What should I do if I hear a sound in my eardrum when I hiccup?

Apr 22, 2025 Source: Cainiu Health
Disease description:

Recently, whenever I hiccup, my eardrum makes a noticeable sound along with it. Although it doesn't hurt, it feels strange and I'm worried something might be wrong. I'd like to know how to handle this situation.

Doctor's answer (1)
Dr. Lu Cheng

Experiencing a sound in the eardrum while hiccupping may be related to Eustachian tube dysfunction. The Eustachian tube is a passage connecting the nasopharynx and the middle ear cavity, responsible for regulating middle ear pressure and maintaining internal and external pressure balance. When hiccuping, if a sound is heard within the ear, it may be caused by improper or excessive opening of the Eustachian tube. This condition generally is nothing to be overly concerned about and usually resolves on its own.

In addition, if airflow entering the middle ear during hiccups fails to discharge in a timely manner, it may cause gas accumulation in the middle ear, leading to sensations of ear fullness or tinnitus. In such cases, performing a Valsalva maneuver (closing the nose and blowing gently) can help expel the accumulated air and alleviate symptoms.

When there is flaky earwax (cerumen) near the eardrum, hiccuping might stimulate the cerumen to move and strike the eardrum, causing a sound sensation. If this sound causes discomfort, cleaning the ear canal and removing the cerumen close to the eardrum may be considered.

If the ear sound persists during hiccuping or is accompanied by other symptoms, timely medical consultation is recommended for a doctor to make a diagnosis and provide treatment based on the specific situation.