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My allergist can tell by the fluid in my middle ear.. also it's pretty obvious what it is when my sinuses are stuffy yet my ears are killing me & my hearing is muffled. The biggest dead giveaway was how much my ears improved after going on daily Flonase. I think symptoms alone should be indicative of ETD. Anyways, the main treatments are nasal sprays(all kinds), decongestants(Sudafed Severe Congestion is my absolute favorite, that stuff is awesome.. I don't know where i'd be without it hehe) & antihistamines. ETD means more than one area is affected, so if you've got clear sinuses & no sore throats along with the ear pain, it's unlikely, but not impossible you have ETD. It's just that usually it causes swollen, sore throats, stuffy, painful sinuses along with the ear pain. Have you had a sinus ct? could be worth getting.





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