Blocked Eustachian Tube
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Fluid in the middle ear.
Good evening.
I rarely post on here, however I have a distressing problem that is slowly driving me insane, so any advice is greatly appreciated.
A few weeks ago, I had a fairly heavy cold, didn't think much of it, apart from my ears didn't seem to clear. 3 weeks later, after the cold has cleared, my ears are still blocked.
Last week, I visited the GP three times, and the out of hours doctor at my local hospital, two said it was just the cold that was causing it and that it would clear in a few days along with the cold (3 weeks after I actually had the cold), and the other two diagnosed this as middle ear fluid, which can take absolutely forever to heal. We're looking into the region of 4 - 8 weeks, apparantly. Since i've had the problem, I haven't felt ANY improvement whatsoever.
I work for an airline that flies many sectors in a usual working day, so I have to carry out several descents a day. This is where the problem really starts, as the pressure builds up, I keep doing the valsalva maneouver, but every so often I'm unable to clear the pressure, it keeps building up, causes me a severe amount of pain, and the A/C is now flying single pilot.
I've had a seven day antibiotic course, tried every decongestant in the book, nasal sprays, cold tablets, Vics etc, but nothing has improved.
I'm going to a specialist about this ASAP, but for any treatment to be carried out will take a long time.
My question now is, where do I go now? I'm not technically employed by my airline (have a guess which one), so being self employed they can quite easily cancel my contract with them. Is it worth trying to go to work again, knowing what happened the last time I tried with this illness could easily happen again? Has anyone else had a similar experience, and found a way to keep the ears clear during a descent?
Thanks for any help, I really will appreciate it.
I rarely post on here, however I have a distressing problem that is slowly driving me insane, so any advice is greatly appreciated.
A few weeks ago, I had a fairly heavy cold, didn't think much of it, apart from my ears didn't seem to clear. 3 weeks later, after the cold has cleared, my ears are still blocked.
Last week, I visited the GP three times, and the out of hours doctor at my local hospital, two said it was just the cold that was causing it and that it would clear in a few days along with the cold (3 weeks after I actually had the cold), and the other two diagnosed this as middle ear fluid, which can take absolutely forever to heal. We're looking into the region of 4 - 8 weeks, apparantly. Since i've had the problem, I haven't felt ANY improvement whatsoever.
I work for an airline that flies many sectors in a usual working day, so I have to carry out several descents a day. This is where the problem really starts, as the pressure builds up, I keep doing the valsalva maneouver, but every so often I'm unable to clear the pressure, it keeps building up, causes me a severe amount of pain, and the A/C is now flying single pilot.
I've had a seven day antibiotic course, tried every decongestant in the book, nasal sprays, cold tablets, Vics etc, but nothing has improved.
I'm going to a specialist about this ASAP, but for any treatment to be carried out will take a long time.
My question now is, where do I go now? I'm not technically employed by my airline (have a guess which one), so being self employed they can quite easily cancel my contract with them. Is it worth trying to go to work again, knowing what happened the last time I tried with this illness could easily happen again? Has anyone else had a similar experience, and found a way to keep the ears clear during a descent?
Thanks for any help, I really will appreciate it.
Psychophysiological entity
I've posted on the use of warm (sterile) saline water, and a lot of hanging upside down over the bath.
Search me, medical, up to a year ago. A key search word might be salt, but I've had quite a lot to say about that, so be patient.
It has saved my bacon on more than one occasion.
Just repeat the same method of clearing your ears as you would on the decent while being upside down and having a good reserve of the mix in your nasal cavity.
Do a lot of extreme sniffing, then run the procedure again.
Very messy, but very affective. Eventually you will hear the progress, but remember the sniffing, or holding your nose and sucking as hard as you can, is a vital part. There's a limit to just how much air you can pump into your head!
Search me, medical, up to a year ago. A key search word might be salt, but I've had quite a lot to say about that, so be patient.
It has saved my bacon on more than one occasion.
Just repeat the same method of clearing your ears as you would on the decent while being upside down and having a good reserve of the mix in your nasal cavity.
Do a lot of extreme sniffing, then run the procedure again.
Very messy, but very affective. Eventually you will hear the progress, but remember the sniffing, or holding your nose and sucking as hard as you can, is a vital part. There's a limit to just how much air you can pump into your head!
