Can TMJ/bruxism cause severe intermittent ear fullness and disorientation even when ear/hearing tests are completely normal?
I’m honestly at my wits’ end and hoping someone here has experienced something similar.
About 7 days ago, I woke up with significant pressure/fullness and muffled hearing in my right ear. It felt completely clogged and made me extremely disoriented. The sensation can get so intense that I feel like I’m not walking straight and like I’m losing my mind.
I went to my family doctor that Friday. He couldn’t see anything obviously wrong with my ear, but because of the sudden onset and muffled hearing, he was concerned about possible sudden hearing loss and told me to get a hearing test ASAP. Unfortunately, it was Friday and everything was closed, so he recommended I go to the ER.
At the ER, they looked in my ear and thought they could see some fluid behind the eardrum. They did a quick hearing assessment and said my hearing seemed okay. I was told to try things like steaming and measures to help open my Eustachian tubes.
My family doctor also flushed my ear that Friday. There was very little earwax, and flushing it made absolutely no difference to the fullness or muffled sensation.
Saturday: I woke up with the same severe fullness and disorientation. I tried steaming and massaging around my jaw/ear. I also bought saline spray and Flonase because I thought this might be Eustachian tube dysfunction.
Sunday: Same thing again. My ear felt completely clogged and I was incredibly disoriented. Saline spray and Flonase didn’t seem to do anything. I was so anxious and uncomfortable that night that I only slept about two hours and actually felt sick to my stomach from the anxiety.
Monday: I woke up and my ears were basically clear. Later that evening, however, the fullness came back. I couldn’t understand why it was fluctuating so much.
I contacted my family doctor again and he arranged an ENT referral. Somehow I was able to get an appointment for Tuesday.
Tuesday: I had a full hearing test and pressure testing/tympanometry. Everything came back normal. I had no hearing loss and normal middle-ear pressure. The ENT also looked carefully in my ear and did not see any fluid behind the eardrum or any significant earwax buildup. So there wasn’t an obvious physical blockage that could explain the sensation.
Because there wasn’t an obvious cause, I’m now on a waitlist for a CT and MRI, but I’m being told it could take a couple of months.
The ENT also gave me betahistine to try for the dizziness/disorientation, although he was very upfront that there isn’t strong evidence that it will help in my situation.
Wednesday: I stayed home and took the betahistine. My ear stayed basically 100% clogged/full all day. I was still extremely disoriented and uncomfortable.
By this point, I had started doing more research and began wondering whether TMJ/bruxism could be involved.
I’ve had a history of clenching my teeth, both during the day and at night, for years. I always assumed it was just something I did when stressed and never really paid much attention to it.
I started consciously paying attention to my jaw position and realized I was clenching WAY more than I thought. I started trying to keep my tongue resting on the roof of my mouth, lips together, and teeth apart.
I also realized that my teeth themselves were extremely sore, which made me realize how much clenching I had probably been doing without noticing.
Thursday: I went back to the hospital because I was hoping they might be able to do imaging. They didn’t think imaging was indicated and instead examined my jaw and said that my symptoms could be consistent with TMJ. They recommended Advil twice a day and seeing a dentist.
The problem is that I start a new job on Monday, so getting a dentist appointment immediately isn’t really realistic.
Friday: I had a complete breakdown because I was so exhausted and frustrated. I took Advil, took 100 mg of magnesium before bed, put my old orthodontic retainers in, and taped my mouth shut while sleeping because I was trying anything I could think of to prevent clenching.
Saturday: I woke up and my ear was almost completely clear — maybe 5% fullness.
I was exhausted from the past week of barely sleeping, so I took a nap today. I was drifting in and out of sleep, and during the nap I could actually feel myself clenching my teeth at times and pushing my jaw forward. I was somewhat aware of it happening while I was half-asleep, but obviously wasn’t consciously choosing to do it.
When I woke up after that short nap, the ear fullness was back to almost 100%, along with the same horrible disorientation.
That’s what is really confusing me. I don’t have significant or persistent jaw pain. I don’t have pain in the muscles around my jaw either, and when I’ve tried massaging the area, there’s nothing that particularly hurts or feels like a painful knot. I have also been doing hot compresses and massages and even use a tmj acupuncture tool, and there is no difference with this.
That said, on the day when my ear was almost completely clear, I did notice some tingling around my right jaw joint and some cracking/popping in the right side of my jaw. Other than that, I don’t really have pain in the joint or surrounding muscles.
Yet I clearly have a history of clenching, my teeth are sore, and I actually noticed myself clenching my teeth and pushing my jaw forward while I was drifting in and out of sleep during my nap. The ear symptoms also seem to fluctuate dramatically.
That’s why I’m wondering whether the clenching/bruxism could somehow be contributing to the ear fullness even without the typical TMJ pain people usually describe.
I’m wondering:
Has anyone experienced severe ear fullness/pressure from bruxism or TMJ without significant jaw pain?
Can TMJ/bruxism cause this type of ear sensation even when hearing tests and tympanometry are completely normal?
Has anyone had the fullness accompanied by dizziness/disorientation like this?
Did treating the clenching actually resolve the ear symptoms?
What treatments helped you besides simply being told to “stop clenching”?
Has anyone benefited from dental treatment, a properly fitted night guard, physical therapy, or other approaches?
I’m obviously not assuming this is definitely TMJ, especially since I’m still waiting for imaging and have been evaluated by an ENT. I’m just trying to understand whether this pattern sounds familiar to anyone.
The hardest part is that the sensation is so intense despite everything testing normal. It is genuinely debilitating, and the uncertainty is making my anxiety much worse.
I’m desperate for ideas at this point. I start my new job Monday and really need to figure out how to manage this. Even if someone has a temporary fix, please let me know just so I can start my job this week and then look into long term treatment. I have to drive to my job and can’t with the disorientation.