Blocked Eustachian Tubes Information & Treatment (2024)

Condition Basics

What are blocked eustachian tubes?

The eustachian (say "you-STAY-shee-un") tubes connect the middle ears to the back of the throat. The tubes help the ears drain fluid. They also keep air pressure in the ears at the right level.

When you swallow or yawn, the tubes open briefly to let air in to make the pressure in the middle ears equal to the pressure outside of the ears. Sometimes fluid or negative pressure gets stuck in the middle ear. The pressure outside the ear gets too high. This blockage causes ear pain and sometimes trouble hearing.

What causes them?

Swelling from a cold, allergies, or a sinus infection can keep the eustachian tubes from opening. This leads to pressure changes. Fluid may collect in the middle ear. The pressure and fluid can cause pain. You also can have ear pain from changes in pressure while you are flying in an airplane, driving up or down mountains, or scuba diving. Fluid in the ear can lead to an infection (acute otitis media). Young children have a high risk of ear infections, because their eustachian tubes are shorter and more easily blocked than the tubes in older children and adults.

What are the symptoms?

Blocked eustachian tubes can cause several symptoms. For example, your ears may hurt or feel full. You may have ringing or popping noises in your ears. Or you may have hearing problems or feel a little dizzy.

How are they diagnosed?

Your doctor will ask about your symptoms. Your doctor will look in your ears. The doctor also may check how well you hear.

How are blocked eustachian tubes treated?

Blocked eustachian tubes often get better on their own. For adults, decongestants that you take by mouth or spray into your nose may be helpful. If you have allergies, the doctor may prescribe a steroid medicine that you spray into your nose. Follow the instructions carefully.

If you have an ear infection, the doctor may prescribe antibiotics. Take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

In some cases, people need surgery for a blocked eustachian tube. The doctor makes a small cut in the eardrum to drain fluid and to make the pressure the same inside and outside the ear. Sometimes the doctor will put a small tube in the eardrum. The tube usually will fall out over time.

How can you prevent them?

If you have allergies, talk to your doctor about how to treat them so your sinuses stay clear and your eustachian tubes stay open. When you're in an airplane, you can chew gum, yawn, or drink liquids during takeoff and landing. Try the exercise where you gently blow while holding your nose shut.

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Credits

Current as of: September 27, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: September 27, 2023

Author: Healthwise Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Blocked Eustachian Tubes Information & Treatment (2024)

FAQs

Blocked Eustachian Tubes Information & Treatment? ›

If your ears are plugged, try swallowing, yawning or chewing sugar-free gum to open your eustachian tubes. If this doesn't work, take a deep breath and try to blow out of your nose gently while pinching your nostrils closed and keeping your mouth shut. If you hear a popping noise, you know you have succeeded.

How do you unblock severely blocked eustachian tubes? ›

If your ears are plugged, try swallowing, yawning or chewing sugar-free gum to open your eustachian tubes. If this doesn't work, take a deep breath and try to blow out of your nose gently while pinching your nostrils closed and keeping your mouth shut. If you hear a popping noise, you know you have succeeded.

What will an ENT do for blocked eustachian tube? ›

A catheter is used to insert a small balloon through the nose to open a blocked Eustachian tube. Inserting a small, balloon-like device in a blocked eustachian tube can bring relief to children and adults who suffer from chronic eustachian tube dysfunction.

What is the best medicine for blocked eustachian tubes? ›

Blocked eustachian tubes often get better on their own. For adults, decongestants that you take by mouth or spray into your nose may be helpful. If you have allergies, the doctor may prescribe a steroid medicine that you spray into your nose.

What happens if Eustachian tube dysfunction is left untreated? ›

Long-term ETD has been associated with damage to the middle ear and the eardrum. Complications include otitis media with effusion (glue ear), middle ear atelectasis (retraction of the eardrum), and chronic otitis media.

