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How cold and flu affect your ears: clogged ears, ear pain & more

Last update on Oct, 14, 2024

You can get colds or the flu at any time of the year, but the viruses that cause these common respiratory illnesses tend to spike in the fall and winter months. Most people who suffer from cold and flu can expect coughing, congestion, sore throat or mild fever. But what does it mean if you experience a cold and ear pain simultaneously, or even a combination of flu and ear infection?

Ear discomfort might not be as common as other cold and flu symptoms, but it can be just as serious and even a precursor to more severe complications. Keep reading to learn how to recognize, treat and prevent ear-related symptoms related to a cold or the flu.

Why do your ears hurt when you have a cold?

The common cold is a virus affecting the nose and throat. But the virus that causes your illness might not limit itself to your upper respiratory tract—you could end up with ear-related issues, from soreness to fluid in the ear from cold and more.

The eustachian tube connects your middle ear to the back of your throat. It is vital in draining fluid and equalizing the pressure within the ear. During a cold, inflammation and mucus build-up can cause the eustachian tube to become blocked, leading to ear congestion

You might wonder how to unclog ears from congestion. Ear congestion typically resolves on its own after the virus has run its course. If it does not, or if it becomes painful, you might seek medical intervention in the form of:

  • Anti-inflammatory medications: Over-the-counter pain relievers such as ibuprofen can help relieve inflammation and allow for better drainage;
  • Antibiotics: If the congestion has led to an infection, you might need antibiotics. 

Simple ear congestion can escalate into a middle ear infection, also known as otitis media. This happens when the virus that caused your cold migrates from your nose or throat into the ear through the eustachian tube. Middle ear infection symptoms can include:

Treating otitis media is important. If left untreated, middle ear infections can lead to serious complications, including hearing loss. Under direction from your healthcare provider, you might consider the following remedies:

  • Rest: Your body needs time and strength to fend off the virus;
  • Saltwater gargle: Saltwater can help reduce inflammation, but do not put saltwater in your ear. Instead, add a teaspoon of salt to a cup of warm water, stir to dissolve the salt and gargle with the solution;
  • Antibiotics. If your middle ear infection symptoms do not resolve on their own, your doctor might recommend antibiotics.

When a cold persists, the mucus build-up within your sinuses can pave the way for a sinus infection, also called infectious sinusitis. This can lead to discomfort in your head and nasal area and even cause sinus infections and ear pain.  

What helps ear pain from sinus infection varies depending on the severity and type of infection. Some treatment options include:   

  • Antibiotics;
  • Nasal decongestant spray;
  • Antihistamines;
  • Topical corticosteroids;
  • Nasal saline washes.

Cold symptoms with blocked ears that hurt

Cold symptoms with blocked ears typically occur due to congestion affecting the Eustachian tubes. Common symptoms include:

  • Nasal congestion: A blocked or runny nose is a primary cold symptom, contributing to ear blockage;
  • Sore throat: Irritation in the throat may accompany ear discomfort due to connected passages;
  • Coughing: Mucus from the cold can trigger coughing, potentially adding pressure to the ears;
  • Ear fullness: A sensation of pressure or fullness in the ears due to blocked Eustachian tubes;
  • Muffled hearing: Temporary hearing loss may occur because of fluid buildup or pressure changes;
  • Headache: Sinus pressure from congestion may lead to headaches, which can also affect the ears;
  • Sneezing: Frequent sneezing, a common cold symptom, can worsen ear pressure temporarily.
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Cold and tinnitus or ringing in ears

Can a cold cause tinnitus? Tinnitus is characterized by ringing, hissing or buzzing in the ears. You might notice new or increased tinnitus after a particularly nasty cold. This might be caused by increased pressure in your ears that can accompany a cold or sinus infection. If you continue to experience tinnitus after a cold, contact your doctor. 

Yes, a cold can cause tinnitus in just one ear. This occurs when congestion from the cold leads to Eustachian tube dysfunction or fluid buildup in the middle ear, which may affect only one ear. The pressure changes and inflammation can trigger tinnitus symptoms in the affected ear, resulting in ringing or buzzing sounds. Additionally, if the cold progresses to an ear infection, it may also only impact one ear, leading to localized tinnitus.

