Ongoing Eustachian Tube – Need Advice

Hi everyone,

I’ve been dealing with a frustrating ear issue since mid-February and I’d really appreciate any input or shared experiences.

It started with a blocked ear due to cerumen buildup (not unusual for me). After using ear drops, I had a full ear irrigation done privately. Right after the procedure, I felt a strange pressure in my left ear, like something shifted inside. It resolved after two days.

For about three weeks after that, everything seemed fine. But then, around March 9–10, a mild pressure sensation started building up in my left ear. It worsened when I tried to exercise. I went to an ENT who diagnosed me with chronic sinus inflammation and Eustachian Tube Dysfunction (ETD), and prescribed medication.

Over the next few weeks, symptoms varied – pressure sometimes in the left ear, sometimes the right. My nose was always congested on one side. Audiogram was normal, tympanogram showed mild dysfunction. ENT also mentioned I might consult a neurologist, but didn’t push for it.

Changing altitude (even 100 meters) made the pressure spike badly, so the tubes were clearly sensitive. I also did an allergy test which showed mild sensitivity to dust mites. A pulmonologist suspected water retention in the ear canal caused the initial post-irrigation pressure. She prescribed Rinasek, which improved things a lot — pressure was much less while on it.

Now that I’ve stopped the medication (10-day course), the pressure has partially returned, though maybe less intense than before.

The main issue is still the ear pressure, occasional popping/clicking, nasal congestion, and sensitivity to altitude changes. It’s affecting my daily life and I’m not sure what the long-term outlook is. I’m concerned whether this will ever go away completely, and what I can do long-term to prevent it from becoming chronic.

Has anyone dealt with something similar? Did it fully resolve for you? Would really appreciate any advice, tips, or shared recovery stories.

Thank you.

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I think this is a lot of hand waving by the pulmonologist.

Sounds like you’re dealing with an ongoing sinus issue. Sounds like allergy medication helped. Eustachian tube dysfunction can take a lot longer than eight weeks to clear up. Sounds unrelated to the wax irrigation. If I were in your shoes, I’d keep doing allergy stuff for a bit longer. Neti pot, flonase, decongestant, let allergy season calm down, that sort of stuff.

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According to my old ENT I have a " sticky eustachian tube".
I take a Claritin nock off everyday.
I really don’t hear the popping sounds anymore. So I guess it works.
In March I always use a Flonase nock off.

I’ve had eustachian tube dysfunction for quite some time. My ENT has me on both Flonase and Astepro. Also gave me a script for a methylprednisolone in case it got severe. He is suggesting I consider a eustachian tube balloon dilation.