Fluttering in ears: how to stop it and what causes it

Young woman expressing pain

Experiencing a fluttering sensation in your ear, like the delicate beating of butterfly wings or the soft whirring of helicopter blades, is a common phenomenon. This sensation, often referred to as fluttering noise or vibration in the ear, can be somewhat disturbing. It can be associated with muscle spasms or contractions in the ear, hissing sounds, buzzing, whooshing, beating and ringing in one or both ears. It is important to understand that this occurrence is not particularly rare and can be attributed to several common conditions. We will explore the causes behind fluttering in the ear and discuss how to manage and treat it.

What is fluttering in the ears?

Many individuals occasionally perceive a fluttering sound in their ears. This sensation is not uncommon and can affect either one or both ears. It's important to note that while these fluttering or vibrating sounds in the ear can be temporary, at times they may signal issues within the delicate mechanisms of the inner ear. While many episodes are isolated and may resolve spontaneously, some instances of fluttering in the inner ear that come and go could require attention to prevent persistent problems.

Vibrations, fluttering sensation and ears ringing

Experiencing flutter sounds in the ear can significantly disrupt daily life and strain mental well-being due to the relentless noise. Many individuals with tinnitus resort to background sounds from radios, fans, or televisions to mask the internal sound for some relief.

This fluttering feeling in the ear may signal early hearing loss. Instances of fluttering in the ear canal, especially when lying down, can be accompanied by loss of balance, indicative of a sudden tinnitus episode. Other symptoms associated with the issue include dizziness, headaches, and disturbances at night. Some people also report a weird purring vibration in the ear with noise and describe it as a vibrating sensation that becomes more pronounced with external noises or talking.

Is fluttering in the ears dangerous?

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No, in most situations it is not. Fluttering in the ear, often experienced as a sensation similar to eardrum fluttering without pain, is typically more bothersome than harmful. However, it is advisable to consult a healthcare professional if this symptom is accompanied by hearing impairment, elevated blood pressure, or signs of hypothyroidism. The seriousness of ear fluttering largely depends on its root cause. Moreover, persistent fluttering can lead to frustration, impacting one's quality of life by causing sleep disturbances, increased anxiety, diminished work or academic performance, and even depression. Those encountering persistent fluttering in the ear, particularly if it results in hearing difficulties or is associated with other health concerns, should seek medical advice from ENT specialists or audiologists. Fluttering sounds in the ear can sometimes be due to muscle contractions in the middle ear or the tensor tympani muscle. These contractions are generally harmless and not associated with high blood pressure. The condition can also be linked to Bell's Palsy and facial traumas.

How long does it take for ear fluttering to go away?

The duration of ear fluttering can vary depending on its cause. It may last for a few seconds to several minutes or even persist for longer periods, especially if it's associated with an underlying condition. Some patients experience temporary fluttering in the ears while others complain about a constant vibration. If the fluttering in the ear lasts for weeks, it's advised to seek a medical opinion.

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How to stop fluttering in ear and ear vibrations

Treatment varies, ranging from medication to alleviate muscle tension to botulinum toxin injections and, in more serious situations, surgical intervention. To understand how to stop fluttering in ears, it's essential to deal with its root causes. If it's caused by earwax buildup, fluttering in ears can naturally go away after an earwax removal. The most common remedies include:

MEM Treatment

In certain cases, treatments like botulinum toxin injections, under medical supervision, or medications including carbamazepine and benzodiazepines, may offer relief. It's important to consult a healthcare professional to explore these options and assess their suitability for alleviating ear fluttering.

Controlling blood pressure

Chronically high blood pressure needs to be treated with medication. Some cases may need the aid of several classes of blood pressure drugs to help keep it in a normal range.  

Valsalva manoeuvre

Executed by gently blowing air through the nose with the mouth closed and nostrils pinched, the Valsalva manoeuvre can help reopen the eustachian tubes, connecting the throat to the middle ear. Care should be taken to avoid excessive pressure to prevent damage to the eardrum. If you seek eustachian tube dysfunction treatment, consult an ENT specialist.

Steam and steaming water

Utilising steam, particularly for those with sinus issues, can assist in unclogging the ears. It's crucial to exercise caution with hot water to avoid burns. By filling a bowl with steaming water and putting your head over it while under a towel, the ears can become unblocked.

Changes in eating habits

Maintaining hydration by drinking at least eight glasses of water daily and ensuring adequate intake of calcium and magnesium can support ear health and potentially reduce fluttering. A diet low in cholesterol is advisable for individuals with ongoing tinnitus. Being dehydrated can cause muscle cramps in the neck, shoulders, and mandibular joints.

Lifestyle changes

Healthy habits like adequate rest, yoga, and regular physical activity can contribute to overall well-being and stress reduction. Keeping a diary to track fatigue and emotional states may help identify stress-induced ear symptoms like anxiety-related tinnitus.

