Months of issues that’s turning into PT

Started with what was believed to be a patulous Eustachian tube, severe autophony, pain, pressure and fullness, now I’m developing PT almost constantly. ENTs believe either TMJ or muscle tension, could also be from reflux. It’s mostly in my left ear, I still have pain that comes and goes and fullness but why would I suddenly be developing PT? I have another doctors appointment Monday, I’m hoping for imaging but I believe it’s just a consultation. Should I be worried if it’s progressing suddenly? I’m trying to keep it together but man it’s tough.