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Conditions and Diseases > Ear, Nose and Throat Disorders Forum > Partially patulous eustachian tube with tinnitus ?
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Q: Partially patulous eustachian tube with tinnitus ?
asked by: thelittlesthobo on August 18th, 2009
New User
I am looking for help. I have trawled the internet since the start of the year and gone to tewo ENTS but I am getting no where. I will try to keep my post as short and concise as possible, but want to include a lot of information - I really hope there is someone out there who can recognize my symptoms and offer me some hope and/or direction, as I just don’t know what to do anymore. I don’t overstate things generally, but I really feel like what I’m going through is going to be the death of me.

My problems started 7 months ago. After a once off rehearsal with a band (actually just me on guitar and a drummer) I had trouble hearing (the next day). Everything was muffled and not sharp. I became very worried and anxious as I didn’t understand what was happening. After about 16 or 17 days my ears ‘popped’, a day or two apart, as if I had been on a plane. I could hear again clearly in each ear.

However two days before they popped a roaring tinnitus began in my right ear and has never stopped. It began very suddenly, and faded in. It sounds very like the noise you get when you yawn, a roaring , windy, airy sound very low frequencies, or like the noise you hear on a plane of the air rushing past.

Over the months since the noise started, I developed soarness in my ear, and the right side of my face, as well as sinus like pain in my teeth and headaches. The pain has been getting worse and worse, and is now almost more annoying than the noise. It feels very tight in my right ear, I think the feeling is on my ear drum, like a clothes peg or something. It is there about half of the day, and becomes excruciating, and then sometimes the pain fades in to the background a little. Hot drinks and hot soup seem to help sometimes. But it comes back.

Additionally I frequently feel like something is rattling around in my ear. If I am on a bus, or in a car, I feel a vibration like something hitting off something else, near where I imagine my eustachian tube is.

Also my ear ‘pops’ all the time, not like if I have changed altitude. It is a rough crunching noise and feeling, and it is triggered by the slightest noise - such as someone speaking near me, putting a cup down, etc Just in my right ear.

Finally, three weeks ago the hearing in my right ear went crazy - the effects seem to be that of patulous eustachain tube. I could hear my own voice like an echo, and it seemed so very loud. When I spoke I could hear static and noise, and couldn’t hear outside things normally. It felt so straange. It passed after a few hours.

I have been to see two ENTs about it. The first, about two months after it started, said it was probably a virus, which had left me with this. There was nothing, he said he could do.

I went to a second, just last week, for a second opinion. He did a thorough exam, looked in my nose and ears. He said there was no sign of infection, and that the most likely explanation was damage to my cochlea. I asked him if this would cause the pain in my face and ear and he didn’t seem to think so. I asked him about the rattling feeling, which he said was probably always there, but that I was only noticing it now as I was concentrating on that area. I find this impossible to believe!

My theory is something along these lines; back at the very start when my hearing was muffled, my eustachian tubes were jammed shut due to shock(I hadn’t been around music or noise in quite a while before the rehearsal), but before they released, a part of the eustachian tube, at the ear end, opened up, or the muscle was damaged, and as a result it is not closing properly anymore. This is having creating problems with pressure in my ear which is causing the pain in my ear drum, and stopping me from hearing clearly.

This fits with my eustachian tube opening up comletely three weeks ago, as part of is always open?

Has anyone gone through this? Or can anyone tell me if my theory is even plausible? What do I do next? My life has been completely dominated by this curse. I feel so bad for all the people who go through serious ear problems like this, until you have experienced it you have no idea how frustrating and dehabilitating it can be.

Many thanks.
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Replies(7)
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podboreski
replied on August 18th, 2009
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Patulous E. Tube
Hi,

I visited an ENT Doctor this afternoon. For the past year I have suffered off and on with my ears feeling stopped up and hearing my own voice. When I lay down my ears are fine but once I swollen or start walking around my ears will fill up again and I hear myself. I went to the ENT doctor about this several months ago. They said that there was nothing wrong with my ears, that I had acid reflux disease and needed to get that under control. I then went to a Digestive Healthcare person as I was coughing, clearing my throat constantly and feeling like I had something in my throat. When I swallow I hear my ears making a cracking noise. I went to an allergist who said I have LPRD which is like acid reflux. He put me on nexium and zyntec and gave me lots of Nosonex. My symptons seemed worse as I couldn't speak today and my ears were horrible. I went back to the ENT doctor who checked my ears with a type of instrument and had me close one nostril while I took a breath. He said that I have patulous eustanchian tube disease which my tube stays open most of the time until I lay down. This is very annoying and frustrating. He is looking into some medicine but told me to stop taking the Nasonex and decogestions as this is making the symptons worse. I hope to hear from the doctor and hopefully get some relief. I hope this helps..........
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thelittlesthobo
replied on August 19th, 2009
New User
Hi Boreski

Thankyou for your quick reply.

Sorry to hear about your own ear problems.

