Ear Barotrauma

What is Ear Barotrauma

Ear barotrauma is irritation and swelling (inflammation) around the eardrum (middle ear). This happens when a change in air pressure causes a blockage in a tube in the ear (eustachian tube). A pressure change may happen when:

  • Flying in an airplane.
  • Coming to the surface too quickly when scuba diving.
  • Going to a high place (high altitude) quickly.
  • Being too close to an explosion or blast.

Follow these instructions at home:

General instructions

  • Take over-the-counter and prescription medicines only as told by your doctor.
  • “Pop” your ears (equalize pressure) as told by your doctor. Ways to pop your ears include:
    • Yawning.
    • Chewing gum.
    • Swallowing.
    • Holding your nose closed and gently blowing.
  • Do notput anything into your ears to clean or unplug them. Ear drops will not help.
  • Do notdo the following until your doctor says it is okay:
    • Travel to places that are high above sea level, such as mountains.
    • Fly.
    • Scuba dive.
  • Keep all follow-up visits as told by your doctor. This is important.

How is this prevented?

  • Avoid activities that may bring pressure changes when you have symptoms of a cold or stuffiness (congestion).
  • If you have stuffiness and will be flying, take medicine to relieve stuffiness (decongestant) 30–60 minutes before flying.
  • When flying, during takeoff and landing:
    • Chew gum.
    • Swallow hard and often.
  • Hold your nose closed and gently blow to pop your ears.
  • Yawn during air pressure changes.
  • If scuba diving, dive feet first and pop your ears often as you go deeper.

Contact a doctor if:

  • Your symptoms get worse.
  • Your symptoms do not get better.
  • You feel dizzy (vertigo).
  • You have hearing loss.
  • You have a fever.

Get help right away if:

  • You have very bad ear pain.
  • You have a very bad headache.
  • You have very bad dizziness.
  • You have blood or pus coming from your ear.
  • You have balance problems.
  • You cannot move or feel part of your face.

Summary

  • Ear barotrauma is irritation and swelling (inflammation) around the eardrum (middle ear).
  • This condition may be treated with medicines or by “popping” your ears (equalizing pressure).
  • You can take steps to help prevent ear barotrauma.
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