The feeling of stuffy and blocked ears in the morning may be related to cerumen impaction, acute secretory otitis media, sudden deafness, etc. Local and systemic treatments should be chosen according to the cause and the degree of the disease in order to control the disease and relieve the symptoms.
1. Cerumen embolism: Cerumen gradually accumulates in the ear canal due to excessive secretion or poor drainage of ceruminous glands in the external auditory canal, and when it accumulates to a certain extent, it may appear as if the ear is blocked with a layer of membrane in the morning and one can’t hear well. Cerumen can be removed with a cerumen hook, or 5% sodium bicarbonate to soften the cerumen, and then rinsed out with warm saline.
2. Acute secretory otitis media: If the body resistance decreases after catching a cold at night, acute secretory otitis media can be triggered by acute upper respiratory tract viral infection. Negative pressure or fluid accumulation in the middle ear leads to a stuffy and blocked feeling in the ear in the morning.
Attention needs to be paid to rest and warmth. Acute infection should be treated with anti-infection therapy such as amoxicillin and cefuroxime; reasonable use of decongestant nasal spray such as hydroxymetazoline and short-term oral glucocorticoids such as dexamethasone. If there is no obvious secretion in the nasal cavity, it can be assisted in the treatment of eustachian tube blowing.
3. Sudden deafness: sudden, unexplained sensorineural hearing loss, some patients may have a feeling of ear stuffiness, low-frequency deafness is common. Mainly take glucocorticoids orally, intravenously or behind the ear and the tympanic chamber injection, the application of ginkgo biloba extract to improve microcirculation, bacitracin and other drugs to reduce fibrinogen treatment.
When the occurrence of the morning up ear stuffy blocked feeling, need to actively seek medical attention, systematic examination and clear diagnosis, follow the doctor’s instructions standardized treatment.