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Any sort of uid in the ears can cause that, even water and your sinuses are linked to your ear canals so yes it is possible, but I might have your blood pressure checked as well, as that's a more likely reason but usually that's accompanied by hearing breathing through your ears as well. If your taking medication for sinus pressure that can raise your blood pressure depending on the medication. May not be your reason but possible.

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Q: Can fluid build up in ears or sinus infection cause hearing heartbeat in ears?
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