What are the early symptoms of secretory otitis media?

Patient's question:

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Doctor's answer:

Hello, secretory otitis media is most commonly characterized by a sense of fullness or blockage in the ear, hearing loss, and tinnitus. It often occurs after a cold or develops unnoticed. Sometimes, a change in head position may improve hearing, accompanied by self-amplification of sound. Some patients may experience mild ear pain, and children often show dullness in understanding or difficulty concentrating.
Advice: Specific symptoms include: hearing loss, decreased hearing, self-amplification of sound; ear pain, which may be dull and acute, often the first symptom of the patient, and can be persistent or intermittent. In chronic cases, ear pain is less noticeable; tinnitus, usually low-pitched and intermittent, such as "popping" sounds, buzzing, or the sound of flowing water. When the head moves or during yawning or nose-blowing, a "gurgling" sound may occur in the ear; the surrounding skin may feel "numb," and psychologically, the patient may experience frustration.

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