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an old woman suffering from clogged ears due to allergies

Can Allergies Cause Clogged Ears?

Shuba Iyengar, MD, MPH
By Dr. Shuba Iyengar, MD, MPH Published on Nov 04, 2024
Table of Contents
    Key Takeaways
    • Allergies can cause clogged ears due to swelling in the nasal passages and blocked Eustachian tubes.
    • Multiple medications, including nasal sprays like Allermi (a custom combination spray) can effectively reduce congestion and alleviate ear pressure.
    • Stay away from allergy triggers, such as pollen, to prevent further symptoms.

    When most people think of allergies, they often associate them with common symptoms like sneezing, runny nose, and itchy eyes. However, allergies can also affect your ears in ways you might not expect.

    Allergies can affect both your breathing and your ears because these systems are connected. This means that allergens can cause problems like clogged ears and discomfort.

    In this article, we’ll learn the connection between allergies and your ears and also cover effective strategies for finding relief.

    Can Allergies Cause Clogged Ears?

    Allergies may cause clogged ears. When you have an allergic reaction, your body releases a chemical called histamine, which can make your nose and sinuses swell, and this swelling can spread and block the Eustachian tubes.

    The Eustachian tubes connect your middle ear to your throat. These tubes usually keep pressure in your ears balanced and drain fluids from the middle ear — but when they’re blocked by swelling or mucus, you may experience ear congestion, a feeling of fullness, or muffled hearing [*].

    Sinus pressure usually accompanies allergic reactions, which can also add to the feeling of clogged ears [*].

    Symptoms of Clogged Ears Due to Allergies

    Allergies can lead to several symptoms related to clogged ears due to the inflammatory response triggered by allergens. Here’s a list of these symptoms:

    • A sensation of fullness or pressure in the ears
    • Muffled hearing or temporary hearing loss
    • Ear pain or discomfort in some individuals
    • A popping sound may be felt when attempting to equalize ear pressure through swallowing or yawning (this indicates that the Eustachian tubes are attempting to open)

    In addition to these, pay attention to other common allergy symptoms such as nasal congestion, frequent sneezing, itchy eyes or nose, and postnasal drip.

    Possible Complications of Clogged Ears from Allergies

    Ear pressure and allergies may cause several complications if not addressed properly. These include:

    • Ear infections. Fluid buildup in the middle ear can create an environment for bacteria, which increases the risk of ear infections.
    • Temporary hearing loss. Ongoing ear congestion can lead to temporary hearing difficulties as sound is blocked. However, if the blockage persists, it may lead to prolonged hearing issues that could require medical intervention.
    • Eustachian tube dysfunction. Chronic blockage of the Eustachian tubes can cause long-term problems with pressure regulation in the ears.
    • Balance issues. Since the inner ear plays a role in balance, clogged ears can sometimes cause dizziness or balance problems.
    • Sinus infections. Allergies can exacerbate sinus congestion and inflammation, which may lead to chronic sinusitis.

    It's important to treat allergies early to avoid these consequences. If symptoms persist, please seek medical care. We’ll discuss possible treatments in the next section.

    How to Get Rid of Clogged Ears from Allergies

    Combining medical treatments with simple home remedies such as steam inhalation and staying hydrated can bring relief and prevent further congestion. Here are some options:

    Antihistamines

    Antihistamines are commonly used to treat allergy symptoms by blocking the action of histamine, a chemical released during an allergic reaction.

    They help reduce stuffy noses and swelling, allowing the Eustachian tubes to work better. Over-the-counter options like cetirizine or loratadine may give some relief from allergy symptoms that cause clogged ears, but most allergists believe nasal sprays are more effective.

    Decongestants

    Decongestants are another available medication for relieving clogged ears caused by allergies. These medications work by narrowing the blood vessels in the nasal passages, which helps decrease swelling and congestion, but can be associated with significant side effects.

    Also, it’s important to only use nasal spray decongestants for no more than a few days at a time to avoid rebound congestion.

