Have you ever noticed that when you have a cold, your hearing seems muffled or dulled? You are not alone. Many people experience temporary hearing loss during or after suffering from a common cold, and whilst this can be concerning, it is usually a harmless and reversible condition. At Sussex Audiology Centre, we frequently see patients across Sussex who are worried about cold-related hearing changes, and we are here to help you understand what is happening in your ears and when you should seek professional support.
The simple answer is yes, a cold can absolutely cause temporary hearing loss. When you catch a cold, the congestion and inflammation do not just affect your nose and throat. They can also impact the delicate structures within your ears, particularly the Eustachian tubes that connect your middle ear to the back of your throat. Understanding how this happens and what you can do about it can help ease your concerns and guide you towards the right treatment.
When you develop a cold or upper respiratory tract infection, your body produces excess mucus as part of its immune response. This mucus can build up not only in your nasal passages and sinuses but also in the Eustachian tubes. The Eustachian tubes are narrow passages that regulate air pressure in your middle ear and drain fluid away from this area. When these tubes become blocked or swollen due to cold-related inflammation, fluid can accumulate in the middle ear space.
This fluid buildup creates a barrier that prevents sound waves from travelling efficiently through your ear. Instead of vibrating freely against the eardrum and through the tiny bones in your middle ear, sound waves must pass through fluid, which dampens and muffles them. The result is what doctors call conductive hearing loss, a temporary reduction in your ability to hear clearly.
The congestion from nasal and sinus inflammation exacerbates this problem. When your nose is blocked, the Eustachian tubes cannot equalise pressure properly, creating a feeling of fullness or pressure in your ears. You might feel as though your ears are stuffed with cotton wool, or you might hear your own voice echoing inside your head. These are all signs that your middle ear is not functioning as it should due to your cold.
It is helpful to understand the difference between the types of hearing loss you might experience. Conductive hearing loss, which is what typically occurs with a cold, happens when sound cannot pass efficiently through the outer or middle ear to reach the inner ear. This is different from sensorineural hearing loss, which involves damage to the inner ear or auditory nerve and is usually permanent.
The good news is that conductive hearing loss from a cold is almost always temporary. According to NHS guidance on glue ear, fluid in the middle ear typically clears up within three months, though many cases resolve much sooner. Once the fluid drains and the inflammation subsides, your hearing should return to normal without any lasting effects.
Research has shown that middle ear fluid can reduce hearing by approximately 20 to 30 decibels, which is roughly equivalent to wearing earplugs. This means that sounds you would normally hear clearly become significantly quieter and harder to distinguish, particularly softer sounds and speech. Children and adults alike may struggle to hear conversations, especially in noisy environments, or need to turn up the television volume considerably.
Beyond muffled hearing, cold-induced hearing problems often come with several related symptoms. Recognising these can help you understand what is happening in your ears and whether you need to seek medical attention. Common symptoms include:
Ear fullness or pressure: This sensation feels as though your ears are blocked or underwater. It occurs because the pressure inside your middle ear cannot equalise properly when the Eustachian tubes are congested.
Tinnitus: Many people experience ringing, buzzing or humming sounds in their ears when they have a cold. This temporary tinnitus is usually related to the pressure changes and fluid buildup in the middle ear.
Ear pain or discomfort: Whilst not everyone with cold-related hearing loss experiences pain, some people develop otalgia (earache) due to the pressure and inflammation. This pain may be dull and persistent or sharp and intermittent.
Balance problems: Because your inner ear also controls balance, severe congestion can occasionally cause mild dizziness or a sense of unsteadiness. This is less common with simple colds but can occur, particularly if the infection spreads to the inner ear structures.
Popping or crackling sounds: You might hear strange noises in your ears when you swallow, yawn or move your jaw. These sounds indicate that your Eustachian tubes are trying to open and equalise pressure but are partially blocked.
If you are experiencing any of these symptoms alongside a cold, particularly muffled hearing, it is likely that congestion is affecting your middle ear function. For most people, these symptoms will resolve naturally as the cold clears up.