Fluttering and vibration in ears causes

Vibrating ear sensations can result from various factors such as prolonged exposure to loud noises, infections, and certain medical conditions. Being subjected to high noise levels regularly can impair the auditory system, potentially causing hearing loss and altering how sounds are perceived, including the experience of hearing sounds that do not exist.

Diagnosing the cause of fluttering in the ear can be challenging due to the lack of specific diagnostic guidelines. If you're asking yourself what causes a fluttering sound in your ear, some of the most common known causes are explained below.

Middle Ear Myoclonus, Middle Ear Muscle Spasm

Middle Ear Myoclonus (MEM) is a medical condition marked by involuntary contractions of the muscles within the middle ear, often leading to fluttering sounds that can resemble tinnitus. Diagnosis involves detailed symptom assessment and tympanometry, a test that evaluates the middle ear's health and the eardrum's flexibility. Tympanotomy, which allows direct observation of the muscle spasm, is the most conclusive diagnosis method, although it's generally reserved for severe cases.

In many instances, the Middle Ear Muscle Contractions exact cause remains unknown, described as idiopathic. However, it can sometimes emerge following facial trauma, involuntary facial muscle movements, or essential tremors affecting the soft palate.

Symptoms typically include a repetitive clicking or buzzing noise in the ear, coinciding with muscle spasms. These sounds can significantly impact one's quality of life due to their persistent and intrusive nature.

While MEM can profoundly affect an individual's daily life, causing distress and anxiety, it is not considered dangerous. With the right medical intervention, symptoms can often be managed effectively.

Pulsatile tinnitus

Tinnitus is characterised by persistent sounds such as ringing, buzzing, or whistling in the ears, that often last through the day and is especially reported upon waking up in the morning (a phenomenon called morning tinnitus). Muscular ear flutter and vibration in the ear are often associated with pulsatile tinnitus symptoms, characterized by a rhythmic noise that synchronizes with one's heartbeat. In cases of pulsatile tinnitus, the sound is typically a result of blood flow within blood vessels near the ears, creating a pulsating sensation perceived as a heartbeat-like rhythm. This condition highlights the auditory system's sensitivity to the dynamics of blood circulation, presenting as a distinct pulsing sound in the ear

Eustachian Tube Dysfunction

Ear fluttering can originate from a variety of causes, one significant being issues with the Eustachian tube. This narrow passage connects the middle ear to the back of the nose and throat, and it's crucial for maintaining equal ear pressure with the external environment. Symptoms of Eustachian tube dysfunction, including fluttering sensations, hearing difficulties, tinnitus, and a feeling of fullness in the ears, can signal problems. Specifically, patulous Eustachian tube dysfunction, where the tube remains abnormally open, can contribute to these symptoms. Common causes of Eustachian tube dysfunction range from infections and blockages to structural anomalies within the tube, all of which can interfere with its normal function and lead to auditory issues.

If you experience ear fluttering or exhibit symptoms of Eustachian tube dysfunction, it's wise to seek professional medical advice for an accurate diagnosis and appropriate management.

High Blood Pressure

High blood pressure is a frequent cause of the sensation of fluttering sounds in the ear. Elevated blood pressure forces blood to exert additional pressure on the sensitive components of the middle ear, leading to a fluttering effect. High blood pressure can also be associated with buzzing or ringing in the ears.

This fluttering sensation can be exacerbated by factors such as alcohol intake, heightened stress levels, and consuming caffeine, all of which can intensify tinnitus and ear fluttering. Moreover, certain vascular conditions that affect blood pressure can aggravate these symptoms, including:

  • Capillary malformation
  • Turbulent blood flow
  • Atherosclerosis
  • Neck tumours

Managing these underlying health issues is crucial in mitigating the disorder.

Earwax buildup

Earwax buildup is caused by an excess production or accumulation of earwax. Common symptoms include a sensation of pressure or fullness in the ear, discomfort, itching, temporary reduction in hearing, fluttering and vibrations in the ear, and the presence of tinnitus or other sounds within the ear.

To prevent earwax buildup, it's advised to avoid using cotton swabs for earwax removal as they may push the wax deeper into the ear canal. Instead, earwax removal kits are available at pharmacies or other local outlets, offering a safe alternative. Alternatively, consulting an ENT (Ear, Nose, and Throat) specialist is recommended for professional and efficient earwax removal in a clinical setting.

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Why does my eardrum feel like it's vibrating?

In addition to the ones listed above, potential causes include Tensor Tympani Syndrome, hypothyroidism, pain in the jaw joint, Ménière's disease, pressure changes, sinus infections, and pregnancy side effects. Addressing ear fluttering is vital for maintaining overall health, and it necessitates collaboration with an audiologist to identify the root cause and develop an appropriate treatment plan. Although the condition may result from a stressful period, other patients experience it without any known cause.

