Ringing in the ears, ear congestion, occasional headaches

Question

Hi everyone! I really need some advice on what to do next.

A bit about me: I’m dealing with anxiety issues—panic disorder, specifically. I’m on Paroxetine 10mg and Pregabalin 150mg right now.

Here’s what’s been going on:

•	About a month ago, I had a really bad sore throat. The doctor I saw prescribed some antibiotics, but I wasn’t sure if he was right, so I skipped them and just used some sprays. Thankfully, the throat got better on its own.
	•	Three weeks back, I went swimming with my trainer. He pushed me pretty hard, and afterward, I felt super dizzy and weak. I made the mistake of not drying my hair properly before heading home with a damp head under a cap.
	•	That same evening, I got this weird pulsing sensation in my forehead, and suddenly, my ears started ringing.
	•	I went to a local doctor, and he gave me some antiviral meds, which I took.
	•	Later, I saw an ENT specialist, who said I had some fluid buildup in my middle ear and prescribed Normax ear drops and antibiotics. I finished the course, and even tried a massage once, which seemed to help with the headaches.

Right now, here’s what’s bothering me:

•	I get this light ringing in my ears from time to time, and I can’t really tell if it’s in my ears or the back of my head.
	•	Some sounds feel extra loud and irritating.
	•	Whenever I exercise or put in effort, I feel a sort of pulling sensation above my forehead and at the back of my head, almost like a sore tightness.
	•	Sometimes, though rarely, I feel a bit nauseous or dizzy.
	•	Every night when I lie down to sleep, the ringing and a slight pressure or blocked feeling in my ear (or maybe my head) seems to get worse.

I also went to an osteopath recently, and he worked on my neck and spine. He said it might help if there’s any nerve pinching, but I’m not sure if that’s the real problem here.

Would really appreciate any insights or advice from you all, especially if anyone’s been through something similar! Thanks in advance.

Dr. Ravi Chandra Rushi · Accepted Answer

Hello Ananya, you are experiencing a combination of anxiety, ear issues (such as ringing, pressure, and fluid buildup), and muscle tension in your head and neck, likely due to stress, cold exposure, or possible a   nerve irritation. In Ayurveda, these symptoms may be linked to a Vata imbalance affecting both the nervous and musculoskeletal systems. To manage these symptoms, consider taking Guduchi (500 mg daily) to reduce inflammation and infection along with Tab Sukshma Triphala- 1 tablet thrice after meals. For anxiety and to support the nervous system Tab Brahmi vati (250 mg daily) and Syp Saraswatarishta 15 ml twice after meals is advisable to enhance cognitive function and manage dizziness. You can also practice Nasya therapy by applying 2 drops of Anu Taila (medicated nasal oil) in each nostril every morning to relieve sinus congestion, ear pressure, and head tension. For the ear, try using warm KSHAR oil drops (1-2 drops at bedtime) to reduce ringing and fluid buildup provided there is no active infection . Daily self-massage (Abhyanga) with warm sesame oil on your neck, shoulders, and head can help relieve muscle tension.Apply a paste of dry ginger over the forehead to reduce the intensity of headache. Incorporate Nadi Shodhana (Alternate Nostril Breathing) for 5-10 minutes twice a day to calm your mind and balance Vata. Additionally, follow a Vata-pacifying diet, emphasizing warm, cooked meals such as soups and stews, while avoiding cold and raw foods. Drink warm water throughout the day to stay hydrated. Avoid exposure to cold environments, and dry your head properly after activities like swimming. To promote restful sleep, establish a consistent bedtime routine and drink warm turmeric milk or Nutmeg tea before bed. Continue your current medication and consult both your Ayurvedic practitioner and healthcare provider if symptoms persist or worsen.

Dr. Anjali Sehrawat · Answer

Given your symptoms, a holistic approach that incorporates Ayurvedic principles may provide additional support. For your condition, I recommend undergoing Panchakarma treatments such as Shirodhara, where warm herbal oil is poured gently on your forehead, which can help alleviate tension and anxiety. Nasya, the nasal administration of medicated oils, may also be beneficial for addressing ear-related issues and promoting clarity in the head. Additionally, consider Kati Basti, where warm oil is pooled over the lower back; this can relieve tension and improve overall energy flow. Abhyanga, or Ayurvedic oil massage, can help with relaxation and circulation, reducing stress levels.

In terms of Ayurvedic formulations, Ashwagandha can help manage anxiety and stress levels; take 500 mg twice daily. Brahmi is another excellent option known for its calming effects on the nervous system; consider taking 300 mg twice daily. For any inflammation or discomfort, Turmeric (Curcumin) can be beneficial due to its anti-inflammatory properties; consider taking it in capsule form, around 500 mg daily. Additionally, herbal teas like Ginger and Tulsi tea may help with digestion and boost overall vitality.

Remember to maintain a balanced diet rich in whole foods and stay hydrated. Lastly, keep your healthcare provider informed about any Ayurvedic treatments you choose to ensure they complement your existing medications.

Dr. Prasad Pentakota · Answer

Hey there, sounds like you're dealing with kinda a complex mix of stuff. First off, good job on being proactive about your health and consulting multiple specialists!

Let’s dive into it from an Ayurvedic standpoint. Your symptoms might point to an imbalance in the Vata dosha, which is associated with movement and air. When unbalanced, Vata often leads to issues like anxiety, ringing in ears (tinnitus), and even dizziness.

Here’s a bit of what you can do:

1. **Diet Adjustments:** Focus on grounding and warm foods. Think hearty grains like oatmeal or rice, warm soups, and well-cooked veggies. Avoid cold, dry, and raw foods for now. This helps pacify Vata and calms your system.

2. **Daily Routine:** Routine is key for Vata types. Try to wake up and go to bed at the same time each day. Introduce calming activities like yoga or light stretching - but go easy, don't overexert yourself.

3. **Nasya Therapy:** This involves applying a couple of drops of warm pure sesame oil into each nostril in the morning. It can help with ear and head pressure and sooths the nervous system.

4. **Stay Warm:** Your damp head post-swim might've aggravated the Vata dosha. Always dry your hair properly and keep your head warm, especially when it's windy or cold outside.

5. **Herbal Support:** Herbs like Ashwagandha can be supportive in reducing anxiety and promoting relaxation. However, make sure to consult with a local Ayurvedic practitioner to ensure it fits well with your current medication.

6. **Breathing Exercises:** Practice Nadi Shodhana (alternate nostril breathing) to balance your energy channels and calm the mind. Just a few mins everyday can make a world of difference.

7. **Relaxation:** Before bed, a warm sesame oil head massage might help with sleep and further reduce the ringing sensation. Having a nightly routine that soothes the senses - think warm baths or calm music - can be beneficial.

Lastly, if you're experiencing severe discomfort or if symptoms persist, don't hesitate to seek medical help again. Sometimes a blend of conventional and Ayurveda treatments delivers the best result. Hope you find relief soon!

Ringing in the ears, ear congestion, occasional headaches - #203

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