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Unfortunately, I don't know of any medical interventions which will get you better, quicker. Pseudoephadrine helps some, (consult with your AME etc,) but beware the "rebound" effect, which could delay your symptoms.
(You will eventually recover whatever you do.)
Rule out other causes, such as reflux oesophagitis.
(You will eventually recover whatever you do.)
Rule out other causes, such as reflux oesophagitis.
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another suggestion
Pseudoephedrine helps some, (consult with your AME etc)
Everyone knows of Sudafed (pseudoephedrine) which is openly on display in chemists, and even advertised on TV. ACTIFED has an extra ingedient (pseudoephedrine plus triprolidine), and works much better in colds, catarrh, snuffles, etc etc. It's not on open display, not advertised, and needs to be specifically asked for. Packets of 12 tablets. One tab x 3-4 times daily for most adults.
Still best to ask your AME advice though, 'cos in a very few people might just produce a little temporary drowsiness. Mind you, if you've got that bad a cold . . . . . should you be flying at all ?
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Make sure to read this thread: http://www.pprune.org/medical-health...hian-tube.html
Make sure to get a tympanogram ASAP. Considering this affects you in a professional context, I would be inclined to obtain a full battery of tests at a specialist audiological / ENT facility.
Oh yeah - as you'll see in the link, there are drugs known as 'mucolytics' which thin one's mucous - could be helpful in your case.
Make sure to get a tympanogram ASAP. Considering this affects you in a professional context, I would be inclined to obtain a full battery of tests at a specialist audiological / ENT facility.
Oh yeah - as you'll see in the link, there are drugs known as 'mucolytics' which thin one's mucous - could be helpful in your case.
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Hello guys,
just 3 weeks now from my septoplasty and turbinates surgery. After seeing many many ENT doctors one pilot from the Israel AF who runs a clinic in Vietnam told me to get the septoplasty done... so I went to Europe and got it done. He says it's physics... if you open the door, you ventilate the ETs then they open easily.
My ears are basically the same as before the surgery. The post-surgery was **** during 7 days... with totally blocked ears, blocked nose, etc. My doctor says it takes time for the ET to work properly. I took 3 flights in one day to return to my base to start working again... and I felt the pressure but every 10sec as WG774 said I discovered a way to pop my ears (moving my jaw in a certain way) and it works. The problem is to do it every 10 secs flying at 1000 km/h during a VORDME app in IMC... it's pretty challenging but... at least is a temporal relief.
Now I'm seeing a Chiropractic. He says there could be a relationship between my tight neck and back and blocked ears. After only one session I'm still the same, but confident,... no choice! I also wanna try a dentist for the TMJ thing and have a look at the trigeminal or so nerve.
I'm still convinced there's a muscular influence in this. Periods of tension and stress seem to trigger my ET problems. Also when I sleep (100% laydown position) my ears unblock. Funny...
I've been having same symptoms as you all... and I think for being pilots we are exposed to certain not normal environmental situations and agents that for some reason are not taken into account by the majority of ENT specialists. My conclusion is that our problem is yet to be diagnosed officially.
If it continues the same maybe I need to stop flying / working / earning money / living basically... so this is a great issue for me.
Any suggestions / comments?
just 3 weeks now from my septoplasty and turbinates surgery. After seeing many many ENT doctors one pilot from the Israel AF who runs a clinic in Vietnam told me to get the septoplasty done... so I went to Europe and got it done. He says it's physics... if you open the door, you ventilate the ETs then they open easily.
My ears are basically the same as before the surgery. The post-surgery was **** during 7 days... with totally blocked ears, blocked nose, etc. My doctor says it takes time for the ET to work properly. I took 3 flights in one day to return to my base to start working again... and I felt the pressure but every 10sec as WG774 said I discovered a way to pop my ears (moving my jaw in a certain way) and it works. The problem is to do it every 10 secs flying at 1000 km/h during a VORDME app in IMC... it's pretty challenging but... at least is a temporal relief.
Now I'm seeing a Chiropractic. He says there could be a relationship between my tight neck and back and blocked ears. After only one session I'm still the same, but confident,... no choice! I also wanna try a dentist for the TMJ thing and have a look at the trigeminal or so nerve.
