How to Prepare for a Video Visit About Eustachian Tube Dysfunction

Audience: pediatric

Eustachian Tube Dysfunction (ETD) happens when the tubes connecting the middle ear to the back of the nose do not open or close properly. This can cause ear pain, pressure, or hearing problems in children. Preparing for a video visit about ETD helps you get the most from your appointment. You can share your child's symptoms clearly and help the healthcare provider understand their condition. During the visit, you may discuss symptoms, medical history, and possible treatments. Telemedicine allows you to talk to a provider from home, but some issues might need an in-person checkup. This guide helps you prepare, know what to expect, and understand when to seek urgent care.

Red flags — go in person / ER

• Child has sudden, severe ear pain or swelling around the ear — seek urgent medical care.
• Child develops a high fever (above 38°C or 100.4°F) that does not improve — get immediate evaluation.
• Child shows signs of hearing loss, balance problems, or severe drowsiness — contact healthcare provider or emergency services promptly.

What telemedicine can do

• Initial evaluation of symptoms related to Eustachian Tube Dysfunction.
• Discussion of medical history and symptom timeline.
• Guidance on home care and symptom management.
• Advice on when to seek in-person care or emergency services.

What telemedicine cannot do

• Physical examination requiring specialized instruments (otoscope).
• Hearing tests or imaging studies.
• Treatment of severe infections or complications.
• Procedures such as ear tube insertion or removal.

What is Eustachian Tube Dysfunction?

Eustachian tubes connect the middle ear to the back of the nose and help balance ear pressure and drain fluid. When these tubes do not work well, it is called Eustachian Tube Dysfunction (ETD). Children with ETD may feel fullness or pain in the ear, hear muffled sounds, or have trouble with balance. ETD often happens with colds, allergies, or ear infections.

How to Prepare for Your Child's Video Visit

Before the visit, write down your child's symptoms, such as ear pain, hearing changes, or recent illnesses. Note when symptoms started and if anything makes them better or worse. Have a quiet, well-lit space ready for the video call. Make sure your device's camera and microphone work. Keep a list of any medicines your child is taking. Be ready to describe your child's health history and any previous ear problems.

What to Expect During the Video Visit

The healthcare provider will ask about your child's symptoms and health history. They may ask you to show your child's ears or perform simple actions like swallowing or yawning to observe any signs. The provider might give advice on managing symptoms or recommend treatments. Sometimes, they may suggest an in-person exam if needed.

When to Seek Urgent In-Person Care

If your child has severe ear pain, high fever, swelling around the ear, or sudden hearing loss, seek in-person medical care promptly. These signs may mean a more serious infection or complication. Also, if your child has difficulty breathing or is very drowsy, call emergency services immediately.

Tips for a Successful Telemedicine Visit

\1

How to prepare for your tele-visit

• Write down your child's symptoms and when they started.
• List any medicines your child is taking.
• Ensure a quiet, well-lit space for the video call.
• Test your device’s camera, microphone, and internet connection.
• Have your child nearby and comfortable during the visit.

After your tele-visit

• Follow the healthcare provider’s advice on symptom management.
• Monitor your child’s symptoms closely.
• Schedule an in-person visit if recommended or if symptoms worsen.
• Keep track of any new or worsening signs to report.
• Contact healthcare provider if red flag symptoms appear.

FAQs

What causes Eustachian Tube Dysfunction in children?

ETD often happens when the tubes get blocked due to colds, allergies, or infections. Swelling and mucus can prevent the tubes from opening properly, causing pressure and discomfort.

Can Eustachian Tube Dysfunction go away on its own?

Yes, ETD often improves as the underlying cause, like a cold or allergy, gets better. However, if symptoms last more than a few weeks or worsen, a healthcare provider should evaluate your child.

Is it safe to treat ETD symptoms at home?

Mild symptoms can often be managed at home with pain relief, warm compresses, and avoiding irritants. Always follow your healthcare provider’s advice and seek care if symptoms worsen.

When should I take my child to see a doctor in person?

If your child has severe pain, fever, swelling, hearing loss, or balance problems, an in-person visit is important. Also, if symptoms do not improve with home care, seek medical evaluation.

Can a video visit replace an ear exam?

A video visit can help discuss symptoms and guide care, but it cannot replace an ear exam with special tools. Sometimes, an in-person visit is needed for a full evaluation.

Sources

1. Eustachian Tube Dysfunction — MedlinePlus, U.S. National Library of Medicine.
2. Eustachian Tube Dysfunction — Mayo Clinic.
3. Ear Infection (Otitis Media) in Children — Centers for Disease Control and Prevention (CDC).
4. Telemedicine: What You Need to Know — World Health Organization (WHO).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child has urgent or severe symptoms, seek immediate medical attention.