Eustachian tubes "sticking" open after hard workout (Read 7575 times)

    After a very hard workout (HIIT on the elliptical or heavy weight lifting days) my eustachian tubes stay "stuck" open for up to a 1/2 hour or so. It's very aggravating, feeling the negative pressure everytime I breathe in and hearing my own voice echo loudly in my ears. I can't get them to close for anything, no matter how much yawning and jaw stretching I do. Anyone else experience this or have any idea what might be the cause or cure?
    Brandon
    Trent


    Good Bad & The Monkey

      Huh? Your eustachian tubes are supposed to be open? They cause problems when they close.
        Ok, well, I thought there was a teeny tiny muscle that opened and closed the end of them in your throat at different times to equalize the pressure, like when you purposely yawn when going up and down hills in the car, or when flying. I feel something along those lines when I yawn or stretch my jaw down and out, whether it's something actually opening or not. The effect I'm describing is like having my jaw in this position all the time. I can hear my own voice from the inside of my ear, and I can feel the pull of negative pressure on my eardrums each time I inhale. Does that clear anything up?
        Brandon
        Tremont


          Are you sure Trent? I get similar symptoms, mostly when exercising in cold or wind. It's sometimes painful but mostly just a strange sensation to hear my own speech and breathing echo in my head. I was told by an ENT that it's caused by a failure of the Eustachian tubes to close when they're supposed to.
          Trent


          Good Bad & The Monkey

            Eustachian tubes are tiny mucosal tubes that connect the back of your nose to your ears. Here is a picture: They do not have any muscles around them that open or close them. They close when you get nasal congestion for whatever reason (cold temperature, viral infections, allergies, running, etc). When they swell shut, an air space between your Eustachian tube and your tympanic membrane (i.e., your ear drum) gets closed off. When this occurs, the air space can get a pressure buildup. This is the ear pressure or pain you feel on airplanes. The reason yawning cures your symptom is that it temporarily opens your Eustachian tube and allows the pressure to equalize. The symptom YOU are feeling is likely the same Eustachian tube swelling and dysfunction. Rather than pain, you have a sensation of transmitted biologic sounds, such as pulse and breathing. You may also have developed a fluid buildup in the closed space behind your tympanic membrane, which can accentuate the sounds even more. The failure is of your Eustachian tubes' opening (or rather, remaining open), not closing.
            Tremont


              "Under normal resting conditions, the eustachian tube is closed and only opens with swallowing or autoinflation. In unaffected individuals, closure of the eustachian tube is maintained by luminal and extraluminal factors, which include intrinsic elasticity of the tube, surface tension of moist luminal surface, and extraluminal tissue pressure." And: "Major symptoms of patulous eustachian tube include fluctuating aural fullness, roaring tinnitus synchronous with nasal respiration, audible respiratory sounds, distorted autophony (ie, the abnormal perception of one's own breath and voice sounds) with echoing occasionally severe enough to interfere with speech production, and sensation of plugged ear. Autophony is the most frequent symptom associated with patulous tube." From: eMedicine - Patulous Eustachian Tube MTA: link fixed
              Trent


              Good Bad & The Monkey

                sigh. PET is a relatively uncommon disorder. MOST folks have tubes that open and close with swallowing and with normal barometric changes. Most folks with disordered tubes have a disorder where they do not open and air pressure or fluid builds up in the ear, between the ET and the TM. But google is your friend and eMedicine is a good resource. And SOMEBODY out there has to get the rare disease for it to exist.
                Tremont


                  "Incidence of patulous eustachian tube is 0.3-6.6%" from the same link. It doesn't seem at all surprising that one might run into a couple (or more) out of the thousands here on RA.
                  Trent


                  Good Bad & The Monkey

                    Is that lifetime incidence? And what is the duration of illness? Let's say it is lifetime incidence and duration is a couple of weeks, perhaps a month. Average life span is some 70 years. That means an incidence of 5% translates to a prevalence of about 1 in 16 800. Not very common. You do, I assume, know the difference between incidence and prevalence.
                    Trent


                    Good Bad & The Monkey

                      I should also add that I was not clear. When I said "closed" as dysfunction, I meant to say "stuck closed". The language in the eMedicine article uses "closed" for what I would term "flexible". That is to say, the ET is a floppy tube that sits flopped down in a closed position but flops open with pressure changes. Being stuck closed is very common and causes a great amount of discomfort and morbidity. Being stuck open is far less common and also causes problems.
                      Scout7


                        I agree with my colleague, Trent. It's either that, or stick a rusty trombone in your ear(s). From anecdotal research, I've found that it can cure a number of ills.


                        1983

                          Are you sure Trent? I get similar symptoms, mostly when exercising in cold or wind. It's sometimes painful but mostly just a strange sensation to hear my own speech and breathing echo in my head. I was told by an ENT that it's caused by a failure of the Eustachian tubes to close when they're supposed to.
                          An ENT? Where did you run into one of those? Personally, I never believe anything a talking tree says.
                          Favorite quote: Stop your crying you little girl! 2011: Mt Washington, Washington Trails, Peaks Island, Pikes Peak.
                            ) From anecdotal research, I've found that it can cure a number of ills.
                            Just so that there's no confusion, the original anecdotal research was conducted by Dr.Johnson Dilligaf in Farquad, Iowa in 1969. I assume Scout's research picks up where his left off.

                             

                             

                            Scout7


                              Just so that there's no confusion, the original anecdotal research was conducted by Dr.Johnson Dilligaf in Farquad, Iowa in 1969. I assume Scout's research picks up where his left off.
                              Yes. And most of my research was with Globule's mom, who has perfected the technique through years of practice.
                              Tremont


                                There is no difference between incidence and prevalence when the issue is how many people have suffered, not how many people are suffering. How many people here right now are experiencing PET symptoms? I don't know. But from the information supplied we have an idea that somewhere between 3 in 1000 and 6+ in 100 have experienced it. So, again, it's not surprising that you might have run into a couple of them here. It'd be surprising if there weren't more.