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What causes ear blockage upon waking up from sleep, and what should I do about it?

Jun 05, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
Waking up with hearing loss in the ear may be caused by conditions such as cerumen impaction, spontaneous tympanic membrane perforation, otitis media, sensorineural hearing loss, or Ménière's disease, which require targeted treatment. If there is a large amount of foreign material in the ear, it may lead to cerumen impaction, blocking the ear canal and easily causing the symptom of hearing loss upon waking.

Waking up with a sensation of ear blockage or impaired hearing may be caused by cerumen impaction, spontaneous tympanic membrane perforation, otitis media, sensorineural hearing loss, or Ménière's disease. Targeted treatments are required, and the specific causes are analyzed as follows:

1. Cerumen Impaction

If there is excessive buildup of foreign material in the ear, it may lead to cerumen impaction, blocking the ear canal and easily causing the sensation of ear blockage upon waking. It is recommended to visit a reputable hospital and have the cerumen removed by professional ear cleaning.

2. Spontaneous Tympanic Membrane Perforation

Spontaneous tympanic membrane perforation refers to the formation of a hole in the eardrum without external injury. In such cases, pressure cannot equalize across the eardrum, potentially causing a feeling of blockage. It is advised to keep the ear canal dry and prevent infection. Typically, healing occurs spontaneously within 2–3 months.

3. Otitis Media

Otitis media is caused by pathogen infection of the middle ear, leading to fluid accumulation, inflammation, and obstruction, resulting in a sensation of ear fullness or blockage. Under medical guidance, medications such as amoxicillin capsules or roxithromycin tablets may be used to relieve symptoms.

4. Sensorineural Hearing Loss

Sensorineural hearing loss may result from genetic factors—such as inherited deafness genes from parents. Genetic hearing loss can cause abnormalities in inner ear nerves and insufficient blood supply, leading to this condition. Treatment options include cochlear implantation at a qualified medical facility.

5. Ménière's Disease

Ménière's disease may be caused by immune system disorders or the misuse of immunosuppressive drugs, leading to dysfunction in immune regulation. During an episode, the nervous system becomes disrupted, resulting in the aforementioned symptoms. In such cases, patients should seek medical care and may require surgical treatment.

If symptoms persist or worsen, prompt medical attention is necessary.

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