Hay fever and blocked ears: Causes, symptoms & treatment 

Overview

If your ears feel clogged or pressure builds up every spring, hay fever might be the reason. Hay fever is very common in Australia, affecting around one in five adults¹.

Many Australians who experience hay fever (allergic rhinitis) also notice their ears feeling blocked or full during peak pollen seasons. Understanding how airborne allergens contribute to ear congestion can help you manage both symptoms more effectively.

Connection between hay fever and ears

The ears and nose are more closely connected than they may seem. A small passage called the Eustachian tube links the middle ear to the back of the nose and throat.

When hay fever flares up, irritation and increased mucus production occur in the nasal passages and throat. This can cause the Eustachian tube to become blocked or function less efficiently, leading to symptoms such as ear pressure, popping sensations, or muffled hearing.

In simple terms: Allergies → nose and throat swelling → impaired Eustachian tube function → blocked or “full” ears.

Causes

Ear congestion during allergy season can occur due to several related factors, including:

• Inflamed nasal passages triggered by allergic reactions
• Excess mucus production blocking the Eustachian tube
• Sinus congestion caused by pollen or dust allergies, increasing pressure in the ear, nose, or throat
• Swelling of tissues around the ear and throat
• Secondary ear or sinus infections due to prolonged blockage

Symptoms

Common symptoms of ear congestion linked to hay fever include:

Note: If you experience severe ear pain, fluid discharge, dizziness, or noticeable hearing loss, consult a doctor promptly, as these may indicate an ear or sinus infection.

Treatment options

Hay fever-related blocked ears are usually manageable with a combination of self-care, over-the-counter medications, and prescription treatments when required.

Over-the-counter relief

The following treatments may help reduce allergy symptoms and ease ear congestion:

• Antihistamines – help reduce the allergic response
• Decongestant nasal sprays – relieve sinus and nasal pressure (short-term use only)
• Saline sprays or rinses – naturally clear nasal passages
• Pain relief medication – for discomfort if needed

Doctor’s note: Always follow label instructions or seek GP advice before starting new medications.

Home remedies

Simple lifestyle measures can also help reduce ear blockage during allergy season:

• Stay indoors when pollen counts are high (check Australian pollen forecasts)
• Use steam inhalation or warm compresses to ease congestion
• Keep windows closed during windy days or peak pollen seasons
• Drink plenty of fluids to help thin mucus
• Try gentle ear-popping techniques (such as swallowing or yawning); avoid inserting objects or cotton buds into the ear

Prescription treatment (when OTC isn’t enough)

If symptoms are persistent or severe, your GP may prescribe:

• Stronger corticosteroid nasal sprays
• Combination antihistamine–decongestant sprays
• Short courses of oral corticosteroids for severe inflammation
• Allergy immunotherapy for recurring or long-term hay fever

Online telehealth services, such as Hola Health, can prescribe these medications when clinically appropriate.

Prevention tips

You can reduce the risk of hay fever-related ear blockage by following these practical steps:

• Start antihistamines early before symptoms flare up
• Keep your home dust-free and consider using air purifiers
• Avoid outdoor activities during high pollen times
• Shower after being outside to remove pollen from skin and hair
• Sleep with windows closed during spring and summer

When to consult a GP

Seek medical advice if:

• Blocked ears last longer than a week despite home treatment
• You experience severe ear pain, fever, or fluid discharge
• You have dizziness or balance problems
• Over-the-counter remedies do not provide relief
• You have frequent hay fever flare-ups or sinus infections

How Hola Health can help

Hola Health’s online doctors can assess your symptoms and recommend appropriate treatment for hay fever and blocked ears. They can provide prescriptions, medical certificates, and ongoing allergy management — all from the comfort of home.

Consultations are bulk-billed for eligible patients, making care convenient and accessible.

Don’t let hay fever block your day — or your ears. Book an online consultation with an Australian GP at Hola Health today.

Conclusion

Hay fever may be seasonal, but persistent ear blockage does not have to be. With effective treatment and preventive care, symptoms can be well controlled. If concerns continue, seeking medical advice is the best next step.

FAQs

Can hay fever really cause blocked ears?

Yes. Allergy-related inflammation and mucus can affect the Eustachian tube, leading to pressure and ear congestion.

How long does ear congestion from allergies last?

This varies. For some people, symptoms ease once exposure to allergens reduces. For others, congestion may persist until inflammation is properly treated.

What’s the fastest way to relieve ear pressure at home?

Swallowing, yawning, or gentle jaw movements may help open the Eustachian tube. Using a saline nasal spray and keeping your head elevated can also provide relief. Avoid placing anything inside the ear.

Should I use ear drops for hay fever-related blockage?

Not usually. Allergy-related ear blockage affects the Eustachian tube rather than the ear canal. Ear drops are only recommended if an infection or wax buildup is diagnosed by a doctor.

Can hay fever cause ear infections or hearing loss?

Ongoing nasal congestion can lead to fluid buildup in the middle ear, increasing the risk of infection and temporary hearing changes. Proper allergy management reduces this risk.