Expert: Harriet B Jacobster, Au.D. - 9/3/2008

Question
Hello.

A couple of weeks ago, I woke up with a feeling of pressure and faint itching in both ears (though more in one than the other), as if I was in a plane and my ears didn't pop.  Nothing like swallowing, yawning, Valsalva, etc. has changed the sensation in any way since then.  I also have been occasionally hearing a kind of low vibrating sound as if a large truck had driven by, but not caused by anything external.  I seem to be especially sensitive to faint, low noises, like the planes taking off from the airport some miles away from my work.  They increase the feeling of pressure and can bring on the vibrating sound.  When people speak, especially women, their voices sound distorted and are accompanied by an electronic-sounding echo.  I haven't had any functional problems understanding anyone or any pain, but I am bothered by the strange sounds and the pressure and would like to make them stop.

I have an old brain injury that caused some problems with auditory processing but not a hearing loss as such.  This has been stable for many years.  I mention it for completeness but do not suspect it is causing my problem.  I have never before had the symptoms I am having now.

I do not have health insurance, so I am trying to decide if it is worthwhile to pay for a specialist visit.  Can I do myself harm if I wait to see someone?  Are there any things I should try before seeing an expert in person?

Thanks for your advice.

Answer
Dear B,
Based on your description, it sounds as if you may have a Eustachian Tube Dysfunction (ETD). However, whenever there is an electronic type-distortion, there is the possibility of something neural. I understand that you are hesitant to see a doctor because of the insurance issue; however, as nothing you have tried has yet relieved the symptoms, it is probably the wisest thing to consult an ear specialist.  I'm sure if you explain your situation, s/he can work out a payment plan. Even an untreated ETD can lead to possible fluid buildup and even permanent damage.
Hope this helps.
Harriet B. Jacobster, AuD
Board Certified in Audiology