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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Reasons For Having Pain Above And Behind Left Ear While Sneezing, Coughing And Bending?

Im having pain above my left ear and behind left ear, but only if i sneeze, cough or bend over, then it is excruciating for a bit, no sign of anything showed in my ct scan. Really upsetting, i have had a mastoidectomy, 32 yrs ago, but no reasoning can the dr find why, would an mri be any more helpful
Thu, 9 Jan 2014
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ENT Specialist,  's  Response
Hi and thanks for the query,
The eustachian tube connects the ear to the nose.
The tube is supposed to maintain pressure in the middle ear.
When you sneeze or cough there are sudden and intense changes in pressure in the upper respiratory tract. If the tube is malfunctioning then the pressure in the middle ear is not maintained leading to pain.
When you bend over the venous pressure in your tube increases leading to congestion in the tube and closure of the tube. Once again the tube fails to maintain pressure in the ear leading to pain.
Do not worry at all.
Try using some decongesting nasal drops like otrivin.
Instill 3 drops of otrivin in each nostril and after ten minutes do steam inhalation 3 times a day for 5 days.
Such drops will decongest the tube thereby keeping it patent and functioning well.
For proper method of instillation read the crimp.
You can blow balloons to keep the tube patent.
Chewing gum also helps to keep the tube patent.
Regards,
Dr Kishori.
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What Are The Reasons For Having Pain Above And Behind Left Ear While Sneezing, Coughing And Bending?

Hi and thanks for the query, The eustachian tube connects the ear to the nose. The tube is supposed to maintain pressure in the middle ear. When you sneeze or cough there are sudden and intense changes in pressure in the upper respiratory tract. If the tube is malfunctioning then the pressure in the middle ear is not maintained leading to pain. When you bend over the venous pressure in your tube increases leading to congestion in the tube and closure of the tube. Once again the tube fails to maintain pressure in the ear leading to pain. Do not worry at all. Try using some decongesting nasal drops like otrivin. Instill 3 drops of otrivin in each nostril and after ten minutes do steam inhalation 3 times a day for 5 days. Such drops will decongest the tube thereby keeping it patent and functioning well. For proper method of instillation read the crimp. You can blow balloons to keep the tube patent. Chewing gum also helps to keep the tube patent. Regards, Dr Kishori.