Which medication may be recommended for managing middle ear squeeze?

Decongestants are often recommended for managing middle ear squeeze, a condition that can occur during diving or changes in altitude. This condition arises when pressure differentials create discomfort or pain in the middle ear, typically due to Eustachian tube dysfunction. Decongestants work by reducing the swelling of the nasal and Eustachian tube mucosa, helping to facilitate the equalization of pressure in the middle ear with the external environment.

This action can significantly relieve symptoms associated with middle ear squeeze, making it easier for air to flow and equalize pressure, thus alleviating the discomfort experienced by the diver.

In contrast, while antibiotics may be useful in treating infections, they do not address the pressure-related issues directly responsible for middle ear squeeze. Antihistamines may reduce allergy symptoms or nasal congestion but are not specifically effective for pressure equalization and could potentially thicken secretions in the Eustachian tubes. Stimulants do not have a role in managing middle ear conditions and do not assist with the physiological issues related to pressure changes.