[25F] Experiencing ear pressure and heartbeat sensation when lying on stomach

Patient Description

A 25-year-old female reports experiencing a sensation of pressure and hearing her heartbeat in both ears when lying on her stomach. These symptoms have persisted for approximately three years. The heartbeat sensation occurs immediately upon lying on her stomach and lasts about one minute. During these episodes, she notices a decrease in hearing and a disturbance in balance. The patient denies any history of head or ear injuries. No specific alleviating factors have been identified.

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Arora's Assessment

What might be happening

Based on the information you've 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 doesn't open and close properly. It can lead to feelings of fullness or pressure in the ears, changes in hearing, and sometimes a sensation of hearing your heartbeat, especially when changing positions. Treatment often involves decongestants, nasal steroids, or exercises to help open the Eustachian tube.

  • Pulsatile Tinnitus: This is a condition where you hear a rhythmic sound that often matches your heartbeat. It can be caused by changes in blood flow in the vessels near your ears or other ear-related issues. The fact that it occurs when lying on your stomach might suggest a positional influence on blood flow or pressure. Treatment may involve addressing the underlying cause, such as managing blood pressure or using sound therapy.

What you can do

While these symptoms are often not serious, it's important to consult with a healthcare professional, such as an ENT (ear, nose, and throat) specialist, to get a more accurate diagnosis and appropriate management. In the meantime, you can try the following:

  1. Avoid Lying on Your Stomach: Since this position seems to trigger your symptoms, try sleeping on your back or side to see if it helps reduce the pressure and heartbeat sensation in your ears.

  2. Practice Good Ear Hygiene: Keep your ears clean and dry, and avoid inserting objects into your ears that could cause irritation or blockage.

  3. Manage Stress: Stress can sometimes exacerbate symptoms like tinnitus. Consider relaxation techniques such as deep breathing, meditation, or yoga to help manage stress levels.

  4. Use MDandMe: Journal your symptoms, track your progress, and get insights into your condition. This information can be valuable to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Persistent or worsening symptoms that affect your daily life
  • Severe dizziness or balance issues
  • Sudden changes in hearing or vision
  • Any new or concerning symptoms

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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4 mo ago

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People Also Ask


What is Eustachian Tube Dysfunction and how can it affect my ears?

Eustachian Tube Dysfunction occurs when the tube connecting the middle ear to the back of the nose doesn't function properly, leading to pressure, fullness, and changes in hearing. It can sometimes cause a sensation of hearing your heartbeat, especially with position changes.


What is pulsatile tinnitus and why might it occur when lying on my stomach?

Pulsatile tinnitus is a condition where you hear a rhythmic sound that matches your heartbeat. It can be influenced by changes in blood flow or pressure near the ears, and lying on your stomach might affect these factors, causing the symptoms.


Are there any lifestyle changes I can make to alleviate these ear symptoms?

To alleviate ear symptoms, avoid lying on your stomach, practice good ear hygiene, manage stress through relaxation techniques, and consider tracking your symptoms to identify patterns or triggers.


When should I seek medical attention for ear-related symptoms?

Seek medical attention if you experience persistent or worsening symptoms, severe dizziness, sudden changes in hearing or vision, or any new concerning symptoms that affect your daily life.


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2 Comments


Anonymous#4896

3 mo ago

What's the likely diagnosis?

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Anonymous#25337

3 mo ago

Hi Anonymous#4896! While I can't provide a definitive diagnosis, the symptoms described could potentially align with conditions like Eustachian Tube Dysfunction or Pulsatile Tinnitus, as mentioned in the post. However, there are other possibilities as well, such as changes in blood flow or pressure that might be positional. Since these symptoms have been ongoing for a while and are affecting hearing and balance, I’d really encourage consulting an ENT specialist. They can perform a thorough evaluation and possibly recommend imaging or tests to pinpoint the cause. Wishing the best for the person experiencing this—getting answers can be such a relief! 😊

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