Cold and temporary hearing loss

Ear congestion during a cold can cause muffled or reduced hearing. If congestion leads to an ear infection, you might experience temporary hearing loss. Typically, hearing loss from cold will resolve as the virus clears your system. Treat hearing loss from cold with:

  • Decongestants like pseudoephedrine (Sudafed);
  • Saltwater gargle;
  • Warm compress.

Hearing loss in just one ear after a cold can be attributed to several factors. The congestion caused by a cold may lead to Eustachian tube dysfunction, affecting only one ear and resulting in a pressure imbalance that impacts hearing. Fluid buildup in the middle ear can also occur unilaterally, causing temporary hearing loss in the affected ear. Additionally, if a cold progresses to a middle ear infection (otitis media), it may only affect one ear, leading to inflammation and hearing impairment. 

How to unclog ears after flying with a cold?

Woman with ear pain

Unclogging ears after flying with a cold can be challenging due to the added congestion from both the cold and changes in air pressure. Here are some general methods that may help relieve ear pressure:

  • Use steam: Inhaling steam from a hot shower or bowl of hot water can help loosen mucus and ease congestion;
  • Try a nasal spray: Saline nasal sprays can moisten nasal passages and help reduce congestion, which may alleviate pressure in the ears.
  • Hydration: Drink warm fluids like herbal tea to help thin mucus and promote drainage;
  • Gentle head tilting: Tilting your head to the side of the clogged ear and gently pulling on the earlobe can help facilitate fluid movement;
  • Hot compress: Placing a warm compress against the affected ear can soothe discomfort and help relieve pressure.

 

Cold and labyrinthitis

Labyrinthitis is inflammation of the inner ear and the nerves that connect it to the brain. A viral infection, including a cold, can trigger it. The condition can cause dizziness, nausea and hearing loss, which resolves after a few weeks. Rest, avoid sudden movements and ask your doctor about medications to manage nausea. If symptoms of labyrinthitis after a cold persist, consult with your healthcare provider.  

How to relieve ear pressure from cold?

Doctor visting a patient

Relieving ear pressure from a cold can help ease discomfort and improve hearing. Here are some methods you can try:

  • Yawning or swallowing: Both actions can help open the Eustachian tubes, allowing pressure to equalize;
  • Valsalva maneuver: Pinch your nose, close your mouth, and gently blow as if trying to exhale through your nose. This can help push air into the Eustachian tubes and relieve pressure;
  • Chewing gum: This encourages swallowing, which can help open the Eustachian tubes and relieve pressure.
  • Nasal decongestants: Over-the-counter saline sprays or decongestants can help reduce nasal congestion, improving Eustachian tube function;
  • Warm compress: Applying a warm cloth to the affected ear can promote blood flow and relieve discomfort;
  • Stay hydrated: Drinking plenty of fluids can help thin mucus and reduce congestion.

Why do my ears itch when I have a cold?

Another common response to the inflammation that accompanies a cold is itchy ears. Use over-the-counter ear drops to relieve symptoms of itchy ears with a cold. Never insert anything in your ear. 

Cold and ear bleeding

When your ear is infected, fluid and pus can build up and cause the eardrum to rupture. This might lead to bleeding or drainage from the ear. Keep the ear dry and avoid putting any objects in your ear. If bleeding or drainage from the ear after a cold happens or is accompanied by changes in hearing, contact a medical provider immediately.

Fluid in ear from cold

Congestion from a cold can block the Eustachian tubes, causing fluid to build up in the ear. Fluid in ear symptoms include a feeling of fullness, ringing or popping sounds, difficulty hearing or balance issues

To relieve fluid in the ear from a cold, try these methods:

  • Yawning or swallowing: Helps open the Eustachian tubes for drainage;
  • Valsalva maneuver: Pinch your nose, close your mouth, and gently blow to equalize pressure;
  • Warm compress: Apply a warm cloth to soothe discomfort and encourage drainage;
  • Stay hydrated: Drinking fluids can thin mucus and assist with drainage;
  • Nasal decongestants: Use over-the-counter options to reduce congestion.
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Clogged or stopped up ears from a cold

Clogged ears from a cold often result from congestion in the Eustachian tubes, which connect the middle ear to the back of the throat. This congestion can create a feeling of fullness, muffled hearing, or pressure in the ears. It’s common to experience temporary hearing difficulties and discomfort, especially when swallowing or yawning. These symptoms usually subside once the underlying cold or infection clears.

