Posted by: Ann | 2009/06/22


Dear ENT expert,

I keep on getting ear infections - my GP says that it has something to do with my TMJ and has put me on Trepiline 10mg to stop me clenching my jaw at night. It has helped a bit, but I still feel blocked in that ear quite often. What can I do?

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Our expert says:
Expert ImagezENT Expert

Dear Ann

A TMJ problem will cause a painful ear or pain with eating / chewing. It does not cause ear infections or a blocked ear. Trepiline will not help for ear problems. If you grind your teeth you might benefit from a bite-plate that your local dentist or maxillo-facial surgeon can assist you with.

If your main symptom is a blocked / deaf ear or recurrent infections, you must see an ENT for an evaluation of the ear canal, eardrum, middle ear and to assess eustachian tube function. You might also need a hearing test to exclude an underlying hearing disorder.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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