Eustachian Tube Problems: Care Instructions (2024)

Eustachian Tube Problems: Care Instructions (1)

Overview

The eustachian (say "you-STAY-shee-un") tubes connect the middle ear on each side to the back of the throat. They keep air pressure stable in the ears. If your eustachian tubes become blocked, the air pressure in your ears changes. A quick change in air pressure can cause eustachian tubes to close up. This might happen when an airplane changes altitude or when a scuba diver goes up or down underwater. And a cold can make the tubes swell and block the fluid in the middle ear from draining out. That can cause pain.

Eustachian tube problems often clear up on their own or after treating the cause of the blockage. If your tubes continue to be blocked, you may need surgery.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • 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.
  • To ease ear pain, apply a warm face cloth or a heating pad set on low. There may be some drainage from the ear when the heat melts earwax. Put a cloth between the heat source and your skin.
  • If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
  • Be safe with medicines. Depending on the cause of the problem, your doctor may recommend over-the-counter medicine. For example, adults may try decongestants for cold symptoms or nasal spray steroids for allergies. Follow the instructions carefully.
  • Be careful with cough and cold medicines. Don't give them to children younger than 6, because they don't work for children that age and can even be harmful. For children 6 and older, always follow all the instructions carefully. Make sure you know how much medicine to give and how long to use it. And use the dosing device if one is included.

When should you call for help?

Eustachian Tube Problems: Care Instructions (2)

Call your doctor or nurse advice line now or seek immediate medical care if:

  • You develop sudden, complete hearing loss.
  • You have severe pain or feel dizzy.
  • You have new or increasing pus or blood draining from your ear.
  • You have redness, swelling, or pain around or behind the ear.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

  • You do not get better after 2 weeks.
  • You have any new symptoms, such as itching or a feeling of fullness in the ear.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter Y822 in the search box to learn more about "Eustachian Tube Problems: Care Instructions".

Current as of: February 28, 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.

Eustachian Tube Problems: Care Instructions (2024)

FAQs

What is the best way to fix Eustachian tube dysfunction? ›

A common course of treatment for Eustachian tube dysfunction is the use of decongestants or antihistamines. In some cases, this treatment may make the condition worse. If decongestants or antihistamines do not provide relief, contact your doctor. You may need to see an ear, nose and throat specialist for treatment.

How do you take care of an Eustachian tube? ›

Symptoms of Eustachian tube dysfunction usually go away without treatment. You can do exercises to open up the tubes. This includes swallowing, yawning, or chewing gum. You can help relieve the “full ear” feeling by taking a deep breath, pinching your nostrils closed, and “blowing” with your mouth shut.

How do you recover from Eustachian tube dysfunction? ›

What Is the Typical Eustachian Tube Dysfunction Recovery Time? Most people feel better in a few days to a week or two. If symptoms last longer, get worse, or seem to recur, you should see a doctor. The place is quiet and you don't feel pressured into obtaining a procedure.

How long does it take for Eustachian tube inflammation to heal? ›

Eustachian tube dysfunction usually resolves in a few days to two weeks without treatment. You can take certain actions to open up the tubes, such as swallowing, yawning, or chewing gum.

What is a natural remedy for eustachian tube problems? ›

Yawning and chewing gum also may help. You may hear or feel a "pop" when the tubes open. To ease ear pain, apply a warm face cloth or a heating pad set on low. There may be some drainage from the ear when the heat melts earwax.

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.

How to get fluid out of Eustachian tube? ›

To try and clear the blockage, you can:
  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

How do you reduce inflammation of the Eustachian tube? ›

Blocked eustachian tubes can be relieved by nasal sprays and antihistamine tablets, which reduce inflammation and congestion. Recurrent eustachian tube dysfunction requires the surgical placement of tubes in the eardrum, which allows pressure to equalize in the middle ear.

What supplements are good for Eustachian tube dysfunction? ›

Vitamin A, C and E, along with some minerals like zinc have been touted for their potential benefits in maintaining ear health,” Dr. Jones said.

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)

How can I force my eustachian tube to open? ›

Another way to do it is to get you to “pop” your ears on a more regular basis, about 20 times per day, often by closing your nostrils with your hand and blowing gently against that pressure. The pressure should help force the Eustachian tube to open a bit, draining pressure and any fluid that's in that space.

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.

What is the best medicine for Eustachian tube dysfunction? ›

The Best Decongestants for Eustachian Tube Dysfunction
  1. Saline Nasal Spray. Irrigating your nose and sinuses with saline spray is a great first line of defense against eustachian tube dysfunction. ...
  2. Topical Steroid Sprays. ...
  3. Topical Decongestant Sprays. ...
  4. Oral Decongestants. ...
  5. Antihistamines.

What is the best antihistamine for fluid in the ears? ›

To additionally reduce the feeling of fullness in your ear, talk to your doctor or pharmacist about an antihistamine that includes a decongestant such as:
  • cetirizine plus pseudoephedrine (Zyrtec-D)
  • fexofenadine plus pseudoephedrine (Allegra-D)
  • loratadine plus pseudoephedrine (Claritin-D)
Oct 10, 2018

How to drain fluid from middle ear at home for adults? ›

Basic understanding of the ear structure and how fluid usually drains can be helpful. Effective home remedies for safe fluid drainage include jiggling the earlobe, using gravity, creating a vacuum, using a blow dryer, trying ear drops or sprays, trying more water, inhaling steam, and gargling with saltwater.

How do you permanently unblock an 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. The tube usually will fall out over time.

Does chronic Eustachian tube dysfunction ever go away? ›

How long does eustachian tube dysfunction last? Eustachian tube dysfunction usually goes away in one to two weeks. People with chronic eustachian tube dysfunction may have lingering symptoms for weeks, months or even years.

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 is the best decongestant for Eustachian tube dysfunction? ›

Treatment of Eustachian Tube Dysfunction

Usually first-line treatment for the is condition is use of decongestants like Afrin or Sudafed for up to 3 days only, antihsitamines, and valsalva maneuvers to pop your ears.

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