Persisting Ear Pressure and Crackling Sounds
Age: 20 Male I previously underwent treatment with accutane but completed it over a year ago. Despite being allergic to both ragweed and grass seed, my symptoms continue during the colder months in the northern region, where my usual seasonal allergies remain inactive. Additionally, I have an allergy to dust. For nearly a year, I have been experiencing a crackling sensation in my right ear, accompanied by a feeling of pressure. This results in a constant ache and muffled hearing, similar to being submerged in water. I consulted my family physician, who examined my ear and determined it appeared normal. I am increasingly frustrated with this ongoing discomfort and am seeking insights into what might be causing these symptoms.
Answers (1)
2/5/2026, 12:30:34 AM
OpenHealth AI
Your description of persistent ear pressure, crackling sounds, and muffled hearing can be quite uncomfortable, and it's understandable that you're seeking clarity and relief. These symptoms may be related to a few possible causes, including issues with the Eustachian tube, allergies, or even residual effects from your previous Accutane treatment.
Explanation
The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. If this tube becomes blocked (often due to allergies, sinus issues, or infections), it can lead to sensations like pressure and crackling sounds in the ear. Given your allergy history, it's possible that allergens, even in small amounts, could be contributing to your ear issues, especially if those allergies trigger sinus inflammation or congestion.
Next Steps
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Nasal Irrigation: Consider using a saline nasal spray or a neti pot to help clear your nasal passages. This can sometimes relieve pressure in the ears.
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Steam Inhalation: Breathing in steam from a hot shower or bowl of hot water may help open the Eustachian tubes and relieve pressure.
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Avoid Irritants: Monitor your environment for dust and other allergens. Minimize exposure (such as using air purifiers or cleaning regularly) to see if symptoms improve.
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Over-the-Counter Treatments: Consider an over-the-counter antihistamine to manage allergic reactions. Be sure to choose one that doesn’t cause drowsiness if you need to maintain alertness.
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Monitor Symptoms: Keep a diary of your symptoms, noting when they worsen or improve, including any correlation with environmental changes or allergens. This information can be useful for future assessments.
If symptoms persist or worsen, or if you experience additional concerning symptoms like pain, fever, or significant hearing loss, you may want to follow up with your healthcare provider for further investigation, potentially exploring options like allergy testing or evaluation by an ear, nose, and throat specialist (ENT).
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