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Nasal congestion, air coming out of the ears

Jun 05, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
Nasal congestion and air coming out of the ears may be caused by conditions such as sinusitis, upper respiratory tract infections, or tympanic membrane perforation. These can be improved through medication or surgical treatment. Sinusitis is usually an inflammation of the sinus mucosa caused by bacterial or viral infections, leading to symptoms such as nasal congestion, reduced sense of smell, and facial or head pain. In severe cases, the inflammation may affect the ears.

Nasal congestion and air coming from the ears may be caused by conditions such as sinusitis, upper respiratory tract infections, or eardrum perforation. These symptoms can be improved through medication or surgical treatment. Detailed analysis is as follows:

1. Sinusitis

Sinusitis is usually an inflammation of the nasal mucosa caused by bacterial or viral infections. It leads to symptoms such as nasal congestion, reduced sense of smell, and facial or headache pain. When the inflammation is severe, it may affect the ear; severe nasal congestion might stimulate the ear area, causing air leakage. Patients should follow medical advice and use medications such as budesonide nasal spray or fluticasone propionate nasal spray for treatment.

2. Upper Respiratory Tract Infection

Upper respiratory tract infection is a general term for acute inflammation in the nasal cavity, pharynx, or larynx, commonly caused by viral infections. Symptoms may include fever, nasal congestion, and headache. Bacteria or viruses can impair the function of the Eustachian tube, potentially leading to air escaping from the ear. Patients should follow medical guidance and take medications such as oseltamivir phosphate capsules or ibuprofen sustained-release capsules for symptom management.

3. Eardrum Perforation

When the external ear canal experiences pressure higher than that the eardrum can withstand—due to trauma or inflammatory irritation—it may result in eardrum perforation. Nasal congestion causing breathing difficulties might lead to air leaking through the perforated eardrum. Patients should follow medical advice and consider surgical treatments such as eardrum patching or tympanoplasty.

Besides the above causes, similar symptoms could also result from deviated nasal septum, allergic rhinitis, or hypertrophic rhinitis. Patients should receive appropriate, individualized treatment under medical supervision based on their specific condition.


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