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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Recommendations On Removing Adenoids Or Clearing Ear Blockage That Causes Sound?

To any professional ENT out there. I went scuba-diving over a year ago only to 45 feet. It had been a couple years since I went diving and in that time I developed adult allergies. When I tried to equalize underwater, I heard this squealing sound. It sounded unusual. When I came back up to the surface, my nose was bleeding. I couple a days later I was having this loud cracking sound when I swallowed. I lived with it for months trying to research what was going on. By about the fourth month, I went and saw an ENT in my hometown in North Carolina. He spent all of 4 minutes with me and was a passive listener to say the least. The hearing test came out fine. I havent been dizzy or anything like that, just the crackling sound. All this doctor did was give me some Flonase (not even Dymista) and I took it for 3-4 weeks as recommended, even laying on my back so it would reach my tubes. 1 month later, this July I went and saw a 2nd ENT referred from D.A.N. (the only one in the state that is specialized in dive medicine)(The ENT even dives herself, along with the nurse!) I thought to myself, surely they will know something. They did the fluid test, because I suspected maybe needing tubes, but it came back normal. They couldn t diagnose anything either, just took my money and said to keep taking Dymista and find out what I m allergic to. Since then I have found some new info, because I wasn t coming up with any relevant search results. Evidently it has the characteristics as Eustachian Tube Dysfunction and/or Glue Ear there are currently 2 products sold on the market to tackle that problem, so I ordered them after reading the 5 star reviews. 1. Earpopper by summit medical -$200 2. Otovent(an inflatable balloon sold out of the UK) Neither one have irradicated the problem. I have even bought some nasal rinse called Alkolol, the only rinse that claims to dissolve mucus. Once again I have tried this laid down/upside down, swallowing and yawning. This has been going on for 1 year and 3 months now. I never had my tonsils or ads. removed. Any recommendations on getting adenoids taken out or is there any kind of surgery that can clear blockages or could any kind of other inner ear parts be causing this? Everyone keeps saying I m fine, but they aren t the ones with the loud crackling sound every time they swallow. This problem is starting to make a slight change in my daily self-esteem. Is there a real expert out there that can give me anything?
Mon, 16 Dec 2013
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ENT Specialist,  's  Response
Hello

Welcome in H.C.M.

In reference to your query regarding crackling sound in your ear during swallowing and blockade in ears, I would like to say that most likely you are suffering from Eustachian tube dysfunction in other words your eustachian tube is more or less blocked.

First of all I would like to tell you that this usually happens whenever infection reaches my throat may be due to sore throat or may come from sinuses, or enlarged tonsils and adenoids spreads infection to throat and eustachian tube. Some times chronic allergies of nose and throat also give rise to these type of problems.

To manage it properly it is necessary to do some basic investigations for making correct diagnosis. these investigations are-

1- C.T. Scan paranasal sinuses.

2- Culture and sensitivity of throat swab.

3- X-ray Nasopharynx (soft tissue lat view with open mouth)

4- Tympanometry.

With the help of inferences of above investigation and their co-relation with findings of clinical examination one may reach to correct diagnosis and that may be accordingly manage.

Regards.
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Any Recommendations On Removing Adenoids Or Clearing Ear Blockage That Causes Sound?

Hello Welcome in H.C.M. In reference to your query regarding crackling sound in your ear during swallowing and blockade in ears, I would like to say that most likely you are suffering from Eustachian tube dysfunction in other words your eustachian tube is more or less blocked. First of all I would like to tell you that this usually happens whenever infection reaches my throat may be due to sore throat or may come from sinuses, or enlarged tonsils and adenoids spreads infection to throat and eustachian tube. Some times chronic allergies of nose and throat also give rise to these type of problems. To manage it properly it is necessary to do some basic investigations for making correct diagnosis. these investigations are- 1- C.T. Scan paranasal sinuses. 2- Culture and sensitivity of throat swab. 3- X-ray Nasopharynx (soft tissue lat view with open mouth) 4- Tympanometry. With the help of inferences of above investigation and their co-relation with findings of clinical examination one may reach to correct diagnosis and that may be accordingly manage. Regards.