of differential diagnosis is to establish the correct diagnosis, to recognize and confirm one of the possible causes listed above.

Treatment of the ear congestion without pain

Treatment of ear congestion without pain depends on the diagnosis. Thus, the therapy of inflammation of the nasal sinuses and nasopharynx is based on the use of antibacterial agents, washing the nasal cavity, if necessary, puncture of the maxillary sinuses. In the event of a foreign body entering the ear, its extraction is carried out. To remove the sulfur plug, the external auditory canal is rinsed. External otitis is also treated by washing it with the treatment of the walls with antibacterial and antifungal agents. Therapy of other types of otitis is the use of vasoconstrictive drops in the nose, blowing, the appointment of antibacterial drugs, pneumomassage of the tympanic membrane. If the sound-receiving apparatus (neurosensory hearing loss) is damaged, catheterization of the auditory tubes, vascular therapy is performed. The feeling of stuffiness of the ears, characteristic of high blood pressure, is removed by applying drugs to reduce it.

Medications

The use of medications with ear congestion without pain involves, first of all, ear drops, because they give a quick and effective result. There are several types for the treatment of otitis: antibacterial (normax, levofloxacin, tsiprolet, etc.), combined, including glucocorticoids (anauran, otofa, okostistin), anti-inflammatory non-steroid (otipax, decanesum, chlorhexidine bigluconate).

Normax - is used both for the treatment of ear infections, and for their prevention after removal of a foreign body from the organ. For each specific case, the doctor makes appointments individually. The recommended dose of 2-3 drops in the ear up to 6 times a day, but it is allowed, if necessary, to drip with an interval of 2-3 hours. Adverse reactions were noted rarely in the form of allergic reactions. Use with caution for children under 12 years of age. Contraindicated during pregnancy and during breastfeeding of the baby, as well as hypersensitivity to the components of the drug.

Anauran - the norm for children is 2-3 drops 3-4 times a day, adults are recommended to double the dose, but less often - 2-3 times. Application in pregnancy and lactation is possible with the permission of the doctor. Children under one year are not appointed. Single cases of side effects are known in the form of reddening and peeling of the ear canal, which disappear after discontinuation of application. The course of treatment is a week.

Otipaks - disinfects, anesthetizes, relieves inflammation. Dose - 4 drops in the auditory meatus with a frequency of 2-3 times a day lasting no more than 10 days. Contraindicated in the perforation of the tympanic membrane, hypersensitivity to the drug that causes allergic manifestations.

In the case of sulfuric cork, ear drops are used to soften the secret: a-cerumen, remo-wax.

Remo-wax - before instillation it is necessary to heat the flacon in hands. Lie down 20 drops of the drug on the side in the ear, then massage and cover with a cotton swab for at least 20 minutes, and you can leave it for the whole night. After this, rinse ear with warm water. It is not prescribed for pain in the ear, discharge of fluid from it, perforation of the tympanic membrane.

Vitamins

Vitamins strengthen human immunity, help reduce susceptibility to infectious agents of inflammatory diseases. When the ear is stuffy without pain, vitamin therapy is successfully used in case of neurosensory hearing loss (B vitamins).

Physiotherapeutic treatment

Schemes of treatment of ear pathologies that cause ear congestion include the use of physiotherapy methods. Thus, with otitis, UHF and microwave therapy, drug electrophoresis, ultraviolet radiation are prescribed. Sensorineural hearing loss is treated in combination with such physiotherapy as electrophoresis and Darsonville currents. A common procedure in otolaryngology is pneumomassage of the tympanic membrane, the action of which is built on the alternation of high and low air pressure.

Alternative treatment

Alternative treatment for stuffy ears without pain can be applied, making sure that there are no serious causes requiring medical therapy. In this case, apiproducts will come to the aid: 30 g of propolis to crush and pour 100 g of 70% alcohol, insist a week, drain, moisten turunda and pawn in the ear; it is possible to prepare a mixture of honey with horseradish juice and for the night bury in the stuffed ear a few drops. Juice of onion, combined with vodka in a 4: 1 ratio, will also bring relief if you dig in 2 drops in the morning and in the evening. In case of getting into the ear of an alien object, sometimes of some small insect, a few drops of warmed vegetable oil are used, after which the ear is washed with warm water from the syringe.

[29], [30], [31]

Herbal Treatment

For the treatment of ear diseases, herbs are applied to geranium leaves (pomjav, put into ears), tincture from flowers of calendula is used both for instillation and for compresses. Medicinal properties and have lavender, St. John's Wort, Mullein. Their infusion in a complex or separately can be applied for instillation of ears at zalozhennosti.

Homeopathy

Among homeopathic remedies with zalozhennosti and noise in the ears are recommended: belladonna 3 (dilution), nuks vomica 3, pulsatilla 3, calcararea carbonica 6, aurum muriaticum 3 and silicea 6. Dose will determine the homeopath individually. In pharmacies, you can buy the following drugs:

Asinis - effective for inflammation of the middle ear and eustachian tube. It is a clear liquid with a faint smell of horseradish. The drug is taken orally three times a day, either in its pure form, or diluted in water. In childhood from 3 to 5 years, 3-4 drops are enough once, 5-12 years - 5-7 drops, the rest - 10 drops. Side effects and contraindications are absent.

Vertiokheel - is indicated for atherosclerosis of vessels, Meniere's disease, arterial hypertension, flight in aircraft - conditions that cause ear congestion. Transparent liquid for intravenous, intramuscular and subcutaneous injections. Depending on the age, the single dose is from the fourth part of the ampoule for the youngest (1-3 years) and up to the whole ampoule for adults. Negative effect on the body is not revealed.

Gaimorin - is directed to the treatment of sinusitis, sinusitis, the consequence of which is the stuffiness of the ears. Produced in the form of homeopathic granules. For small children, the granules dissolve in water, adolescents and adults resolve under the tongue 20 minutes before meals or an hour after. A single dose of 3 to 5 pieces up to 6 times a day during treatment. For prevention, only once. The duration of treatment can be 1-3 months.

Sclero-grange - noise in the ears, hearing impairment as a result of atherosclerotic changes in cerebral vessels - such indications for the use of the drug. Granules are designed for resorption under the tongue. Children are not assigned because of a lack of research for safety, adults are recommended to 5 per day for one reception. Pregnant and lactating women are better off refraining from taking. There is a side effect in the form of allergies. Diabetics should be taken with caution because of the presence of sugar in the composition.

Surgery

The need for surgical treatment can arise with purulent otitis media - this is the shunting of the tympanic membrane, although this condition is not painless. Curvature of the nasal septum also requires surgical intervention. The operation is also indicated in the neuritis of the auditory nerve. Hearing loss due to otosclerosis may require stagedectomy - replacement of the auditory ossicle with a prosthesis.

Prevention

The main preventive measures to avoid stuffy ears - do not allow hypothermia, promptly treat diseases of the ears, nasopharynx. It is important to observe the rules of hygiene of the hearing organ and to not use matches, metal pins for its cleaning. At elevated pressure should take drugs that reduce it.

[32], [33],

Forecast

The prognosis of ear congestion without pain is positive, when it comes to the timely identified problem and treatment. The diagnosis of multiple sclerosis, stroke means a disappointing prospect for eliminating this deficiency.

[34], [35]