### Patient: Doctor, I have a plugged feeling in my ear and my hearing has diminished recently. Additionally, I've been biting my nails a lot and experiencing some emotional symptoms. I've also noticed some muscle swelling. What could be causing all these symptoms?
### Doctor: Based on your symptoms, it's possible that you have otosclerosis, which is a condition that affects the middle ear and can lead to hearing loss. The nailbiting and emotional symptoms could be related to the stress and anxiety that often accompany hearing loss. The muscle swelling is not typically associated with otosclerosis, but it may be worth further investigation to rule out any other underlying conditions.