I'm still convinced there's a muscular influence in this. Periods of tension and stress seem to trigger my ET problems. Also when I sleep (100% laydown position) my ears unblock. Funny...
I've been having same symptoms as you all... and I think for being pilots we are exposed to certain not normal environmental situations and agents that for some reason are not taken into account by the majority of ENT specialists. My conclusion is that our problem is yet to be diagnosed officially.
If it continues the same maybe I need to stop flying / working / earning money / living basically... so this is a great issue for me.
Any suggestions / comments?
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I'm still convinced there's a muscular influence in this. Periods of tension and stress seem to trigger my ET problems. Also when I sleep (100% laydown position) my ears unblock. Funny...
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Hello, i find it sorta surprising that you seem surprised that there is a correlation between laydown sleeping & unblocking your ears if you have eustachian tube disorder. I have been diagnosed with ETD for 4 years now. Possibly misdiagnosed from what i'm reading on this board... Like a lot of people posting i'm convinced it will never go away. I first got the symptoms right after a bad flu, which i've read on here by others is a way it sometimes starts. Before i even went to a doctor the way i found the most relief was when my ears got really blocked painful in my forehead got major headaches i took a decongestant & then lied down with my left ear ( which is the problem ear ) face down or on my back with my head tilted to the left). I always do so on a couch which has been my new bed for the past 4 years. With my head elevated & tilted to the left i can feel liquid flow down my ear/ET & down the back of my throat. I also can feel liquid drip down from the top of my head & if i put my head straight up can feel liquid flowing down my eyeball on the inside. Am i the only ETD person that feels the liquid running down right after taking a decongestant ? everytime i pop my ear i feel that cold slushy stuff flowing. I've always just assumed that people with ETD have a problem with there eustachian tube balancing out during the day with your head in various upright positions & that it only drains good from lying down with your head elevated & tilted where the eustachian tube is sorta forced into an open draining position. I always have noticed the more i sleep the less ETD problems i have the next day, and the less i sleep the more. So when i dont get much sleep i try to make time for 10 minute naps where i layback with my head elevated & tilted.
I read one person on here talk about impacted teeth & the jawbone grinding on them as a possible cause of ETD. I hope that is correct as i'm scheduled soon to have my 4 wisdom teeth removed. That would be great if that solved my eustachian tube problems.
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Hello, i find it sorta surprising that you seem surprised that there is a correlation between laydown sleeping & unblocking your ears if you have eustachian tube disorder. I have been diagnosed with ETD for 4 years now. Possibly misdiagnosed from what i'm reading on this board... Like a lot of people posting i'm convinced it will never go away. I first got the symptoms right after a bad flu, which i've read on here by others is a way it sometimes starts. Before i even went to a doctor the way i found the most relief was when my ears got really blocked painful in my forehead got major headaches i took a decongestant & then lied down with my left ear ( which is the problem ear ) face down or on my back with my head tilted to the left). I always do so on a couch which has been my new bed for the past 4 years. With my head elevated & tilted to the left i can feel liquid flow down my ear/ET & down the back of my throat. I also can feel liquid drip down from the top of my head & if i put my head straight up can feel liquid flowing down my eyeball on the inside. Am i the only ETD person that feels the liquid running down right after taking a decongestant ? everytime i pop my ear i feel that cold slushy stuff flowing. I've always just assumed that people with ETD have a problem with there eustachian tube balancing out during the day with your head in various upright positions & that it only drains good from lying down with your head elevated & tilted where the eustachian tube is sorta forced into an open draining position. I always have noticed the more i sleep the less ETD problems i have the next day, and the less i sleep the more. So when i dont get much sleep i try to make time for 10 minute naps where i layback with my head elevated & tilted.
I read one person on here talk about impacted teeth & the jawbone grinding on them as a possible cause of ETD. I hope that is correct as i'm scheduled soon to have my 4 wisdom teeth removed. That would be great if that solved my eustachian tube problems.
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Nursie
Hi, sounds like you have tried the usual things, what I find really good are those menthol strips, put one on your tongue and it blows your head off, clearing your sinuses at the same time, You will find going up may be a problem but coming down is going to be the worst, Vicks Sinex sniffer is as good as any but you can't beat those strong menthol and eucalyptos strips - cant think who makes them though. Drinking lots and keeping the swallowing going, warm oil ear drops paracetamol, decongestant tablets 1/2 hour before landing, tried them all personally, they do work most of the time. If there is fluid in the ear then you will have less problem- it is the gas expansion you need to worry about, also if anyone has a burst ear drum then there is no where for pressure to build so no more pain, no problem.