I get the crackling noise you mention as well. I think decongestants would be the wrong thing to do for PET as they would have opposite effect - ie opening your tubes more rather than closing them.

Do you mind if I ask are you underweight at all, or have you lost weight in the last year? I've read that this can cause problems in some people and my ENT mentioned that in some cases weight gain would be the prescibed treatment. I myslelf am very light (70kilos, 6ft 1) and I probably lost weight in the few months before my problems started (I went on a vegetarian diet from October 08, and my problems started in mid January, following which I went back on meat because I wanted to make sure I had all the nutrients and proteins to help me get better - still haven't gained any weight though).

I find when I lie down on my left side my symptoms ease, but not on my back. But in any case I don't think PET on its own is exactly my problem.

Hopefully we can both find some kind of relief soon.
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bestanswers
replied on September 8th, 2009
New User
Tinnitus, Hearing loss and Hyperacusis
Hi everyone
I started my problem with a blow on my right ear , and then my simptoms are very similar to the littlesfollowed Difference is that I have being diagnosed tinnitus since march this year wth some hearing loss on the same ear and mild hyperacusis. Do you or anyone also have these simptoms? I have also a problem wiht my mandibular joint but dentist says it is not so severe to cause tinnitus so it makes me think that the PET is my problem. I have also being under long time treatment with nasonex and other similar medications as well as operil drops . Any ideas how to proceed to find solutions? thanks for your guidance
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oneiric
replied on September 10th, 2009
New User
I'm going to keep an eye on this thread as this sounds so similar to what I've had for the past year now. Especially podboreski's symptoms. I'm getting really fed up; now that I've started work, it's really become a problem. I can hear myself: every footstep, my voice, my breathing. I feel like I'm shouting yet people tell me I'm mumbling O.o I also sound like I have a cold when speaking when I don't. Like you said, it eases after I've lay down for a while but comes back once I'm up and about again.

To thelittlesthobo, I've always been very thin, no matter what I eat, I don't seem to bulk out at all Razz Can that really be related?
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sloop20
replied on September 20th, 2009
New User
Patulous Eustachian Tube
I've had the same sort of problem since I was 18 and now I am 32! Many years of dealing with this and you're right, it is debilitating. It's hard to talk or feel normal - very stressful. Mine doesn't do it every day and there is no pain, so that is one good thing. Just last night I did an internet search to find out if anyone else had the same problem and I was relieved when I found out it is not just me! And that there is a name for the problem (patulous eustachian tube). One thing that sort of helps me that I have done over the years is to sniff in kind of hard to close the tube... but then it feels like there is too much pressure. I find that better than hearing my own voice and breathing so loud in my ear though. There's no way I have time to lay down to get relief because I am a mom of three small children (ages 6, 5, and 3) and I homeschool them because the oldest has an immune problem so school would be very dangerous for her. I am 7 months pregnant and this PET has been worse throughout the whole pregnancy - it is an every day thing now. I read that can happen during pregnancy because of the hormones that relax and soften the cartilage throughout the body. The eustachian tube is made out of cartilage so it gets effected. I've also noticed throughout the years that staying hydrated helps a bit - although that hasn't worked during pregnancy Sad Anyway hopefully there's something a good ENT can do. I read that only specialized ENT's can do anything about it - I think they are called odologists...
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jasmindean
replied on September 25th, 2009
New User
I have been having the same problem for the past 4 years! But at the time I did lose over 75 lbs. and the symptoms started soon after. I would have sudden dizziness spells as well as sharp pain in my left ear (which went on for days at a time) and the feeling of tight fullness in it. First ENT I went to gave me a course of antibiotics which did nothing. I went to another ENT and he too started me on other medications which included decongestants. At the time I started getting pain in the left side of my face and headaches. When medications did not work he referred me to a professor who made me undergo an MRI for my ears as well as a hearing test and some very annoying physical ear tests that included dropping my head back and moving it to the side (made me feel like I have had over 40 bottles of vodka!). Hearing test showed that the painful ear had above average hearing (58% higher than average)and MRI showed a dark shadow behind the left eardrum. The professor traveled and never got his interpretation but another doctor said it is my body's way of protecting my nerve since it is more sensitive thus it formed a fluid like sack. Recently symptoms have gotten worse to include a sudden feeling of blockage and hearing myself speak. This happens same as the others who mentioned it, when I am standing up for a long time or doing stressful work standing up. I also end up getting the nasal voice and start sniffing a lot to help relieve the annoyance. It got embarrassing once when someone pointed out to me that I am acting like a cocaine addict sniffing a lot and talking with a weird nasal voice!!! I am already on reflux medications for GERD so nothing related to that. I wear a TMJ apparatus to relieve my jaw muscle which seems to have gone bad when the ear problems started. Arrghh I just hate chewing the sounds of the crackling when I chew as well as the mild popping only makes it worse! Lets hope all of us get some real good answers to why this happens... I will update as soon as the prof. is back from traveling, so fingers crossed... Thanks all for sharing!
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