While we know high body temperature, subsequent fever and a continuous dry cough are some of the most established symptoms of Covid-19, the World Health Organization (WHO) is now looking into how common it may be for infected people to experience a loss of smell (anosmia) or taste (ageusia). Thankfully, recent scientific studies show that from the Omicron variant on, these symptoms tend to disappear. Studies show that these types of disorders generally pass over time and patients should regain full functionality of the senses, although much depends on the extent of the initial impact of infection.
While hearing concerns are not generally reported among those infected with Covid, recent studies suggest that ear pain and excessive pressure in the ears may be one of the symptoms of Covid-19 and other ear-related conditions can be related to the virus onset.
Ear pain is one of the least common ear-related covid-19 symptoms. But, since the onset of the Omicron variant, its incidence has increased. This may be due to the fact that the new Covid-19 variants affect the upper respiratory tract more, thus facilitating the onset of symptoms related to the ear. The pain would be generated by the obstruction and the consequent inflammation that Covid-19 causes in the airways.
Indeed, when the upper part of the throat and nose are inflamed, these channels may become blocked thus causing the eustachian tube to no longer function correctly. In turn, this can give rise to discomfort in the ear and cause temporary hearing problems. Evidence for this was discovered by researchers at the Massachusetts Institute of Technology (MIT) and Massachusetts Eye and Ear, who reported evidence that COVID-19 can infect inner ear cells, including hair cells.
Probably the most common ear-related symptom of Covid-19 is excessive pressure in the ears and the feeling of clogged ears and ear popping. If you feel ear pressure or clogged ears, do not to use cotton swabs and Q-Tips because you risk making the situation worse.
This feeling of ear pressure, stuffy nose and clogged ear comes from the inflammation that the latest variants of Covid-19 cause in the upper airways. Since many of the symptoms of the virus are like flu ones, this excessive pressure inside the ear is most likely caused by clogged tubes in the ear due to the virus within the system.
More scientifically speaking, when the Eustachian tube (which connects the middle ear to the nasopharynx) becomes blocked, it can lead to a feeling of fullness and pressure in the ear, as well as ear inflammation and otitis media. Therefore, in most cases, once the effect of the virus has ended, the pressure inside the ears should normalize.
The association between Covid-19 infection and vertigo and dizziness was initially theorized and confirmed by a study by the University of Manchester and the Manchester Biomedical Research Center, published in the "International Journal of Audiology". The results of the study state that among patients with Covid-19, 7.2% indicate the presence of vertigo as a symptom.
Subsequently, on July 20, 2022, the article “The Prevalence of Dizziness and Vertigo in COVID-19 Patients: A Systematic Review” attempted to pool all the data from 14 previous studies related to vertigo and dizziness as a symptom of Covid-19. 4 of these studies generated case reports, and in all of them, vertigo and dizziness were detected as initial symptoms of Covid-19, preceding those relating to the respiratory tract, which occurred later.
These symptoms usually disappear at the end of the virus infection, however, they can rarely persist in the event of long Covid, as reported in the Manchester study and by Maslovara et al. The study “Post-COVID-19 Benign Paroxysmal Positional Vertigo” revealed the possible persistence of Benign Paroxysmal Positional Vertigo after Covid-19.
Learn more about how Covid-19 can affect your ears:
On October 13, 2020, in the journal BMJ Case Reports, the authors reported for the first time a case of sudden hearing loss as a result of the Coronavirus, specifically reporting on a 45-year-old man with asthma who developed sudden hearing loss while on treatment for COVID-19.
The man had never experienced hearing problems and was in good health prior to his diagnosis. After undergoing a physical examination and an MRI scan, doctors were unable to find an alternative trigger for his hearing loss, such as a blockage or swelling. He also tested negative for all other possible causes of hearing loss.
Sars CoV-2, the virus responsible for Covid-19, is known to cause an inflammatory response and has been identified in cells of the middle ear of Covid-19 patients. Suggesting in rare cases, some hearing loss could be related to the coronavirus.
The conclusion is that sensorineural hearing loss can potentially be a rare symptom of Covid-19.
Tinnitus is a persistent sound in the ears, which often manifests itself as a very annoying noise like a ring, a hiss or a buzz, and almost always perceived solely by the person affected. The first study on the correlation between tinnitus and Covid-19 was published on the "Frontiers in Public Health" portal and it was on the possibility that Covid-19 can worsen existing tinnitus.
The study was conducted on 3100 people from 48 country, mainly in US and UK, in a population of men and women with prior existing tinnitus aged 18 to 100. The results were quite clear: in fact, 40% of people noticed a worsening of ringing in ears due to Covid-19 infection.
More and more people are complaining about ringing in ears after Covid-19, so researchers started to think that tinnitus can potentially also be a neurological symptom of Post-Covid Syndrome. The aforementioned study confirmed that, as this happened to people with no previous tinnitus. At the same time, data are not consistent yet to affirm tinnitus and post-Covid Syndrome are 100% related.
Sources:
Increased incidence of otitis externa in covid-19 patients
SARS-CoV-2 infection of the inner ear
The Prevalence of Dizziness and Vertigo in COVID-19 Patients: A Systematic Review
Post-COVID-19 Benign Paroxysmal Positional Vertigo
Sudden irreversible hearing loss post Covid-19
Changes in Tinnitus Experiences during the Covid-19 Pandemic
Labyrinthitis: A Rare Consequence of COVID-19 Infection
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