Post-Infection Near-Ear Drum Eustachian Tube Disorder
Near-eardrum area feels loose, uncomfortable and crackling like crumpling aluminium foil when I try to move my inner ear muscle. It becomes painful if I try to move it more, yet I do want to move it, because the eartube position feels wrong.
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Tentative diagnosis: Patulous Eustachian tube (PET) _"PET can occur as a result of liquid residue in the Eustachian tube, after suffering a middle ear infection (otitis media)." NOTE: similar to objective tinnitus, but since I can fully control it, technically not tinnitus, and likely associated with musculus veli palatini instead.
Story
This happened this spring. My ear infections, which I found out to be a result of Pseudomonas aeruginosa and Epstein–Barr virus, and using multiple other agents, including antibiotics. List of agents tried: Ofloxacin, Garlic, Phanezone, salicylic alcohol, betadine, Baneocin, Hydrocortisone, olive oil, Ciloxan Tobramycin Dexamethasone,...
Frequent use earphones, and ear washing with strong water jet while in shower, may have contributed to the condition. I can't remember when exactly (approx. 2020 Spring) this happened, but it feels like its either after the use of salicylic alcohol, or after the use of strong water jet, that I felt this issue. It is perhaps a combined issue of internal damage physical damage and a recurring infection. I suspect a partial detachment of an eardrum muscle from the eardrum.
SYMPTOMS:
- Every morning, I feel like the ear has healed and good.
- Once I start swallowing saliva, the swallowing triggers the muscle inside the ear to scratch eardrum (sound).
- If I do that more, it feels like something ruptures and fills my right ear canal with pressure or liquid.
- The pressure then feels up to nasal canal. If I move the muscle more, it just hurts more. If I stop moving it, then it heals, but I can't stop moving it, because it moves automatically when swallowing saliva.
HYPOTHESIS:
- This brings me to think that I would need to find the neural pathway that controls the ear muscle in question, and use long-term local anaesthetic to stop that muscle from responding, until it heals, as that muscle moves automatically, every time I chew or swallow saliva. It seems I had even learned to move it consciously, which I can't for the left ear, so people won't believe that I can move something inside my ear.
- Potentially related muscles:
- (UNLIKELY) Stapedius muscle -- smaller, for short-time protection.
- (UNLIKELY) Tensor tympani -- bigger, a slow-twitch mucle, therefore it's unlikely that this muscle is an issue.
- (LIKELY) Tensor veli palatini -- one that opens up the eustachian tube, to adjust pressure.
- Potentially related muscles:
Follow-up thoughts:
- Perhaps need surgical intervention to remove whatever obstructs Eustachian tube?
2021-01-28 After I stopped using earphones, it had almost healed, but then, after a bit of stronger yawning one evening, it had started be painful again, I guess, the wound opened up again. So, I still wonder, what to do.
Po paskutinio apsilankymo pas gydytoją, pasakė tokią diagnozę. Tačiau dėl šios diagnozės priežasties: man atrodo, kad yra vidinis arti būgnelio esantis kliuvinys, kuris neleidžia jai užsidaryti -- traška braška (audio) bandant uždaryti.
Exercise techniques to ensure better cleaning of Eustachian tubes.
Apparently, the issue was that Tensor veli palatini -- muscle that opens up the Eustachian tube, was a bit over-depressed by earphones, that prevented it from healing at the border of Eustachian tube and tympanic membrane. Simply not using earphones until it heals internally seem to work, but not entirely: it heals, but the clot after healing seem to remain in the Eustachian tube, and not go out. Consciously moving that muscle trying trying to move out what feels like a foreign body in Eustachian tube near eardrum, it scratches the eardrum, producing this kind of sound: [audio] (the right ear emits such a sound recorded with a microphone).
Also, sometimes when swallowing saliva it feels like the right drum is flipping - slipping like a sail when the wind direction changes to the opposite - can’t it be that the desire to move the muscle inside is due to the Eustachian tube not closing because something is preventing it from closing?
Perhaps the body sometimes swallows saliva, trying to protect the eardrums from unnecessary pressure, trying to close the cavity between the inner ear and the Eustachian tube, but can’t do it because something is interfering there, that would explain the irritation, and my perceived need to move it.
Be to, kartais ryjant seiles jaučiasi, kad dešinys būgnelis išsiverčia -- sušlama kaip burė pasikeitus vėjo krypčiai į priešingą -- ar negali būti, kad noras judinti viduje raumenėlį atsiranda dėl to, kad neužsidaro Eustachijaus vamzdelis, nes kažkas jam trukdo užsidaryti?
Galbūt organizmas kartais ryjant seiles, stengiantis apsaugoti ausų būgnelius nuo nereikalingų slėgių susidarymo, bando uždaryti ertmę tarp vidinės ausies ir Eustachijaus vamzdelio, bet negali to padaryti, nes kažkas ten trukdo, tai paaiškintų dirginimą, ir mano jaučiamą poreikį jį judinti.
Objectively:
The doctor recommended:
Exercise, massages, drinking plenty of fluids, electrolytes, sea water, meditation with alpha waves that change muscle tone and vibration, and not paying much attention to it (psychologically) require relaxation exercises. Lots of sleep. Tilt your head down to run more blood.
Tells the doctor to read about:
But it seems to me that there is actually a problem with:
Because those other muscles are deliberately out of control, and this one is deliberately controlled. Hence, the problem is not the lack of electrolytes. So the really relevant tips are:
And what else could be done? You want to take it, immerse it in that Eustachian tube, and clean up what’s in it there and what makes you feel uncomfortable and an inflammatory reaction.
Objektyviai:
Gydytoja rekomendavo:
Mankštos, masažai, daug skysčių gerti, elektrolitus mineralus, jūros vandens, meditacijos su alpha waves kad pakeisti raumens tonusą ir vibraciją, ir nekreipti daug dėmesio į tai (psichologiškai), reikia atpalaidavimo pratimų. Daug miego. Galvos palenkimai į apačią, kad pribėgtų daugiau kraujo.
Sako gydytoja paskaityti apie:
Bet man atrodo, kad realiai yra problema su:
Nes tie kiti raumenys yra sąmoningai nekontroliuojami, o šitas yra sąmoningai kontroliuojamas. Vadinasi, problema nėra elektrolitų trūkume. Vadinasi, realiai susiję patarimai:
O ką galima būtų daryti dar? Norisi imt, įlysk į tą Eustachijaus vamzdelį, ir išvalyt, kas jame ten yra, ir dėl ko jaučiasi nepatogumas ir uždegiminė reakcija.
Still, it seems to be an internal infection - because it sometimes manages to tear that inner discomfort in the ear under pressure, and then it gives the impression that it spills into the lymphatic system - the neck and right hand. Probably that’s why eating garlic helps. Usually, after that, the immune system and lymphatic system recover, and the inner ear heals, the condition improves. Probably, this disorder of the eustachian tube is only a sign of a deeper problem - a completely incurable infection / inflammation of the inner ear.
Visgi, atrodo, kad tai yra vidinis užkrėtimas -- nes kartais pavyksta tą vidinį ausyje nepatogumą spaudžiant sudraskyti, ir tuomet susidaro įspūdis, kad jis išsilieja į limfotakos sistemą -- į kaklą ir dešinę ranką. Tikriausiai todėl česnakų pavalgymas padeda. Paprastai, po to imuninė sistema ir limfinė sistema sutvarko, ir vidinė ausis sugyja, būsena pagerėja. Tikriausiai šis eustachijaus vamzdelio sutrikimas yra tik požymis gilesnės problemos -- iki galo neišgyjančio vidinės ausies užkrėtimo / uždegimo.