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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