This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
Foreign bodies, including cerumen, may remain indefinitely in the external ear without producing symptoms. If symptoms occur, they are usually local, such as fulness, deafness, tinnitus and pain. Occasionally they cause reflex symptoms, suggesting disease in an organ other than the ear.
Reflex symptoms may be accompanied by symptoms referable to the ear, in which case one's attention is naturally directed to this organ as the probable seat of trouble. If, however, there are no symptoms suggestive of ear disease, it is natural to give all our attention to the distant organ apparently affected.
In textbooks on medicine, no mention is made of the ear as a possible source of gastric disturbances. Books on otology mention, among reflex symptoms caused by foreign bodies in the ear, cases of epilepsy, hemianesthesia and cough, the latter sometimes accompanied by vomiting: but the description is not such as would indicate that the cough
GOLDSMITH M. GASTRIC SYMPTOMS DUE TO IRRITATION IN THE EXTERNAL EAR. JAMA. 1917;LXVIII(11):828–829. doi:10.1001/jama.1917.04270030160005