Definition
Ear barotrauma is a condition of discomfort in the ear caused by pressure differences between the inside and the outside of the eardrum.
Symptoms
If severe or prolonged: - Hearing loss, moderate to severe
- Feeling of pressure in the ears (as if underwater)
- Nosebleed
- Ear pain
Causes
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Definition
Ear barotrauma is a condition of discomfort in the ear caused by pressure differences between the inside and the outside of the eardrum.
Symptoms
If severe or prolonged: - Hearing loss, moderate to severe
- Feeling of pressure in the ears (as if underwater)
- Nosebleed
- Ear pain
Causes
The air pressure in the middle ear is usually the same as the air pressure outside of the body. The eustachian tube is a connection between the middle ear and the back of the nose and upper throat. Swallowing or yawning opens the eustachian tube and allows air to flow into or out of the middle ear, equalizing the air pressure on both sides of the eardrum. If the eustachian tube is blocked, the air pressure in the middle ear is different than the pressure on the outside of the eardrum, causing barotrauma.
Many people experience barotrauma at some time. Barotrauma commonly occurs with altitude changes, such as with flying, scuba diving, or driving in the mountains. If you have a congested nose from allergies, colds, or upper respiratory infection, barotrauma is more likely. Blockage of the eustachian tube could also be congenital (present before birth), or may ...
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Treatment
To relieve ear pain or discomfort, first attempt to open the eustachian tube and relieve the pressure. Suck on candy, chew gum, or yawn. Or inhale, and then gently exhale while holding the nostrils closed and the mouth shut.
When flying, do not sleep during the descent. Frequently open the eustachian tube by these measures. Allow infants and children to nurse or sip a drink during descent.
Divers should descend and ascend slowly. Diving while you are suffering with allergies or a respiratory infection is dangerous, because barotrauma may be severe.
If self-care attempts are unsuccessful at relieving discomfort within a few hours, or if barotrauma is severe, medical intervention may be necessary.
Medications recommended may include decongestants taken by mouth or by a nose spray, antihistamines, or steroids. These ...
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Other Names
Barotitis media; Barotrauma; Ear popping; Pressure-related ear pain; Eustachian tube dysfunction
Outlook (Prognosis)
Barotrauma is usually benign and responsive to self-care. Hearing loss is almost always temporary.
Prevention
Nasal decongestants or antihistamines may be used before altitude changes. Try to avoid altitude changes during upper respiratory infections or attacks of allergies.
Exams and Tests
During an inspection of the ear, the doctor may see a slight outward bulge or inward retraction of the eardrum. If the condition is severe, there may be blood behind the eardrum. Severe barotrauma may be difficult to distinguish from ear infection .
