[20M] With persistent clogged ear and dull headache post-flu

Patient Description

A 20-year-old male has been experiencing flu-like symptoms for over two weeks. While most symptoms have subsided, he now has a clogged left ear with no pain or discharge, and he cannot hear out of it. The patient also reports a very dull headache on the right side of his head for the past four days, rated as a 1 on a scale of 1-10. The headache lasts all day and started suddenly, with no known aggravating factors. Nicotine provides some relief. He has experienced slight light-headedness when standing up, ringing in the left ear, and recent fever and chills. The patient has a significant amount of mucus in his chest from the flu. He is currently taking Amoxicillin/potassium clav (one pill every 12 hours) for his ear and has used NyQuil Severe Cold and Flu medicine. He has no known pre-existing conditions, chronic illnesses, or allergies. The patient has been vaping daily for about five years with no recent changes in his habits.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Eustachian Tube Dysfunction: This condition occurs when the tube connecting your middle ear to the back of your nose becomes blocked or does not function properly. It can cause a feeling of fullness or clogging in the ear, hearing loss, and sometimes ringing in the ear (tinnitus). It often follows upper respiratory infections like the flu.

    • Treatment: Treatment may include decongestants, nasal steroids, or antihistamines to reduce inflammation and open the Eustachian tube. In some cases, a doctor may recommend a procedure to help drain the ear.
  • Middle Ear Infection (Otitis Media): Although you mentioned no pain, it's still possible to have a middle ear infection that causes a clogged sensation and hearing loss. The ringing in your ear and recent flu could be contributing factors.

    • Treatment: You are already on an antibiotic (Amoxicillin/potassium clav), which is a common treatment for bacterial ear infections. It’s important to complete the full course of antibiotics as prescribed.
  • Sinus Congestion: The mucus in your chest and recent flu could be causing sinus congestion, which can affect your ears and lead to a clogged sensation and headaches.

    • Treatment: Over-the-counter decongestants, saline nasal sprays, and steam inhalation can help relieve sinus congestion.
  • Tension Headache: The dull headache on the right side of your head could be a tension headache, which is often caused by stress, muscle tension, or fatigue.

    • Treatment: Over-the-counter pain relievers like ibuprofen or acetaminophen can help. Relaxation techniques, such as deep breathing exercises, can also be beneficial.

What you can do

While you should consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help alleviate your symptoms:

  1. Stay Hydrated: Drink plenty of fluids to help thin mucus and relieve congestion.
  2. Use a Humidifier: Adding moisture to the air can help ease congestion and keep your nasal passages clear.
  3. Warm Compress: Applying a warm compress to your ear can help relieve the clogged sensation.
  4. Over-the-Counter Medications: Consider using decongestants or antihistamines to reduce inflammation and open your Eustachian tubes. Always follow the instructions on the label.
  5. Rest: Ensure you get plenty of rest to help your body recover from the flu.
  6. Avoid Vaping: Nicotine can constrict blood vessels and may worsen your symptoms. Try to reduce or avoid vaping, especially while you are recovering.
  7. Journal Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Ear Pain: If you develop significant pain in your ear, it could indicate a more serious infection.
  • High Fever: A fever over 100.4°F that persists or worsens could be a sign of a more serious infection.
  • Worsening Symptoms: If your symptoms do not improve or worsen despite treatment, consult a healthcare professional.
  • Dizziness or Vertigo: If you experience severe dizziness or a spinning sensation, seek medical attention.

Remember, while these tips can help manage your symptoms, it’s important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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People Also Ask


What causes a clogged ear after having the flu?

A clogged ear after the flu can be caused by Eustachian Tube Dysfunction or sinus congestion. These conditions occur when the tube connecting the middle ear to the back of the nose becomes blocked, often due to inflammation or mucus buildup from the flu.


How can I relieve a tension headache at home?

To relieve a tension headache at home, you can use over-the-counter pain relievers like ibuprofen or acetaminophen. Additionally, practicing relaxation techniques such as deep breathing exercises, applying a warm compress to the affected area, and ensuring adequate rest can help alleviate symptoms.


Is it normal to have ringing in the ear after a flu?

Yes, it is relatively common to experience ringing in the ear, or tinnitus, after a flu. This can be due to Eustachian Tube Dysfunction or middle ear congestion, which are common after upper respiratory infections.


What are the potential side effects of Amoxicillin/potassium clav?

Common side effects of Amoxicillin/potassium clav include nausea, vomiting, diarrhea, and skin rash. It's important to complete the full course of antibiotics as prescribed and consult a healthcare professional if you experience severe side effects or allergic reactions.


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