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I think your being a foolish flying. If you shaft you ears its career over. And I do know of one pilot who 15 hours into his first job post fatpl did just that and never flew again.
Be carefull.
Be carefull.
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Look at the threads that WG (and I) have contributed to....
It is a tough one right enough....the good news for you (IMHO) is that there probably isn't anything structural wrong with your tubes...you've just had the misfortune to get some liquid stuck up there that won't clear.
I reckon (non medical opinion but somebody who has suffered as you are suffering) you should try getting some steam up your nose......get your head over a bowl of hot water with eucalyptus oil and steam a couple of times a day. Saline wash is a good idea too....take a look at the NEILMED site...they sell bottles that you can use to blast some saline solution up there to wash past the opening of the ET and clean out any crap there. I looked at Loose Rivets' posts and I have spent a lot of time trying to do what he suggests but so far have only managed to spray salty water over the bathroom and myself! It is good advice though if you can make it work!
Try to keep hydrated too....it helps thin the mucous and may help it drain.
Excercise may help too I reckon...if you do it hard it can open up your passageways and get some air around there...
I sympathise....if you need anything PM me...
It is a tough one right enough....the good news for you (IMHO) is that there probably isn't anything structural wrong with your tubes...you've just had the misfortune to get some liquid stuck up there that won't clear.
I reckon (non medical opinion but somebody who has suffered as you are suffering) you should try getting some steam up your nose......get your head over a bowl of hot water with eucalyptus oil and steam a couple of times a day. Saline wash is a good idea too....take a look at the NEILMED site...they sell bottles that you can use to blast some saline solution up there to wash past the opening of the ET and clean out any crap there. I looked at Loose Rivets' posts and I have spent a lot of time trying to do what he suggests but so far have only managed to spray salty water over the bathroom and myself! It is good advice though if you can make it work!
Try to keep hydrated too....it helps thin the mucous and may help it drain.
Excercise may help too I reckon...if you do it hard it can open up your passageways and get some air around there...
I sympathise....if you need anything PM me...
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Pop your ears every occasion you can think of, while on the ground, sitting watching TV, I got this advice when i had fluid in my middle ear after a bad head cold, it took about 2 weeks to fully clear and now my ear is fine, its was a horrible feeling though, be careful flying as the pressure could rupture your drum...
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I had another diagnosis recently...(another ENT surgeon) the guy said that I had some large areas of swollen flesh around the entrance to my ETs on both sides. The right ear has always been worse and he said that the right hand side was the biggest. It seems that this swells up and blocks the end of the tube.
He said it was to do with long term allergies and sinus issues.....the fluid that drains out of my sinuses and down the back of my throat is quite sticky and doesn't drain very fast. As such, it gets infected with bacteria and when it eventually does drain out, the persistent mild infection causes the whole area to swell up.
I have been trying saline washes for ages but he recommended something I hadn't seen before....basically just a plastic bottle you can fill with solution and get up your hooter. It seems to get a greater volume of water up there and because it is under a bit of pressure, it might be more effective than just using one of these neti pots.
Neilmed sinus rinse kit.
Maybe getting the infection out will reduce the swelling?
He suggested operating to reduce the size of these swollen areas....I am planning to try aggressive saline washing first to see if that works!!
He said it was to do with long term allergies and sinus issues.....the fluid that drains out of my sinuses and down the back of my throat is quite sticky and doesn't drain very fast. As such, it gets infected with bacteria and when it eventually does drain out, the persistent mild infection causes the whole area to swell up.
I have been trying saline washes for ages but he recommended something I hadn't seen before....basically just a plastic bottle you can fill with solution and get up your hooter. It seems to get a greater volume of water up there and because it is under a bit of pressure, it might be more effective than just using one of these neti pots.
Neilmed sinus rinse kit.
Maybe getting the infection out will reduce the swelling?
He suggested operating to reduce the size of these swollen areas....I am planning to try aggressive saline washing first to see if that works!!
