Blocked eustachian tubes often get better on their own. You may be able to open the blocked tubes with a simple exercise. Close your mouth, hold your nose, and gently blow as if you are blowing your nose. Yawning and chewing gum also may help. You may hear or feel a "pop" when the tubes open to make the pressure equal between the inside and outside of your ears.
If you can't open the tubes, your doctor may suggest an over-the-counter pain medicine. If you have allergies, the doctor may prescribe a steroid medicine that you spray into your nose. Decongestants that you take by mouth or spray into your nose may be helpful. You may need antibiotics if you have an ear infection.
A warm washcloth or a heating pad set on low can help with ear pain. Put a cloth between the heating pad and your skin so you don't burn your skin. Do not use a heating pad with children.
In some cases, people need surgery for a blocked eustachian tube. The doctor makes a small cut in the eardrum to drain fluid and to make the pressure the same inside and outside the ear. Sometimes the doctor will put a small tube in the eardrum. The tube will fall out over time.