Can ear fullness caused by Eustachian tube blockage heal on its own?

Eustachian tube obstruction with ear fullness can resolve spontaneously in some patients.

Eustachian tube obstruction may be caused by nasal conditions such as acute or chronic rhinitis, sinusitis, or allergic rhinitis. It is usually associated with bacterial infection, which may lead to excessive watery or purulent nasal secretions that block the nasal passages and subsequently obstruct the Eustachian tube, resulting in symptoms like ear fullness. In the early stages of Eustachian tube obstruction, when symptoms are mild, some patients may restore normal Eustachian tube function and relieve ear fullness through actions such as pinching the nose, closing the mouth, blowing gently (Valsalva maneuver), or chewing. However, if symptoms are severe—such as persistent ear fullness or hearing loss—treatment under medical supervision is generally required. This may include medications targeting nasal inflammation, such as nasal sprays (e.g., triamcinolone acetonide nasal spray, mometasone furoate nasal spray), or oral antibiotics prescribed by a doctor, such as amoxicillin capsules or cefixime capsules.

Patients are advised to consume more fresh vegetables and fruits and engage in moderate exercise to enhance their immune system and reduce the risk of bacterial infection. Additionally, during recovery, spicy and irritating foods should be avoided.