Published on: 2025-06-23 | Written by: Dr. Fatima Rajab, PhD in Audiology
Dr. Fatma Ragab, Specialist in the Diagnosis and Treatment of Hearing and Balance Disorders, is highly experienced in managing middle ear problems and Eustachian tube dysfunction—two of the most common causes of ear pressure in both children and adults, especially those with allergies or recurrent infections.
In this article, we explore the common causes of ear pressure, the role of the Eustachian tube, and how Tympanometry is used to diagnose this condition accurately, along with available treatment options.
Ear pressure is a sensation of fullness or blockage inside the ear, often accompanied by hearing loss, tinnitus, or mild pain. It frequently occurs with changes in air pressure (such as during flying or diving) or due to middle ear issues.
Dr. Fatma Ragab explains that the most common cause of ear pressure is dysfunction or blockage of the Eustachian tube, which is responsible for balancing the pressure between the middle ear and the external environment.
The Eustachian tube connects the middle ear to the back of the nose and throat. It opens naturally during swallowing or yawning to equalize pressure in the ear.
When this tube malfunctions, air or fluid builds up in the middle ear, leading to a feeling of pressure or discomfort.
According to Dr. Fatma Ragab, this dysfunction can result from:
Colds or allergies
Sinus infections
Enlarged adenoids in children
Sudden changes in atmospheric pressure
Tympanometry is a painless diagnostic test used to measure how the eardrum moves in response to changes in air pressure.
It helps detect:
Fluid behind the eardrum
Eustachian tube dysfunction
Eardrum perforation
Issues with the middle ear bones (ossicles)
Dr. Fatma Ragab utilizes this test as a key part of middle ear assessments, particularly for children and patients with chronic ear symptoms.
Treatment depends on the underlying cause and may include:
Nasal sprays to reduce congestion
Antihistamines for allergies
Antibiotics in case of infection
Ear ventilation tubes for chronic fluid in children
Eustachian tube exercises (like the Valsalva maneuver)
Dr. Fatma Ragab emphasizes that early treatment can prevent complications like hearing loss or chronic middle ear infections.
Ear pressure is an annoying yet manageable issue, especially when diagnosed accurately using Tympanometry—a quick, painless test. With Dr. Fatma Ragab’s expertise in hearing and balance disorders, patients receive precise diagnosis and effective treatment plans that restore comfort and hearing clarity.