If your ears are blocked when you lie down and stand up, it may be caused by secretory otitis media, blocked Eustachian tube, etc. You can relieve the symptoms by medication or surgical treatment. 1. Secretory otitis media: It is a non-purulent inflammatory disease with accumulation of fluid in the middle ear cavity caused by dysfunction of the Eustachian tube. Symptoms such as occlusive sensation in the ear, blockage of the ear when lying down and standing up, tinnitus, earache and hearing loss will occur. It can be treated with medication under the guidance of a doctor, or by tympanocentesis or tympanic tube placement. 2. Eustachian tube blockage: it is caused by inflammation of nasal cavity or occupying tumor lesion in nasopharynx, which will cause symptoms such as stuffy ears, blockage of ears when lying down and standing up, hearing loss and tinnitus, etc. It is necessary to actively treat the primary disease of nasal cavity. It is necessary to actively treat the primary nasal cavity disease and promote the recirculation of the Eustachian tube. Therefore, patients whose ears become blocked when they lie down and stand up should go to the hospital as soon as possible to find out the cause of the disease, and actively cooperate with the doctor for symptomatic treatment after diagnosis.