After waking up, my ears feel muffled, as if there's a layer of film over them.

After waking up, if hearing is muffled as if there's a membrane covering the ear, treatment should be based on the underlying cause, such as cerumen impaction, internal heat ("shang huo"), or acute secretory otitis media.

1. Cerumen Impaction

If earwax accumulates excessively in the ear canal due to long-term lack of ear cleaning, this is usually a normal physiological condition that can be improved by proper ear hygiene.

2. Internal Heat ("Shang Huo")

Consuming spicy, stimulating, or greasy foods over a prolonged period may lead to internal heat, which can cause neural hearing disturbances such as tinnitus. Adjusting the diet to include lighter, heat-clearing foods is recommended. Additionally, follow medical advice to use vitamin B and oryzanol together for treatment.

3. Acute Secretory Otitis Media

During a cold, viral or bacterial infections may lead to acute secretory otitis media, potentially causing symptoms due to inflammatory irritation. Follow a doctor’s instructions to take cefixime tablets and dexamethasone tablets for anti-inflammatory treatment.

In addition, conditions such as sudden sensorineural hearing loss may also cause similar symptoms. It is advisable to seek prompt medical attention and, under a doctor’s guidance, use medications like prednisone acetate tablets or dexamethasone tablets to alleviate symptoms.