Pressure Changes and Barotraumas

The issue may also occur due to pressure changes in the middle ear, that lead to discomfort and fluttering in the ears when burping, swallowing, yawning, or chewing. Barotrauma refers to a more severe condition. It occurs when there's a pressure discrepancy between the external environment and the middle ear, such as during air travel or scuba diving, where altitude or pressure changes are common. In these scenarios, the air pressure in the middle ear may differ from the surrounding environment, resulting in sensations of pressure or vibration in the ear.

Tensor Tympani Syndrome and Eardrum Fluttering

Tensor Tympani Syndrome (TTS) is a rare disorder marked by involuntary contractions of the tensor tympani muscle in the middle ear. This condition can lead to a range of symptoms including eardrum fluttering, a sensation of ear blockage or fullness, discomfort, and occasionally a feeling of warmth within the ear. The eardrum fluttering usually is associated with no pain.

One of the key characteristics of TTS is that it falls under the category of objective tinnitus, meaning the sounds produced, such as rhythmic thumping or clicking, can be detected by both the sufferer and a medical professional.

Given its rarity and complexity, TTS poses diagnostic and treatment challenges and may be linked to other auditory issues like tinnitus and hyperacusis.

TTS can go away and be treated. For managing tensor tympani syndrome, strategies might include methods to ease the muscle tension, such as stress relief practices, biofeedback, and, in certain situations, surgical intervention. Seeking advice from an ear specialist or audiologist is crucial for an accurate assessment and to explore suitable treatment avenues.

Cervical Tinnitus and Neck Pain

Cervical tinnitus is a form of tinnitus associated with issues in the cervical spine, which is the neck area composed of seven vertebrae. Unlike typical tinnitus linked to the auditory system, cervical tinnitus is believed to arise from conditions affecting the musculoskeletal and nervous systems in the neck region. Therefore, aspects like the alignment of the neck, muscle tension, and overall spinal health play significant roles in the onset and severity of this type of tinnitus.

Pain in the jaw joint: TMJ and ear pain

The Temporomandibular Joint (TMJ) connects the jawbone, or mandible, to the temporal bones of the skull, situated near the ears. TMJ disorders can lead to symptoms such as facial pain on one side, earache, headaches, and, as recent studies suggest, sensations of vibration or noise in the ear. Factors contributing to TMJ disorders include:

  • Bruxism: Grinding or clenching of teeth during sleep can exert pressure on the TMJ.
  • Malocclusion: Improper alignment of teeth, or malocclusion, can affect the TMJ and lead to issues.
  • Trauma: Injuries to the jaw or head may result in TMJ disorders.
  • Stress: Stress can cause teeth clenching and muscle tension around the joint, as well as anxiety tinnitus.
  • Arthritis: This condition can affect the TMJ, causing pain and other symptoms.

There's a neurological link between the jaw and ear nerves, indicating that changes in nerve signals from the masticatory muscles and the TMJ can impact auditory perception, potentially leading to tinnitus.

Other causes of fluttering and buzzing in the ear

Woman holding both ears in pain

Other relevant causes for fluttering in the ear include:

  • Ototoxic medications: Numerous over-the-counter and prescription medications can harm the auditory nerve, essential for hearing. They are known as ototoxic drugs. Misuse or side effects of these drugs can result in sudden hearing loss, tinnitus, or peculiar sounds like popping, crunching, or ear fluttering. Such effects might occur with high doses of ibuprofen, specific antibiotics, and some diuretics.
  • Hypothyroidism: The thyroid gland, crucial for regulating metabolism and hormones, can also impact hearing and cause ear ringing and fluttering sounds in the ears. Thyroid issues, particularly hypothyroidism, may cause reduced energy, heightened pain sensitivity, weight gain, and tinnitus.
  • Sinus infections: This issue, often triggered by bacterial infections, leads to fluid accumulation in the sinuses, escalating sinus pressure and discomfort. This heightened pressure around the facial area can cause ear fluttering, dizziness, nausea, and headaches.
  • Stress and anxiety: Stress can impact the body in various ways, including affecting the auditory system. Under stress, muscles can tense up, including those around the ear, leading to feelings of pressure, fullness, or even the onset of buzzing and vibrating sensations in the ear. This condition is often referred to as stress-induced tinnitus.
  • Allergic rhinitis: It involves the swelling of the nasal passages due to allergens like pollen or dust. This condition can be associated with tinnitus, as the allergens prompt mucus production, which can subsequently lead to the formation of earwax.
  • Exposure to loud noises: Exposure to very loud sounds or spending extended periods in noisy environments can harm hearing, potentially leading to sensations of vibration or noise in the ear.

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