    Nasal sprays

    Nasal sprays, particularly corticosteroid sprays, are effective in reducing inflammation in the nasal passages and sinuses. These prescription or over-the-counter sprays can help clear congestion and promote drainage to relieve ear pressure. Most allergists will recommend nasal sprays for these type of symptoms, since reducing inflammation in the nasal passages can lead to direct improvement of the nearby sinuses and ear canals.

    Regular use of nasal sprays can significantly improve breathing and decrease the likelihood of clogged ears, especially during allergy season.

    Allermi is a custom combination nasal spray that includes an antihistamine (for sneezing), decongestant (for stuffy nose), anticholinergic (for postnasal drip), and anti-inflammatory. Each ingredient is adjusted according to the severity of your symptoms.

    Warm compress

    Applying a warm compress to the affected ear can provide soothing relief from discomfort associated with clogged ears. The warmth helps to relax the muscles around the ear and can promote drainage of any trapped fluid.

    Simply soak a clean cloth in warm water, wring it out, and place it over the affected ear for about 20 minutes. This duration allows sufficient time for the warmth to take effect.

    Yawning or swallowing

    Yawning or swallowing helps open the Eustachian tubes, allowing trapped air to escape and equalizing pressure in the ears. You can also try chewing gum or sucking on hard candy to encourage frequent swallowing.

    Steam inhalation

    Inhaling steam can be beneficial for relieving nasal congestion and, in turn, reducing ear pressure [*]. You can create a steam inhalation by taking a hot shower or by leaning over a bowl of hot water with a towel draped over your head.

    The warm, moist air helps to loosen mucus in the nasal passages. Inhaling steam can also provide temporary relief from sore throats and coughs by moisturizing dry airways.

    Stay hydrated

    Drinking plenty of fluids thins mucus makes it easier for your body to clear congestion from the nasal passages and ears. Proper hydration not only helps with ear congestion but also supports your immune system in combating allergies.

    Avoiding allergy triggers and irritants

    Avoiding known allergy triggers and irritants is important for preventing clogged ears caused by allergies. Common triggers include pollen, dust mites, pet dander, and smoke.

    By reducing your exposure to these allergens, you can lower the chances of having allergy symptoms, including clogged ears.

    How Long Do Clogged Ears from Allergies Last?

    The length of time clogged ears from allergies last can vary based on a few factors. Usually, clogged ears caused by allergies can last from a few hours to several days. If the allergies are effectively controlled through medications such as antihistamines and nasal sprays, the congestion may go away faster.

    Additional factors, such as sinus infections or other respiratory issues, may prolong the duration of ear congestion.

    When to See a Doctor for Clogged Ears

    If clogged ears persist for an extended period or are accompanied by pain or other concerning symptoms, consulting a healthcare professional is recommended. This allows for further evaluation and treatment.

    Furthermore, if you notice fluid draining from your ear, which could indicate an infection, consult a healthcare professional right away.

    The Bottom Line

    Allergies are commonly associated with symptoms like sneezing and itchy eyes, but they can also lead to unexpected issues like clogged ears. Relieving ear pain and allergies early with the right treatments, such as a combination nasal spray like Allermi, including home remedies, can help prevent complications.

    If symptoms worsen, it's always a good idea to consult a healthcare professional.

    References:

    1. Sidam, S., P, A. M., Khurana, U., Gupta, V., & Bhan, B. D. (2023). Evaluation of the Association Between Allergic Rhinitis and Middle Ear Dysfunction: A Clinicopathological Study. Cureus. https://doi.org/10.7759/cureus.40913
    2. Battisti, A. S., Modi, P., & Pangia, J. (2023, March 2). Sinusitis. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK470383/
    3. Vathanophas, V., Pattamakajonpong, P., Assanasen, P., & Suwanwech, T. (2019). The effect of steam inhalation on nasal obstruction in patients with allergic rhinitis. Asian Pacific Journal of Allergy and Immunology. https://doi.org/10.12932/ap-090818-0393
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