A blocked ear following a cold is a common issue that occurs after the initial symptoms have subsided. As the cold resolves, congestion in the Eustachian tubes may remain, leading to a sensation of fullness or blockage in the ear.

This can happen due to residual inflammation or fluid buildup that occurs as a result of the cold. The feeling of a blocked ear may persist even when other cold symptoms are gone. If the blockage continues or is accompanied by pain, hearing loss, or other concerning symptoms, it’s best to consult a healthcare professional for further evaluation.

Blocked ears from a cold can be uncomfortable, but several remedies may help. Steam inhalation can loosen mucus and relieve congestion, while a warm compress can soothe discomfort. Yawning or swallowing encourages the Eustachian tubes to open, helping trapped fluid escape. The Valsalva maneuver—pinching your nose and gently blowing—can also equalize ear pressure.

Staying hydrated and using nasal decongestants can further alleviate symptoms. If the blockage persists or causes significant pain, consulting a healthcare professional is recommended.

Cold and ears that hurt

Earache during a cold is usually caused by the swelling and congestion of the Eustachian tubes, which leads to pressure buildup in the middle ear. This pressure can result in a dull or sharp pain, sometimes accompanied by a feeling of fullness or blockage. In some cases, the pain may be persistent or worsen with certain movements, like swallowing or yawning.

For ear pain due to a cold, consider these remedies:

  • Warm compress: Apply a warm cloth to the affected ear to relieve discomfort and reduce inflammation;
  • Over-the-counter pain relievers: Medications like acetaminophen or ibuprofen can help alleviate pain and reduce fever;
  • Steam inhalation: Breathing in steam can help relieve nasal congestion and promote drainage, which may ease ear pain;
  • Stay hydrated: Drinking plenty of fluids can help thin mucus, reducing pressure in the ears;
  • Nasal decongestants: Over-the-counter nasal sprays or oral decongestants can help reduce congestion and relieve pressure on the ears.

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Common cold and ear infections

The common cold and ear infections are closely related. A cold, caused by a viral infection, often leads to nasal congestion and swelling in the Eustachian tubes, which connect the throat to the middle ear. 

This congestion can trap fluid in the middle ear, creating an environment conducive to bacterial growth and resulting in an ear infectionSymptoms of an ear infection may include ear pain, pressure, and muffled hearing, which can develop alongside or following cold symptoms.

Ears popping with a cold

Ears popping during a cold is common due to pressure changes in the Eustachian tubes. Nasal congestion can block these tubes, leading to a sensation of fullness and pressure.

When you yawn or swallow, the tubes may open, causing a popping sound as the pressure equalizes.If popping is accompanied by pain or hearing loss, consult a healthcare professional.

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Home remedies for fluid in the ear due to a cold

There are several home remedies to address pain or discomfort from fluid in the ears. 

Swallowing or yawning can open Eustachian tubes briefly, allowing in air and equalizing pressure. 

Chewing gum works in the same way as yawning to open Eustachian tubes. 

To pop your ears, pinch your nostrils shut and gently blow out with your mouth closed. This can equalize pressure and offer relief

As with chewing or swallowing, sucking a hard candy or lozenge helps to open your Eustachian tubes, allowing for pressure equalization. 

To soothe ear pain, wrap a heat or ice pack in a clean towel and gently hold it to the affected ear. 

If pain is primarily in one ear, elevate the affected ear and sleep on the opposite side to allow the infection to drain out

If your earache is the result of a sinus infection, try a nasal saline rinse to clear the sinuses. Consult with your doctor before trying a sinus rinse for ear pain. For best results:

  • Keep your mouth open;
  • Avoid holding your breath;
  • Gently blow your nose after rinsing.

Drink plenty of water to help the mucous inside your ear and stay hydrated

Sleep is vital in helping your body fight off a cold and its symptoms

Medical treatments for fluid in the ear due to cold

General home remedies like rest or warm compresses can help, but in some cases, they fall short. Consider medications for a more targeted approach to fluid-in-ear treatment. 

OTC pain relievers like ibuprofen (Advil) or acetaminophen (Tylenol) can help reduce pressure and ear pain. Especially when treating children, follow dosage guidelines on the packaging and always consult a doctor before giving OTC medication to children under 6 months.

These medications can reduce swelling in the sinuses, alleviating the clogged ear feeling. Children under 4 should not use OTC decongestants. Consult with your doctor before offering to children over the age of 4.  

