[58M] With ear symptoms post-airbag incident

Patient Description

A 58-year-old male reports experiencing a cracking noise in his ear when burping, which started gradually after being hit by car airbags. Initially, the ear felt blocked and heavy, but the heaviness has since improved. The patient also notes a very slight noisy feeling in the ear, especially when sitting after a long walk. There is no ear pain, fluid drainage, changes in pressure, ringing, dizziness, balance issues, or changes in hearing. The patient has not traveled or experienced significant changes in altitude recently. No pre-existing conditions, chronic illnesses, or allergies to medications. The patient is not taking any medications or supplements.

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Arora's Assessment

What might be happening

Based on the information you have provided, a possible explanation for your symptoms could be:

  • Eustachian Tube Dysfunction (ETD): The Eustachian tube connects the middle ear to the back of the nose and helps to equalize pressure. Trauma, such as being hit by car airbags, can cause inflammation or dysfunction of this tube, leading to symptoms like a cracking noise when burping, a feeling of fullness, and occasional hissing sounds.

    • Treatment: ETD often resolves on its own, but treatments can include decongestants, nasal steroids, or antihistamines to reduce inflammation. In some cases, a doctor may recommend exercises to help open the Eustachian tube.
  • Temporomandibular Joint (TMJ) Disorder: The TMJ is located near the ear and can be affected by trauma, leading to symptoms like ear noises, especially when moving the jaw (such as during burping).

    • Treatment: TMJ disorders can be managed with pain relievers, muscle relaxants, or physical therapy. In some cases, a dentist or specialist may recommend a mouthguard.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of water to help keep your Eustachian tubes clear.
  2. Avoid Irritants: Try to avoid smoking and exposure to secondhand smoke, as these can irritate your Eustachian tubes.
  3. Practice Good Ear Hygiene: Avoid inserting objects into your ear, and keep your ears dry.
  4. Over-the-Counter Medications: Consider using over-the-counter decongestants or antihistamines to reduce any potential inflammation.
  5. Jaw Exercises: Gentle jaw exercises may help if TMJ disorder is a possibility. Try opening and closing your mouth slowly and moving your jaw side to side.
  6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical 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 an infection or other serious issue.
  • Hearing Loss: Any sudden or gradual loss of hearing should be evaluated by a healthcare professional.
  • Persistent Symptoms: If your symptoms do not improve or worsen over time, it's important to consult a doctor.
  • Dizziness or Balance Issues: These could indicate a more serious underlying condition that needs prompt evaluation.

Remember, while this advice can help you manage your symptoms, it's essential to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask


What is Eustachian Tube Dysfunction and how can it be treated?

Eustachian Tube Dysfunction (ETD) occurs when the tube connecting the middle ear to the back of the nose becomes blocked or does not function properly, leading to symptoms like ear fullness, popping, or cracking noises. Treatment may include decongestants, nasal steroids, antihistamines, or exercises to help open the tube.


Can trauma from an airbag deployment cause ear problems?

Yes, trauma from an airbag deployment can cause ear problems such as Eustachian Tube Dysfunction or TMJ disorder due to the impact and pressure changes. This can lead to symptoms like ear fullness, cracking noises, or jaw-related issues.


What are the symptoms of Temporomandibular Joint (TMJ) Disorder?

Symptoms of Temporomandibular Joint (TMJ) Disorder can include jaw pain, difficulty chewing, ear noises, and a clicking or popping sound when moving the jaw. Treatment may involve pain relievers, muscle relaxants, physical therapy, or a mouthguard.


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

You should seek medical attention if you experience severe ear pain, hearing loss, persistent symptoms that do not improve, or dizziness and balance issues, as these could indicate a more serious condition.


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