Pulsating Sound in One Ear After Eustachian Tube Issues
At 24 years old, I experienced a blockage in my Eustachian tube caused by a cold. My physician prescribed several medications, including an antibiotic, nasal spray, and a combination of Bilastine and Montelukast. Additionally, he recommended exercises like the Valsalva maneuver and steam inhalation. After a month of medication, I noticed that while the blockage had cleared, an irritating whooshing sound associated with my heartbeat persisted in one ear. This rhythmic sound, which I believe to be pulsatile tinnitus, becomes louder when I swallow and briefly pauses during the Valsalva maneuver. It tends to intensify, especially at night, and remains in sync with my pulse. Interestingly, the whooshing ceases when I lie down flat or when I apply pressure to my throat with my hand. My hearing remains unaffected, and I underwent a Pure Tone Audiometry (PTA) and Tympanometry test for reassurance. My doctor assures me that this condition will resolve over time, but I have yet to see any improvement.
Answers (1)
2/15/2026, 9:00:47 PM
OpenHealth AI
It sounds like you’re experiencing pulsatile tinnitus, which is often linked to Eustachian tube dysfunction and can be particularly annoying. Given your recent history with Eustachian tube issues, the sound you're noticing is likely related to changes in your ear's environment post-infection or inflammation, even though the blockage has resolved.
Explanation
Pulsatile tinnitus is a sound you hear that matches your heartbeat. It can occur for various reasons, such as increased blood flow near your ear, changes in the ear's structure from earlier blockages, or even residual inflammation. Since you mentioned that the sound intensifies when you swallow and can be momentarily relieved during the Valsalva maneuver, it suggests that it may be linked to changes in pressure or fluid movement in your ear.
Next Steps
Here are some prioritized actions you can take to help manage your symptoms:
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Apply Pressure Techniques: Continue using the Valsalva maneuver or gently apply pressure to your throat to see if it provides temporary relief. Practice this when the sound becomes bothersome.
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Stay Hydrated: Good hydration can support your Eustachian tube function. Aim to drink plenty of fluids throughout the day.
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Monitor Your Symptoms: Keep a record of when the sound is most intense, which may help identify triggers (like certain positions or activities). Note any changes in sound volume or quality.
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Limit Caffeine and Alcohol: Both substances can affect your ear's function and can exacerbate tinnitus. Consider reducing or eliminating these from your diet for a trial period.
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Use White Noise: Background noise, like a fan or a white noise machine, can help mask the sound of tinnitus, making it less noticeable, especially at night.
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Be Patient: As your doctor mentioned, time is often the best healer for this condition. While it’s understandable to want immediate improvement, give it a few more weeks to see if symptoms naturally subside.
If the pulsatile tinnitus does not improve or worsens significantly, consider scheduling a follow-up with your doctor. They might explore further evaluations if needed. Remember, you’re not alone, and many people experience similar issues, often improving with time.
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