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Suggest Treatment For Eustachian Tube Dysfunction

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Posted on Thu, 24 Sep 2015
Question: I have a problem with eustation tube dysfunction. It has been going on for about 6 months. It is better when i get home from work. I leave by the ocean so the air is pretty clear, the problem happens when i drive into work, gets so bad it causes my hearing to decrease. I am an RN and must use the phone and listen to people speak. I have tried allergy pills , my PCP is referring me to an ENT, but i can't get in until three months from now. It actually feels as if I imagine someone with asthma has only it is in the lower part of my throat.
i do not smoke, drink or take nonprescription drugs. when I try to blow and pinch my nose this does nothing. when i pinch my nose and suck in they clear for a minute or two.

before this happened i had a chronic rhinorrea, caused by allergies. only when i got to the building i work in. I was chronically sniffing. that has stopped.
doctor
Answered by Dr. Abubakar Siddiqh (6 hours later)
Brief Answer:
Continue Valsalva.

Detailed Answer:
Hi,

I had gone through your question and understand your concerns that you are having ETD (Eustachian tube dysfunction), though it would have been much better if you had described your symptoms in detail.

However without careful examination and hearing test it would be difficult to suggest right treatment options. I am glad you have an ENT appointment coming soon. Until you see the doctor, I suggest the following measures to see if you get better.

1. Stop consuming chilled products (curd/ice creams/citrus containing fruits and juices).
2. Start decongestant xylometazoline (over the counter, brand name Otrivine) nasal drops 3 drops/ 3 time/1 week.
3. Do valsalva manovere exercises ( watch youtube ).
4. Chew chewing gum can be tried (chewing helps in functioning of Eustachian tube).

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Abubakar Siddiqh (19 hours later)
My hears are plugged most of the day. I do not drink cold drinks, no curd and no ice cresm. I do the ValSalva moves. The mucous is thick. Have tried musenex, I did order the drops you recommend. Clarify drops 3 x a week for how many weeks.
doctor
Answered by Dr. Abubakar Siddiqh (3 hours later)
Brief Answer:
Audiometry.

Detailed Answer:
Hello again,


Thanks for considering my answer and for your follow up.

1. In view of side effects, decongesents nasal drops should not be used more than a week.

2. In case of persistent symptoms, You need to undergo audiometry and re- evaluation with an ent surgeon for chronic sinusitis (allergic rhinitis) with Ct scan of para nasal sinuses and nasal endoscopy.

Kindly go ahead.

Take care.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
Dr.
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions

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Suggest Treatment For Eustachian Tube Dysfunction

Brief Answer: Continue Valsalva. Detailed Answer: Hi, I had gone through your question and understand your concerns that you are having ETD (Eustachian tube dysfunction), though it would have been much better if you had described your symptoms in detail. However without careful examination and hearing test it would be difficult to suggest right treatment options. I am glad you have an ENT appointment coming soon. Until you see the doctor, I suggest the following measures to see if you get better. 1. Stop consuming chilled products (curd/ice creams/citrus containing fruits and juices). 2. Start decongestant xylometazoline (over the counter, brand name Otrivine) nasal drops 3 drops/ 3 time/1 week. 3. Do valsalva manovere exercises ( watch youtube ). 4. Chew chewing gum can be tried (chewing helps in functioning of Eustachian tube). Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.