Brief Answer:
Possibly yes, but there can be other causes too

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. A pulsating or ringing sensation in the ear does indicate any of the following:

+An infection of the ear: Infections like otitis media, etc. I would thus like to list other common symptoms of a ear infection like ear pain (especially in supine position), difficulty sleeping, loss of balance, headache, increased irritability, difficulty hearing, increased body temperature (fever), possibly even drainage from the ear, etc.

+Hypertension (raise blood pressure): The increase in blood pressure causes the blood vessels to pulsate resulting in a ringing or pulsating feeling in the ears

+Other chronic conditions like diabetes, etc; which can affect the general health of blood vessels resulting in the pulsatile feeling you are experiencing

I would thus recommend a visit to an ENT (ear, nose, throat) specialist who will examine your ear canal and also rule out/confirm other possible causes for such a presentation ma'am.

I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help.

Best wishes.

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