Ear Barotrauma Overview
Learn About Ear Barotrauma
Ear barotrauma causes discomfort in the ear due to pressure differences between the inside and outside of the eardrum. It may include damage to the ear.
Barotitis media; Barotrauma; Ear popping - barotrauma; Pressure-related ear pain; Eustachian tube dysfunction - barotrauma; Barotitis; Ear squeeze
The air pressure in the middle ear is most often the same as the air pressure outside of the body. The eustachian tube is a connection between the middle ear and the back of the nose and upper throat.
Swallowing or yawning opens the eustachian tube and allows air to flow into or out of the middle ear. This helps equalize pressure on either side of the ear drum. If the eustachian tube is blocked, the air pressure in the middle ear is different than the pressure on the outside of the eardrum. This can cause barotrauma.
Many people have barotrauma at some time. The problem often occurs with altitude changes, such as flying, scuba diving, or driving in the mountains. If you have a congested nose from allergies, colds, or an upper respiratory infection, you are more likely to develop barotrauma.
Blockage of the eustachian tube could also be present before birth (congenital). It may also be caused by swelling in the throat.
Common symptoms include:
- Dizziness
- Ear discomfort or pain in one or both ears
- Hearing loss (slight)
- Sensation of fullness or stuffiness in the ears
Other symptoms may develop if the condition is very bad or goes on for a long time, such as:
- Ear pain
- Feeling of pressure in the ears (as if underwater)
- Moderate to severe hearing loss
- Nosebleed
To relieve ear pain or discomfort, you can take steps to open the eustachian tube and relieve the pressure, such as:
- Chew gum
- Inhale, and then gently exhale while holding the nostrils closed and the mouth shut
- Suck on candy
- Yawn
When flying, DO NOT sleep as the plane prepares to land. Repeat the listed steps to open the eustachian tube. For infants and small children, nursing or taking sips of a drink may help.
Scuba divers should go down and come up slowly. Diving while you have congestion from allergies or a respiratory infection is dangerous. Barotrauma may be severe in these situations.
If self-care steps do not ease discomfort within a few hours or the problem is severe, you may need to see a provider.
You may need medicine to relieve nasal congestion and allow the eustachian tube to open. These include:
- Decongestants taken by mouth, or by a nose spray
- Steroids taken by mouth, or by a nose spray
You may need antibiotics to prevent or treat an ear infection if barotrauma is severe.
Rarely, surgery may be needed if other treatments do not work to open the tube. In this procedure, a surgical cut is made in the eardrum to allow pressure to become equal and fluid to drain (myringotomy).
If you must change altitude often or you are prone to barotrauma, you may need to have surgery to place tubes in the ear drum. This is not an option for scuba diving.
University Of Miami
Michael Hoffer is an Otolaryngologist in Miami, Florida. Dr. Hoffer and is rated as a Distinguished provider by MediFind in the treatment of Ear Barotrauma. His top areas of expertise are Hearing Loss, Tinnitus, Ear Barotrauma, Mastoidectomy, and Adenoidectomy. Dr. Hoffer is currently accepting new patients.
Hospital Medicine Services Of Fl, LLC
Lisset Rodriguez is an Internal Medicine provider in Miami, Florida. Dr. Rodriguez has been practicing medicine for over 12 years and is rated as an Advanced provider by MediFind in the treatment of Ear Barotrauma. Her top areas of expertise are Necrosis, Cellulitis, Ear Barotrauma, Bone Marrow Aspiration, and Endoscopy. Dr. Rodriguez is currently accepting new patients.
University Of Miami
Ashish Shah is a Neurosurgery provider in Miami, Florida. Dr. Shah and is rated as an Experienced provider by MediFind in the treatment of Ear Barotrauma. His top areas of expertise are Brain Tumor, Glioma, Gliomatosis Cerebri, Percutaneous Coronary Intervention (PCI), and Osteotomy. Dr. Shah is currently accepting new patients.
Barotrauma is usually a benign, self-limited condition that responds to self-care. Hearing loss is almost always temporary.
Complications may include:
- Acute ear infection
- Hearing loss
- Ruptured or perforated eardrum
- Vertigo
Try home care measures first. Contact your provider if the discomfort does not ease after a few hours.
Contact your provider if you have barotrauma and new symptoms develop, especially:
- Drainage or bleeding from the ear
- Fever
- Severe ear pain
You can use nasal decongestants (spray or pill form) before altitude changes. Try to avoid altitude changes while you have an upper respiratory infection or active allergy symptoms.
Talk to your provider about using decongestants if you plan to scuba dive.
Summary: Chronic intestinal hypoxia and accompanying mucosal inflammation is a hallmark of ulcerative colitis (UC). Hyperbaric oxygen therapy (HBOT) involves breathing 100% oxygen under increased atmospheric pressure to increase tissue oxygenation. Two small prospective randomized controlled trials have demonstrated that the delivery of HBOT to UC patients hospitalized for acute moderate to severe flares r...
Summary: The high incidence of barotrauma in patients with COVID-19-related acute respiratory distress syndrome (ARDS) (16.1%, with a mortality rate \>60%) provides rationale for considering COVID-19 ARDS a paradigm for lung frailty. The investigators recently discovered that the Macklin effect is an impressive radiological predictor of barotrauma in COVID-19 ARDS. Since lung frailty is a major issue also ...
Published Date: May 02, 2024
Published By: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Peak DA. Scuba diving and dysbarism. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 131.
Van Hoesen KB, Lang MA. Diving medicine. In: Auerbach PS, Cushing TA, Harris NS, eds. Auerbach's Wilderness Medicine. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 71.