How do you encourage eustachian tube to drain? ›

Try a simple exercise to help open blocked tubes. Close your mouth, hold your nose, and gently blow as if you are blowing your nose. Yawning and chewing gum also may help. You may hear or feel a "pop" when the tubes open.

How do you massage fluid out of an eustachian tube? ›

Perform a eustachian tube massage by running your finger from the bony bump behind your ear down the groove between your earlobe and your jaw, all the way down to your collarbone. If your eustachian tubes are blocked, try the valsalva maneuver: hold your nose shut and close your mouth.

Can hydrogen peroxide unclog an eustachian tube? ›

An 85% rate of success in opening the clogged tube with hydrogen peroxide is documented. The ototoxicity of the treatment is also examined.

Can a doctor unclog a eustachian tube? ›

In some cases, people need surgery for a blocked eustachian tube. The doctor makes a small cut in the eardrum to drain fluid and to make the pressure the same inside and outside the ear. Sometimes the doctor will put a small tube in the eardrum.

Does Flonase help Eustachian tube dysfunction? ›

The treatment for ETD is aimed at opening up the eustachian tube in the back of the nose. The main treatment is using a steroid nasal spray to help shrink the tissue where the ear drains. Nasal steroid (Flonase, Nasonex, Nasacort) – 2 sprays into each nostril twice daily.

How I cured my Eustachian tube dysfunction at home? ›

What are some common eustachian tube dysfunction treatments?
  1. Chew gum.
  2. Yawn.
  3. Swallow.
  4. Try the Valsalva maneuver (breathing out forcefully while closing your mouth and pinching your nostrils).
  5. Use a saline spray to clear out nasal passages.
Mar 17, 2022

What products unblock a eustachian tube? ›

Eustachi unblocks plugged ears by helping exercise the eustachian tubes; all you have to do is swallow! It's quick, safe, and easy to use.

What drops clear the eustachian tube? ›

Saline clears mucus out of the nose and has a mild decongestant action. Because saline contains salt, it works to shrink the swollen lining of the nose and eustachian tube. Using saline spray is a good idea any time you feel congested or your ears feel stopped up. Saline irrigation is virtually free from side effects.

What can be mistaken for eustachian tube dysfunction? ›

Temporomandibular joint dysfunction - Patients can experience pain in the temporomandibular joint secondary to bruxism or clenching, resulting in otalgia (which can be mistaken for eustachian tube dysfunction)

What exercises unblock the eustachian tube? ›

How do you do the exercises?
  • Regular vigorous nose blowing and/or yawning/swallowing movements.
  • Combine nose blowing and swallowing –swallowing tends to open the Eustachian tube which then allows extra pressure to push air into the middle ear: pinch the nose and continue to blow the nose while swallowing.

What are the severe symptoms of eustachian tube dysfunction? ›

Symptoms of obstructive Eustachian tube dysfunction include:
  • Pressure and/or pain in the ears.
  • A sense of fullness in the ears.
  • Muffled hearing.

Does nasal spray help clear the eustachian tube? ›

The treatment for ETD is aimed at opening up the eustachian tube in the back of the nose. The main treatment is using a steroid nasal spray to help shrink the tissue where the ear drains. Nasal steroid (Flonase, Nasonex, Nasacort) – 2 sprays into each nostril twice daily.

Can a doctor see a blocked eustachian tube? ›

Diagnosing Obstructive Eustachian Tube Dysfunction

When this occurs, sometimes your doctor can see the ear drum (tympanic membrane) change shape due to this pressure and become concave. Negative pressure and structural changes in the ear can also be signs of obstructive Eustachian type dysfunction.

How do you unblock an eustachian tube balloon? ›

The device is guided through the nasal passageway until it reaches the eustachian tube opening in the back of the nose. Under direct visualization, the balloon is then inserted into the Eustachian tube and inflated to dilate the blocked tube — similar to the way a stent is used to open up a clogged artery.

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