Last edited by Bad medicine; 17th Dec 2008 at 19:33. Reason: removed commercial link
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Hi all
It sux big time that we're all having to deal with this nightmare...My sympathies... I had a bad cold back in Jan and gradually i had a water moving type sensation in my ear if i bent down etc, that would come and go...Now my hearing is going and my ear feels full and pressurised and won't pop like most of you..And it is driving me crazy!! ahhh..A lot of the threads have been quite interesting..I don't remember who brought it up first, but , the theory of wisdom teeth affecting the tube seems like a possibility to me...I googled "Can wisdom teeth affect ET's?" and all i got was another thread discussion and a lot of the people on it said that after getting their wisdom teeth out they no longer suffered the ear problem..I have my top wisdom teeth and have noticed they have started to moving down and sideways in the last few years (i'm 38)
I was wondering does everyone here still have their top wisdom teeth??
Worth asking i guess....
Good luck to you all being able to fix this crap
It sux big time that we're all having to deal with this nightmare...My sympathies... I had a bad cold back in Jan and gradually i had a water moving type sensation in my ear if i bent down etc, that would come and go...Now my hearing is going and my ear feels full and pressurised and won't pop like most of you..And it is driving me crazy!! ahhh
..A lot of the threads have been quite interesting..I don't remember who brought it up first, but , the theory of wisdom teeth affecting the tube seems like a possibility to me...I googled "Can wisdom teeth affect ET's?" and all i got was another thread discussion and a lot of the people on it said that after getting their wisdom teeth out they no longer suffered the ear problem..I have my top wisdom teeth and have noticed they have started to moving down and sideways in the last few years (i'm 38) I was wondering does everyone here still have their top wisdom teeth??
Worth asking i guess....
Good luck to you all being able to fix this crap
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I've had all my wisdom teeth removed and all my sinus problems (along with eustacion tube symptoms) have happened and continued years later, so no connection in my case.
When my sinuses are bad I can feel aching in the teeth roots of my upper jaw though.
In the last couple of weeks I've been worse than usual which I hope is down to spring and pollen counts, and as such will settle down again soon.
When my sinuses are bad I can feel aching in the teeth roots of my upper jaw though.
In the last couple of weeks I've been worse than usual which I hope is down to spring and pollen counts, and as such will settle down again soon.
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This problem nearly cost me my career, in the eighties, not only did I have a blockage, but bled from one ear when reaching a certain altitude, (which was very offputting to my First Officer to say the least) after many visits to ENT and brain specialists with no result, it was a humble surburban dentist who found my problem, a piece of mercury from a back tooth (filling) had broken loose and had somehow found its way into the tube between the ears and under the eyes and when the aircraft reached a certain altitude the tube became swollen, and the mercury rolled around causing friction within the tube, hence the bleeding, needless to say the specialists were amazed, and I think I made it into the "crash comics" (the mag put out by the Civil Aviation Auth) as a one off case, so check your fillings, if one is missing, or half missing you could be in the same boat I was. Good Luck.
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Those damned ears!!
Hi everyone
5 years ago I was really struggling with my ears at work and was having to have time off on a regular basis.
I saw my GP and told them I wanted to see an ENT specialist. I opted to have the consultation done privately (approx.£100 )....THE NEXT DAY...I saw said ENT consultant and we discussed my options.
I had the choice of having my nose broken to straighten it and having the entry to my sinuses widened or grommits and some steroid based drops. He advised me that the grommits were probably the best option for me and I had tham done on the NHS 3 weeks later.
I was also told to stop smoking, Lose weight and cut down on dairy....touch wood I have had literally 2 instances of blocked sinuses since then.
The last time I had them I was going on holiday to barbados. I went snorkelling to some depth and a couple of hours later had water literally pouring from my nose. The bajuns that saw it said that my sinuses had been flushed out with salt water.....since then no problems!!!
I must say knocking the fags on the head was the best thing I did....but the grommits really worked for me.
Be careful what you shove up your nose as some products actually make the problem worse. They decongest but then the problem reappears in a thicker and more problematic form!! Go and see an ENT consultant and they will prescribe you the good stuff!!
Good luck!!
5 years ago I was really struggling with my ears at work and was having to have time off on a regular basis.
I saw my GP and told them I wanted to see an ENT specialist. I opted to have the consultation done privately (approx.£100 )....THE NEXT DAY...I saw said ENT consultant and we discussed my options.
