"Could Ear Congestion Be Something Other Than Ear Infection (Otitis Media)?"

Ear Congestion Causes and Treatments

Feeling of ear congestion is not necessarily indicative of otitis media, but can also stem from cerumen impaction, secretory otitis media, foreign body in the external auditory canal, or Eustachian tube dysfunction. It is advised that patients seek prompt medical attention to determine the underlying cause under a doctor's diagnosis before undergoing targeted treatment. Here are some possible causes and corresponding treatments:

1. Cerumen Impaction

If a patient neglects ear hygiene, cerumen (earwax) may accumulate within the ear canal, leading to a sensation of ear congestion. This may be accompanied by symptoms such as hearing loss and tinnitus. In such cases, sodium bicarbonate solution or similar medications can be prescribed to soften the cerumen, which can then be removed by a professional doctor.

2. Secretory Otitis Media

Typically caused by bacterial or viral infections, secretory otitis media involves inflammation that leads to congestion and fluid accumulation in the middle ear cavity, resulting in ear congestion, earache, and tinnitus. Treatment involves antibiotics such as cefixime capsules or amoxicillin capsules, prescribed by a doctor, to address the infection.

3. Foreign Body in External Auditory Canal

Accidentally inserting a small insect or other object into the external auditory canal can block the canal, causing ear congestion sensations along with pain and swelling. In such situations, immediate medical attention is necessary, and the foreign body should be removed with tools like tweezers under a doctor's supervision.

4. Eustachian Tube Dysfunction

Patients with nasal conditions like rhinitis or sinusitis may experience increased nasal secretions, blocking the Eustachian tube and causing ear congestion. Medications like Tongqiao Biyan Pian or Biyuantongqiao Granules can be prescribed to address these issues and alleviate ear congestion symptoms.