Whilst temporary hearing loss from a cold is usually harmless, there are situations where a simple cold can progress into a more serious ear infection. Middle ear infections, known as otitis media, often develop when fluid trapped in the middle ear becomes infected with bacteria or viruses.
Signs that your cold may have progressed to an ear infection include severe or worsening ear pain, fever, fluid or discharge draining from the ear, and hearing loss that does not improve or gets worse even as your cold symptoms begin to clear. Young children are particularly susceptible to ear infections following colds because their Eustachian tubes are shorter and more horizontal, making drainage more difficult.
If an ear infection is left untreated, complications can arise, including the potential for chronic fluid buildup, repeated infections or, in very rare cases, permanent hearing damage. This is why it is important to monitor your symptoms and seek help if they persist or worsen.
At Sussex Audiology Centre, we offer comprehensive hearing assessments that can determine whether your hearing loss is related to a temporary condition like a cold or if there is an underlying issue that requires further investigation. Our experienced audiologists can perform tests to identify conductive hearing loss and advise on the best course of action.
One of the most common questions we hear at our clinics across Sussex is how long cold-related hearing loss will persist. The answer varies depending on several factors, including the severity of your cold, how congested your Eustachian tubes are and whether you develop a secondary ear infection.
For most people, muffled hearing and ear fullness begin to improve within a few days as the cold starts to resolve. As nasal congestion eases and the Eustachian tubes begin to drain, pressure equalises and fluid clears from the middle ear. Complete recovery of hearing typically occurs within one to two weeks after the cold has passed.
However, in some cases, particularly when significant fluid has accumulated in the middle ear, it can take several weeks or even a few months for hearing to return completely to normal. This prolonged fluid retention is sometimes called serous otitis media or glue ear, and whilst it usually resolves on its own, it may require monitoring or treatment if it persists.
If your hearing has not improved within three weeks of your cold symptoms resolving, or if you notice sudden or significant hearing loss in one ear, it is important to seek professional advice. These could be signs of a more serious condition that requires medical attention.
The good news is that for most cases of temporary hearing loss caused by a cold, treatment focuses on managing your cold symptoms and helping your body heal naturally. There are several approaches you can take to ease discomfort and support your recovery.
Decongestants: Over-the-counter nasal decongestants, whether in spray or tablet form, can help reduce swelling in your nasal passages and Eustachian tubes, promoting better drainage. However, these should not be used for more than a few days at a time, as prolonged use can lead to rebound congestion.
Pain relief: If you are experiencing ear pain or discomfort, paracetamol or ibuprofen can help manage these symptoms. Always follow the recommended dosage instructions and consult with a pharmacist if you are unsure which option is best for you.
Steam inhalation: Breathing in steam from a bowl of hot water or a warm shower can help loosen mucus and reduce congestion. This simple home remedy can provide temporary relief from blocked Eustachian tubes.
Staying hydrated: Drinking plenty of fluids helps thin mucus, making it easier for your body to clear congestion from your sinuses and ears.
Chewing and swallowing: Activities that encourage Eustachian tube opening, such as chewing gum, swallowing frequently or yawning, can help equalise ear pressure and promote drainage.
Warm compress: Applying a warm, damp cloth to the affected ear can soothe discomfort and may help with drainage.
In cases where a bacterial ear infection has developed, your GP may prescribe antibiotics. However, it is important to note that most ear infections are viral and will not respond to antibiotics. Your doctor will assess whether antibiotics are necessary based on your symptoms and medical history.
If you have persistent fluid in your middle ear or recurrent problems with blocked ears and hearing loss, an audiologist can provide specialist advice and may refer you to an ENT consultant if further investigation is needed.
Whilst most cold-related hearing loss resolves on its own, there are certain situations where you should seek professional help promptly. If you experience sudden hearing loss, particularly in just one ear, this could indicate a more serious condition such as sudden sensorineural hearing loss, which requires urgent medical attention.
