Understanding and Relieving Painful Pressure from Ear and Sinus Congestion

Experiencing pressure in your ears or sinuses can be both uncomfortable and disruptive. Whether it’s due to a common cold, allergies, or other underlying conditions, understanding the causes and knowing how to alleviate the discomfort is essential.
What Causes Ear and Sinus Pressure?
Ear and sinus pressure often results from blockages or inflammation in the sinus cavities or Eustachian tubes. The Eustachian tube connects the middle ear to the back of the nose and helps equalise pressure. When this tube or the sinus passages become blocked, pressure builds up.
Common causes include:
- Sinusitis: Inflammation of the sinus lining due to infection or allergies leads to mucus buildup and pressure.
- Allergies: Allergic reactions to pollen, dust, or other allergens cause inflammation and excess mucus.
- Common Cold: Viral infections cause swollen nasal passages and block normal sinus drainage.
- Air Pressure Changes: Rapid altitude changes, such as during takeoff and landing on a plane, disrupt pressure balance.
- Ear Infections (Otitis Media): Bacterial or viral infections can cause fluid buildup in the middle ear.
- Barotrauma: Sudden pressure changes from diving or flying can strain the ear and sinus cavities.
Recognising the Symptoms

Identifying symptoms early can help with timely treatment. These symptoms can range from mild discomfort to significant pain:
Ear Symptoms:
- Fullness or a blocked feeling in the ear
- Muffled hearing or popping sounds
- Sharp or dull ear pain
- Dizziness or balance issues
- Ringing in the ears (tinnitus)
Sinus Symptoms:
- Facial pain, especially around the cheeks, eyes, and forehead
- Nasal congestion or a runny nose
- Headaches, particularly when leaning forward
- Bad breath and reduced sense of smell
- Postnasal drip and coughing
If you’re experiencing these symptoms, find the right ENT treatment for you by consulting a qualified ENT specialist who can diagnose the issue accurately and recommend a personalised treatment plan, so you can breathe, hear, and live better.
Effective Home Remedies
For mild cases of congestion or pressure, these at-home treatments can be helpful:
- Steam Inhalation: Inhaling warm, moist air can loosen mucus and relieve sinus pressure.
- Warm Compress: Applying heat to the sinuses or ears can reduce pain and improve circulation.
- Saline Nasal Spray or Rinse: Helps clear out irritants and moisturises dry nasal passages.
- Stay Hydrated: Drinking water thins mucus, allowing it to drain more easily.
- Over-the-Counter Decongestants: Nasal sprays or tablets can reduce swelling and open airways. (Note: avoid overuse of sprays.)
- Gentle Nose Blowing: Clear each nostril one at a time to prevent additional pressure.
When to See an ENT Specialist
Not all congestion is harmless. If symptoms persist for more than 10 days, recur frequently, or cause severe pain, it’s time to consult an ENT specialist.
Red flags include:
- Persistent ear or facial pain
- Hearing loss or fluid drainage
- High fever
- Recurrent sinus infections
- Symptoms that don’t improve with home care
Ready to feel better? Schedule a consultation with Dr. Pang and get personalised care.
Professional Treatment Options
Our ENT clinic in Singapore provides several advanced treatment options, including:
Nasendoscopy: A diagnostic procedure using a thin, flexible tube with a camera to examine the nasal passages and throat.
Nose Cleaning: A clinical procedure to clear out mucus, debris, and allergens from the nasal cavity.
Nose Cancer Evaluation: Comprehensive screening and diagnosis for early detection of nasal or sinus tumours.
Allergy Tests: Identify specific allergens triggering your symptoms for more targeted treatment.
Turbinoplasty: A surgical procedure to reduce the size of the nasal turbinates, improving airflow and reducing congestion.
Hearing Test: An audiological assessment to evaluate hearing loss and related issues.
Tympanogram: A diagnostic test that measures movement of the eardrum to assess middle ear function.
Ear Cleaning: Safe removal of earwax or debris under professional supervision.
Grommet Insertion: A minor surgical procedure to insert tiny tubes into the eardrum, allowing fluid drainage and pressure relief.
For tailored medical advice, don’t hesitate to contact us to schedule a consultation with our experienced specialists.
Tips to Prevent Future Congestion
Preventing congestion starts with proactive health habits:
- Manage allergies through regular cleaning and avoiding known triggers.
- Practice good hygiene, especially during cold and flu season.
- Use a humidifier to maintain optimal indoor air moisture.
- Avoid smoking and second-hand smoke.
- Stay up-to-date with flu vaccines and consider allergy shots if necessary.
Frequently Asked Questions
Yes, allergic reactions can lead to swelling in the nasal passages and Eustachian tubes, causing ear pressure.
Acute sinusitis can last 7 to 10 days. Chronic sinusitis may persist longer and often requires medical treatment.
It’s not recommended as pressure changes can increase pain. Use decongestants and consult a doctor beforehand.
Yes, prolonged congestion can lead to ear infections, hearing issues, or chronic sinusitis.
Intense pain, fluid leakage, hearing loss, or fever are warning signs and need urgent evaluation.
Understanding the causes and treatments for ear and sinus pressure is key to lasting relief. If you’re experiencing ongoing discomfort, reach out to our trusted team for expert care.