I lok for the best very best Doctor or Hospital to diagnos my ear problem .I become hard on hearing sometime.?

Question

As such I don't need hearing aid but occasionally I am not clear on hearing.When I go to sea shore and do yonning or move my jaws up and down my ears get opened up.One doctor suggest surgery.Is it ncessary?

Answer 1

Hello; I'm an Audiologist (hearing and balance specialist)

First of all, you do not indicate your location (city, state/province/region, and country), so that we might be able to make a specific recommendation for you.

Secondly, if your hearing seems to come and go, and feels completely normal after they pop, you may have Eustachian Tube Dysfunction. The Eustachian tubes connect the middle ear cavity behind the eardrum to the back of the throat. When working properly, they will open when we yawn or swallow. This equalizes the pressure behind the eardrum to that of the environment around us, so that the eardrum has optimum mobility for responding to sound vibrations. When they do not open properly, negative pressure builds up which results in muffled hearing and a sensation that the ears are clogged.

For immediate relief, try the ValSalva maneuver: holding your nose and mouth closed and GENTLY blowing to force air through the Eustachian tube into the middle ear space. Many people also get relief by applying heat, like a hot water bottle, to the ear. Be careful when blowing your nose - also blow GENTLY then, because you could force too much pressure and even mucous, up into the middle ear, which could then breed infection. Steam/vapor to moisten and loosen up the mucous might also help it drain.

You could also try antihistamines and/or decongestants to open up and dry out the sinuses. Of course this depends on your health and medical history, and should be supervised by a physician. Start with your primary doctor, who may also prescribe antibiotics, as there may be infection since it's been an ongoing problem. If it persists following that treatment, ask for a referral to consult an otolaryngologist (Ear, Nose and Throat - ENT). They will probably check your hearing and middle ear pressure to verify the diagnosis, and may want to get a CT scan of your sinuses, if that is a related symptom.

Typically, if medication is not able to clear the pressure and congestion in the middle ear, the surgical treatment is to cut an incision in the eardrum (myringotomy) to relieve the pressure, and suction out any fluid that might be in the middle ear space. If there is fluid build-up which remains untreated, it can erode the middle ear bones (ossicles); and if infected, the infection can spread to other areas around the ear. In the case of chronic/recurrent ear infections, a tiny rubbery grommet "tube" is placed in the incision to hold if open and prevent the pressure and fluid from building up again.

Most adults can have this procedure done in the otolaryngologist's office with a local anesthetic. In children it's performed under general anesthesia because it is so important for them to be totally still when working with such small structures. This is one of the most common surgical procedures performed in the U.S. (second only to circumcision, last I heard); and the tube falls out on it's own while the eardrum heals itself. In a few patients, there can be scarring of the eardrum, but typically that only becomes problematic if the patient has several surgeries.

If you have pain, fever, sudden significant hearing loss, or spinning dizziness (vertigo) - these could be symptoms of more serious complications and you should see a doctor promptly. I hope this helps, and that you feel better soon!

Answer 2

If you don't believe what you doctor suggested, please get a second opinion. No one on here can diagnose you without an examination or possible testing. Also, none of us have access to your medical history...all things that are important.

The Cleveland Clinic, located in Cleveland, Ohio, is supposedly one of the best but you can get your second opinion where you live. You did not specify if you saw a specialist. It not, please see an otologist (specializes in hearing and hearing loss) or an ENT (ear, nose and throat) doctor. Keep in mind that you might also be referred to an audiologist for further hearing testing.

Answer 3

"Keep in mind that you might also be referred to an audiologist for further hearing testing. "

YES , as the other Answerer says that is 100% Correct as only an Audiologist can correctly test your hearing problems !

But you may only just have an Issue with the Ear Wax Build-Up inside your your ears ? ( That is VERY Common ! )

Please find a local Audiologist / Hearing Centre to have your Hearing Tested by TRAINED people who do understand Hearing Problems !

I wish you all the best :)