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Eustachian tube dysfunction diagnosis

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Thanks for this. I’ve actually read that using NeilMed is one of the treatments for each type of . nasal sprays and antihistamines are usually reserved for blocked ETs only.

Were you advised, or did you elect, to stop neilmed after this? I use NeilMed daily and have never been told it can cause problems.

I know sometimes if I do valsalava or toynbee maneuver, I get a lot more of the high frequencies of my hearing, but a generally diminished volume of hearing. Sometimes it just brings back much clarity, relieves a dulled hearing sense, and returns a sense of normalcy, and perhaps I drift between both patulous and blocked. wondering how that would be treated…

Did your Patulous ETD have OBVIOUS effects - like “no question my voice is way too” loud kinda thing? I ask because hearing aids can also cause your own voice to be loud too, and I’m trying to distinguish for myself.

How many months did it take to recover? any fullness feeling or is that all gone too?

your story is calming - thank you

I didn’t think it was possible to reach the eustachian tubes with water from a Neilmed. I also use one daily, sometimes twice daily in allergy season. My thinks they’re great. I do too. they help as an allergen rinse for sure.

I’m amazed daily at the contradictory information that is out there. Of course we as patients get conflicting info, but even specialists and say opposite things much of the time. it’s a tough road to navigate and know what should or shouldn’t be done with remedies and treatments outside of the ENT office.

user172 -

My mistake was in forcing the rinse when my sinuses were completely blocked. That’s what forced the water through the eustachian tubes. Totally blocked sinuses are rare, and I was desperate. I have poor immune function due to chronic lymphocytic leukemia. COVID itseld lasted at least 21 days, and I got a secondary bacterial infection.

I still use the rinse.

At first, no amount of effort restored normal function - yawning, swallowing, Toynbee, Valsalva did not work.

The constant heartbeat made it hard to sleep, and it was really hard to hear people around me, even with turned up max. A few months later, it would spontaneously close, based on returned mid and high hearing, reduced volume of my own voice, and lack of heartbeat.

The audiologist documented the additional hearing loss, and recommended against adjusting the HAs. I saw the monthly for 3 months. The 3rd month was better - intermittent heartbeat, own voice, poor hearing in mid to high. After 6 months it was gone.

This was an extreme case. As I said, my immune function is poor, and I misused the nasal rinse. I want to emphasize that if you cannot breath through your nose, do not force water up your nostrils in an attempt to open it.

I find that both doctors (primary care, especially) and patiens can confuse as a generic term with Patulous Eustachian Tube. A blocked eustachian tube is much more common than a tube stuck open, I think. I did some research on Patulous Eustachian Tube (PET) that others might find useful:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8947718/

Revisiting the Diagnostic Performance of the Modified Nine-Step Test for Obstructive and Patulous Eustachian Tube Dysfunction

Diagnostics (Basel). 2022 Mar; 12(3): 732.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7590401/

Management of Patulous Eustachian Tube

JMA J. 2020 Apr 15; 3(2): 101–108.

thanks for this - i wish that first one wasn’t just the abstract. interested to know the 9 steps.

did the hearing return as well? Glad you found relief even though it took 6 months. That’s a scary period.

I don’t hear the heartbeat or voice, so my guess is its not patulous for me, and my ET might be too closed, or perhaps it’s more related to ear drum shape and not ETs at all.

The hearing did return to my previous mild to moderate hearing loss.

I’m not an or an audiologist. If I didn’t also have the chronic lymphcytic leukemia going on, I would have pursued an ENT at an academic medical center. I suspected, though, that there was not much that could be done, and I felt guilty that I brought it on myself. I am accustomed to things taking longer to heal at my age (late 60s) and infections taking longer to clear due to the leukemia.

Don’t give up!

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