I had the choice of having my nose broken to straighten it and having the entry to my sinuses widened or grommits and some steroid based drops. He advised me that the grommits were probably the best option for me and I had tham done on the NHS 3 weeks later.
I was also told to stop smoking, Lose weight and cut down on dairy....touch wood I have had literally 2 instances of blocked sinuses since then.
The last time I had them I was going on holiday to barbados. I went snorkelling to some depth and a couple of hours later had water literally pouring from my nose. The bajuns that saw it said that my sinuses had been flushed out with salt water.....since then no problems!!!
I must say knocking the fags on the head was the best thing I did....but the grommits really worked for me.
Be careful what you shove up your nose as some products actually make the problem worse. They decongest but then the problem reappears in a thicker and more problematic form!! Go and see an ENT consultant and they will prescribe you the good stuff!!
Good luck!!
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Try this for two weeks with no excursions or it won't work.
No dairy
No simple carbs
No processed foods of any kind
No bread
Strictly no deep fried foods
Yes pack your lunch every day.
No beer or wine
Limited spirits with mineral water or diet mixers are OK if you must drink.
Cut out sugar
No marinades.
In other words eat steak, salad, veggies, fish, eggs, chicken and any meat without sauces that are not freshly prepared.
Its a cave man diet, if it wasn't commonly eaten 150 years ago don't eat it. Do this for two weeks to allow time for your body to get rid of toxins and allergens. If you feel relief as I did you have either an allergy, a food disorder or you could be insulin resistant which creates inflamation in the sinuses and eustations. Give it a go it worked for me. Oh yes and go to the gym or do some sort of resistance exercise if you can.
After two years I now control any problems by controlling how much processed food I eat. The less the better. This two weeks will be bad but if you want to get better you have to give it a go!
SN
No dairy
No simple carbs
No processed foods of any kind
No bread
Strictly no deep fried foods
Yes pack your lunch every day.
No beer or wine
Limited spirits with mineral water or diet mixers are OK if you must drink.
Cut out sugar
No marinades.
In other words eat steak, salad, veggies, fish, eggs, chicken and any meat without sauces that are not freshly prepared.
Its a cave man diet, if it wasn't commonly eaten 150 years ago don't eat it. Do this for two weeks to allow time for your body to get rid of toxins and allergens. If you feel relief as I did you have either an allergy, a food disorder or you could be insulin resistant which creates inflamation in the sinuses and eustations. Give it a go it worked for me. Oh yes and go to the gym or do some sort of resistance exercise if you can.
After two years I now control any problems by controlling how much processed food I eat. The less the better. This two weeks will be bad but if you want to get better you have to give it a go!
SN
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Hello, I've been experiencing this problem for about two weeks, research came up with this:
Eustachian tube blockage may be the sign of a more serious problem such as nasal polyps.
Eustachian tube blockage may be the sign of a more serious problem such as nasal polyps.
Family history of Tinitus.
10,000+ hours on 757/767. Diet high in milk, salt and bread. I guess I'm doing all the wrong things!
After noticing a decline in my hearing over the last few years I decided to buy one of those Bose X headset since I found that I was missing lots of radio calls. It seems to have made my ears a bit more sweaty and I had to come off flying this week after I couldn't clear my right ear. Lots of pain and distraction during the descent. I've also noticed occasional rapid "nose dives" whilst sat down either in the flightdeck or at the table in the dining room. Very unpleasant! Probably associated with the ear problems.
Doc said that the drum wasn't perforated but was full of fluid. Beconase and Otrivine plus a week off. I'm going to try the diet change and I'll report back.
10,000+ hours on 757/767. Diet high in milk, salt and bread. I guess I'm doing all the wrong things!
After noticing a decline in my hearing over the last few years I decided to buy one of those Bose X headset since I found that I was missing lots of radio calls. It seems to have made my ears a bit more sweaty and I had to come off flying this week after I couldn't clear my right ear. Lots of pain and distraction during the descent. I've also noticed occasional rapid "nose dives" whilst sat down either in the flightdeck or at the table in the dining room. Very unpleasant! Probably associated with the ear problems.
Doc said that the drum wasn't perforated but was full of fluid. Beconase and Otrivine plus a week off. I'm going to try the diet change and I'll report back.