Other warning signs that warrant a visit to your GP or audiologist include hearing loss that persists for more than three weeks after your cold has cleared, severe or worsening ear pain, high fever, discharge or fluid leaking from your ear, and symptoms of vertigo or severe dizziness. These could indicate complications such as a middle ear infection, inner ear infection or other conditions that require treatment.
If you have existing hearing concerns or use hearing aids, a cold can temporarily affect your hearing in ways that are different from the general population. It is worth seeking advice from your audiologist to ensure your hearing aids are functioning optimally and to rule out any additional issues.
At Sussex Audiology Centre, we provide expert hearing tests and assessments for patients across Sussex who are experiencing hearing difficulties. Our state-of-the-art facilities and experienced team can quickly identify the cause of your hearing loss and recommend appropriate treatment or management strategies. Whether you need reassurance that your symptoms are temporary or require more comprehensive care, we are here to support you.
Whilst it is impossible to avoid every cold, there are steps you can take to reduce your risk of catching colds and developing ear-related complications. Good hygiene practices, such as regular handwashing with soap and water, can significantly reduce your exposure to cold viruses. Avoiding close contact with people who are unwell and not sharing utensils, towels or other personal items can also help.
If you smoke or are regularly exposed to secondhand smoke, reducing or eliminating this exposure can benefit your overall ear health. Smoke irritates the respiratory tract and Eustachian tubes, making you more susceptible to congestion and ear problems when you do catch a cold.
Staying up to date with vaccinations, including the annual flu jab and the pneumococcal vaccine if recommended for you, can help prevent some of the infections that lead to ear complications. Whilst these vaccines do not prevent the common cold, they protect against influenza and certain bacterial infections that can cause similar symptoms and ear problems.
For those who swim regularly or are exposed to water frequently, ensuring your ears are dried properly after swimming can help prevent infections. Water trapped in the ear canal can create an environment where bacteria thrive, potentially leading to outer ear infections that may be confused with cold-related symptoms.
If you are prone to ear problems during colds, taking early action when you feel a cold coming on can help minimise the impact on your hearing. Starting decongestants early (after consulting with a pharmacist or doctor) and using steam inhalation from the onset of symptoms can help keep your Eustachian tubes clearer and reduce fluid buildup.
At Sussex Audiology Centre, we understand how concerning it can be when your hearing changes, even temporarily. Our commitment is to provide accessible, high-quality hearing care to adults and families throughout Sussex. Whether you are dealing with temporary hearing loss from a cold or have ongoing hearing concerns, our experienced team is ready to help.
Beyond treating immediate concerns, regular hearing assessments are important for maintaining your overall ear health. Many people do not realise they have developed gradual hearing loss until it becomes significant. If you have recently recovered from a cold but feel your hearing has not fully returned to normal, a comprehensive hearing test can provide peace of mind or identify any issues that need attention.
We also offer professional ear wax removal services, which can be particularly important if you have been congested. Sometimes what feels like hearing loss from a cold is actually compacted ear wax that has been pushed deeper into the ear canal by congestion and nose blowing. Our safe and effective wax removal procedures can quickly restore your hearing if this is the case.
Understanding the connection between colds and temporary hearing loss can help you manage your symptoms with confidence and know when to seek professional support. Whilst the muffled hearing, ear pressure and discomfort that accompany a cold can be frustrating, they are usually temporary and resolve as your body recovers. The key is to monitor your symptoms, take appropriate steps to support your recovery and seek help if your hearing does not improve or if you develop warning signs of a more serious problem.
Remember that your ears are complex and delicate structures that play a vital role in your daily life. Taking care of them, both during illness and in your general health routine, is essential for maintaining good hearing throughout your life. If you have any concerns about your hearing, whether related to a recent cold or otherwise, do not hesitate to reach out for expert advice.
Can a cold cause permanent hearing loss?
It is very rare for a common cold to cause permanent hearing loss. The temporary hearing loss associated with colds is almost always conductive in nature, meaning it results from fluid and congestion blocking sound transmission through the middle ear. Once the fluid drains and inflammation subsides, hearing typically returns to normal. However, if a cold leads to a severe ear infection that is left untreated, or if you experience sudden sensorineural hearing loss (which is a medical emergency), there is a small risk of lasting damage. This is why it is important to monitor your symptoms and seek help if hearing loss persists beyond a few weeks or worsens suddenly.
