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Dysfunction of the Eustachian tube (or eustachian tube disease) can occur due to swelling of the mucosa (internal lining) in the nasopharynx or in the Eustachian tube, which in turn may occur because of
1) infection or
Your symptoms can be due to a concomitant infection of the ear drum (middle ear infection or otitis media). Otitis media is defined by the presence of infected fluid in the middle ear cavity; it must be distinguished from otitis media with effusion, which is defined by the presence of uninfected fluid in the middle ear cavity. The key to distinguishing between both is the performance of pneumatic otoscopy using appropriate tools and an adequate light source by the ENT specialist. Usually the treatment is oral antibiotic with anti-histaminics (anti allergy medications). Thus you may discuss this possibility with your specialist.
This swelling of the middle ear internal lining can impede the Eustachian tube function. Following medications are used:
1) Decongestants; Sudafed (over the counter)
2) Antihistamines; Chlorpheniramine (Singlet) has best result and available without prescription
3) Steroids; prescription drugs
4) Analgesics; Motrin, Advil, Aleve
Valsalva maneuver (positive pressure against a closed nasal airway) usually equilibrates pressure in the middle ear to the outside and can be helpful if done 5-7 times in a day (which you are already doing).
All the above combination may be able to give you relief. The key may be a course of antibiotic.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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You are very welcome, Jeremy. I am sorry for the delay in answering. I was on another question. I apologize for your wait. Actually there is nothing serious or significant in your case and medications may take 3-4 days to show the effect. Since you have been seen by the two ENT specialists, I would not be anxious as any infection would have been detected. Continuing the same treatment should resolve the issue. If the symptoms do not get better in 3 days, you may seek a prescription of antibiotic. Please do not read internet, meanwhile, as most of the sites do not impart authentic information and unnecessary create anxiety.It is privilege assisting you.
Hello Jeremy,A patulous eustachian tube is another term for the inflammation and edema (which is a usual change in the tube due to allergy / infection). So nothing alarming here. In 3-4 days, you would start feeling improvement and usual recommendation is to continue the medications for 7-10 days, according to your rate of relief.
Hello Jeremy,I was offline, so could not see your question. Sorry for the delay.You may continue Valsalva maneuver and steam inhalation which may help in reducing the inflammation in eustachian tube. Chlorpheniramine (Singlet) or any other anti allergic medication (which helps in resolving the residual inflammation), may also be continued. I apologize again for your wait.