Ear drops might help relieve pain or dry out your ears, but consult a doctor before using OTC drops. 

If your symptoms persist or are particularly severe, your doctor might recommend antibiotics in the form of drops or oral medication
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Considerations when treating fluid in the ear from cold

When treating fluid in the ear from cold or more severe complications like cold and ear pain or flu and ear infection, especially in children, consider the following:

  • Children under 4 shouldn’t be given cold medicine;
  • Consult a doctor before offering OTC medication to children under 6 months;
  • Use homeopathic remedies with caution. Essential oils like garlic, tea tree or olive oil pop up as solutions online but have not been shown to improve ear infections;
  • Never insert objects into the ear, including cotton swabs.  

Most cold and ear pain will resolve once the virus has cleared your system. If symptoms persist, be sure to consult with your doctor for the best course of treatment. 

FAQs about the effects of cold and flu on ears

An ear infection itself typically does not cause cold symptoms, but it can develop as a complication of a cold. Cold symptoms like nasal congestion, sore throat, and coughing are caused by a viral infection, which can lead to inflammation and fluid buildup in the Eustachian tubes. This creates an environment where bacteria can thrive, potentially causing a middle ear infection.

However, an ear infection may cause symptoms similar to a cold, including:

  • Ear pain: Sharp or throbbing pain due to inflammation;
  • Fever: Common with bacterial ear infections;
  • Muffled hearing: Due to fluid in the middle ear;
  • Fluid drainage: A sign of a more severe ear infection.

Ears can hurt in the cold due to several reasons:

  • Temperature sensitivity: Cold air can irritate the sensitive tissues in the ear, leading to discomfort or pain;
  • Nerve response: The cold can trigger nerve endings in the ear, causing a sharp or throbbing sensation;
  • Eustachian tube dysfunction: Cold weather often coincides with colds or allergies, leading to nasal congestion. This congestion can block the Eustachian tubes, causing pressure and pain in the ears;
  • Inflammation: Cold air can lead to inflammation in the ear canals, contributing to discomfort;
  • Muscle tension: Cold temperatures can cause muscles around the jaw and neck to tense up, which may also contribute to ear pain.

To get rid of an ear infection caused by a cold, consider the following steps:

  • Consult a healthcare professional: If you suspect an ear infection, it's essential to see a doctor for a proper diagnosis and treatment plan. They may prescribe antibiotics if the infection is bacterial;
  • Pain relief: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate ear pain and reduce fever;
  • Warm compress: Applying a warm cloth or heating pad to the affected ear can help relieve discomfort and promote drainage;
  • Stay hydrated: Drink plenty of fluids to help thin mucus and promote drainage from the Eustachian tubes;
  • Decongestants: Over-the-counter decongestants can help reduce nasal congestion and improve Eustachian tube function, allowing for better drainage from the middle ear;
  • Nasal spray: Using a saline nasal spray can help keep the nasal passages moist and reduce congestion;
  • Rest: Allow your body to recover by getting plenty of rest and sleep.

To stop ringing in the ears (tinnitus) caused by a cold, consider these approaches:

  • Stay hydrated: Drinking plenty of fluids helps thin mucus and reduce pressure in the ears, which may alleviate tinnitus;
  • Warm compress: Applying a warm cloth to the affected ear can soothe discomfort and promote circulation;
  • Nasal decongestants: Over-the-counter decongestants can relieve nasal congestion and improve Eustachian tube function, potentially reducing tinnitus;
  • Steam inhalation: Breathing in steam can help clear nasal passages and reduce ear pressure;
  • Avoid loud noises: Protect your ears from loud sounds, which can exacerbate tinnitus;
  • Relaxation techniques: Stress can worsen tinnitus, so practices like deep breathing, meditation, or gentle yoga may help.

Yes, flying with a cold can potentially damage your ears. When you have a cold, congestion and inflammation can block the Eustachian tubes, which are responsible for equalizing pressure between the middle ear and the outside environment. During takeoff and landing, rapid changes in altitude can create pressure differences that the blocked tubes can't equalize. This can lead to discomfort, pain, and in some cases, complications such as:

  • Barotrauma: Pain and potential damage to the eardrum due to pressure imbalance;
  • Middle ear infection: Fluid buildup can occur, increasing the risk of an ear infection;
  • Tinnitus: Ringing or buzzing in the ears may be exacerbated.

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