Constant Ear Pressure: Seeking Relief
I am a 30-year-old female with a medical history that includes obesity, allergies, and a perforated left eardrum from childhood ear tube treatments due to frequent infections. My current medications consist of Singulair 10 mg, Claritin 10 mg, Flonase nasal spray, oral contraceptives, a multivitamin, and phentermine at a dose of 37.5 mg (I have only one week remaining on this medication). Lately, I’ve been using saline nasal spray once or twice daily to help with dryness in my nose. For the past couple of months, I have relocated from a humid, warm climate to a cooler, drier one, and I am experiencing persistent nasal congestion and a runny nose. Although I am unable to perform the typical nose-holding maneuver to equalize pressure in my left ear (due to the perforation), I can do this with my right ear. Recently, however, I've noticed that I can create some sort of pressure movement in my left ear through swallowing, deep breaths, or by adjusting my tongue in my mouth without actually swallowing, along with breathing in and out through my nose. This sensation sometimes occurs even when I’m jogging. While I don’t experience pain, there is an occasional feeling of fullness which is extremely frustrating. I’m eager for suggestions on how to alleviate this issue as I await an appointment with my primary care physician. I also avoid the use of Q-tips and ensure that water does not enter my left ear.
Answers (1)
2/13/2026, 7:10:38 PM
OpenHealth AI
It sounds like you're dealing with persistent ear pressure and congestion, likely influenced by your recent move to a drier climate and your medical history. I understand how frustrating this can be, especially since you're eager for relief as you await your appointment.
Explanation
The feeling of ear pressure, particularly with your history of a perforated eardrum, can stem from several causes:
- Eustachian Tube Dysfunction: The tube that connects your middle ear to the back of your throat may not be functioning well, leading to pressure changes and congestion.
- Allergic Reactions: Your allergies can cause inflammation and swelling in your nasal passages, contributing to ear pressure.
- Dry Climate Impact: Transitioning to a drier environment can exacerbate nasal congestion and dryness, leading to feelings of pressure in the ears.
Next Steps
Here are prioritized, actionable steps to help alleviate your symptoms:
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Continue Saline Nasal Spray: Keep using the saline nasal spray, as it can help moisten and clear your nasal passages, which may relieve some ear pressure.
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Stay Hydrated: Drink plenty of fluids to help thin mucus and keep your nasal passages moist, especially in a dry climate.
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Steam Inhalation: Consider inhaling steam from a warm shower or a bowl of hot water to ease nasal congestion and promote Eustachian tube function.
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Practice Swallowing and Yawning: Since you’ve noted some success with pressure movement through swallowing, continue to do this periodically, along with gentle yawning.
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Avoid Allergens: As your allergies play a role in your symptoms, try to minimize exposure to allergens whenever possible (such as dust, smoke, and pollen).
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Monitor Symptoms: Keep a diary of your symptoms to discuss with your primary care physician at your appointment. Note when pressure occurs, any associated activities, and what provides temporary relief.
If your symptoms worsen (such as severe pain, discharge from the ear, or significant hearing loss), consider seeking medical attention sooner. Remember that taking these steps can help make your wait for an appointment more manageable. Let me know if you need further information or support!
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