How can I tell if my hearing loss is from a cold or something more serious?
Hearing loss from a cold typically comes with other obvious cold symptoms such as nasal congestion, sore throat, cough and general feeling of being unwell. It usually affects both ears, though one may be worse than the other. The hearing loss develops gradually as the cold progresses and feels muffled rather than completely absent. In contrast, sudden hearing loss that occurs without cold symptoms, affects only one ear dramatically or comes on very rapidly could indicate a more serious condition such as sudden sensorineural hearing loss. If you experience sudden or unexplained hearing loss, severe dizziness, or hearing loss without other cold symptoms, seek medical attention promptly.
Is it safe to fly with a cold if I have blocked ears?
Flying with a cold and blocked ears can be very uncomfortable and may potentially worsen your symptoms. The pressure changes during takeoff and landing require your Eustachian tubes to equalise pressure in your middle ear. When these tubes are blocked due to congestion, pressure cannot equalise properly, which can cause severe pain and potentially damage your eardrum in extreme cases. If you must fly with a cold, use a decongestant before the flight, stay well hydrated, and practice techniques like swallowing, yawning or chewing gum during takeoff and descent. However, if possible, it is better to postpone air travel until your congestion has cleared.
Can children experience temporary hearing loss from colds?
Yes, children are actually more susceptible to hearing loss from colds than adults. Children’s Eustachian tubes are shorter, narrower and more horizontal than adults’, which makes them less effective at draining fluid from the middle ear. This is why ear infections and glue ear are so common in young children following colds. If your child has a cold and seems to be having trouble hearing, not responding to their name, turning up the television volume or asking for things to be repeated, they may have fluid in their middle ear. Most cases resolve on their own, but if symptoms persist or your child develops ear pain or fever, consult your GP.
What is the difference between a cold causing hearing loss and an ear infection?
A cold causing hearing loss typically involves fluid buildup and congestion in the Eustachian tubes and middle ear without bacterial infection. Symptoms include muffled hearing, ear fullness and pressure, but usually minimal pain and no fever. An ear infection (otitis media) occurs when bacteria or viruses infect the fluid trapped in the middle ear, causing inflammation and sometimes pus buildup. Ear infections are characterised by more severe symptoms including significant ear pain, fever, possible discharge from the ear and feeling generally unwell. A cold can progress to an ear infection if the trapped fluid becomes infected, which is why monitoring your symptoms is important.
Should I clean my ears if they feel blocked during a cold?
If your ears feel blocked during a cold, resist the temptation to clean them with cotton buds or insert anything into your ear canal. The blocked feeling is almost certainly due to Eustachian tube congestion and middle ear fluid, not ear wax. Inserting objects into your ears can push wax deeper, potentially damage your eardrum or introduce infection. Instead, focus on treating your cold symptoms with decongestants, steam inhalation and staying hydrated to help your ears clear naturally. If you suspect ear wax buildup is contributing to your symptoms, book an appointment with a professional audiology service like Sussex Audiology Centre for safe removal rather than attempting to do it yourself.
If you are experiencing hearing loss, whether from a cold or any other cause, the team at Sussex Audiology Centre is here to provide expert, compassionate care. We offer comprehensive hearing assessments, professional ear wax removal and ongoing support for all your hearing health needs. With convenient locations across Sussex, accessing high-quality audiology care has never been easier.
Do not wait for your hearing concerns to worsen. Whether you need reassurance that your symptoms are temporary or require specialist treatment, we are ready to help.
Visit our Contact Us page today to book an appointment or speak with a member of our friendly team. Your hearing health matters, and we are committed to helping you hear your best.
1 July 2023
23 February 2024
4 July 2023
Fields marked with an * are required
© 2026 Sussex Audiology | Privacy Policy | Late Fees
