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Medical Forum / Diseases and Disorders / Tinnitus / December 2004

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tinnitus assesment

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Jennifer Bell - 09 Dec 2004 04:47 GMT
Well I had my T assessment today...not much different from an ENT
visit....first of all I had to answer a questionairre, such as..does yur T
make your more anxious..etc etc..I answered yes to 99% of them.

Then she put something in my ear and the inside of my ear showed up on
screen, she was just checking for wax and debris etc...mine was all
normal..( though Im sure I saw a potato growing lol ) then she measured the
ear drum etc to make sure I was perceiving noise properly and that the ear
drum was vibrating properly..it was.
Then she did the hearing test..I have severe low frequency (I tink it was
low ayway) on my T side, the other side was relatively normal with a slight
loss here and there Then with the headphones on she put really loud white
noise that sent my head ringing like mad. She kept going up until It was at
a level where I couldn't hear the T anymore.

The conclusion..severe onesided hearing loss...probably..mild menieres
disease....hearing loss more than likely caused by repeated infections and
noise exposure....solution... two ear devices at $1200 each..I have to wear
two because if I wear one the T wll transfer to the other side..the second
cheaper option is a noise generator I have to listen to 4 hours a day..I
chose the latter. ..and within 6 months to 18 months, my neural transmittors
will have worked out what is real noise and what isn't (or something like
that)..she is very confident this will work, I have to go back in 12 months.
All up this cost me $238......... 99% of the stuff she told me I already
knew...Im sure I could have quite easily Downloaded a masker and put it onto
CD and listened to it for 4 hours a night at almost no cost.
h well..nothing ventured nothing gained, I will just do what I'm told and
will let you know of my progress..in the meantime....I'll stick with the
positive thinking...it's free.

Jenny
ENTconsult - 09 Dec 2004 05:51 GMT
Jenny, a low tone hearing loss is generally a sign of increased fluid pressure
in the inner ear and sometimes these are treatable by diuretics such as
metnazolamide. I have no idea if yours is - many factors to consider but
certainlyh worth checking out.  If your ear drum moved well then your hearing
loss may not be due to infections.
Murray Grossan, M.D.
http://www.ent-consult.com
Jennifer Bell - 09 Dec 2004 12:37 GMT
I was prescribed diueretics once, after two days I had such bad cramps I
didnt take them anymore.
ENTconsult wrote in message
<20041209005149.22033.00001681@mb-m06.aol.com>...
>Jenny, a low tone hearing loss is generally a sign of increased fluid pressure
>in the inner ear and sometimes these are treatable by diuretics such as
[quoted text clipped - 3 lines]
>Murray Grossan, M.D.
>http://www.ent-consult.com
Jennifer Bell - 09 Dec 2004 13:15 GMT
I have also found that when I pop my ears while I am holding them open my
hearing is HEAPS better...doesn't that mean that my hearing loss could be
fixed?
>I was prescribed diueretics once, after two days I had such bad cramps I
>didnt take them anymore.
[quoted text clipped - 9 lines]
>>Murray Grossan, M.D.
>>http://www.ent-consult.com
Elly Byrne - 09 Dec 2004 19:17 GMT
>I have also found that when I pop my ears while I am holding them open my
>hearing is HEAPS better...doesn't that mean that my hearing loss could be
>fixed?

Hearing loss is often part of tinnitus.
When the tinnitus eases - the hearing improves.

Tinnitus is a pain in the neck
Elly's Tinnitus Resources
http://eebee.net/
Susan - 09 Dec 2004 16:26 GMT
>I was prescribed diueretics once, after two days I had such bad cramps I
>didnt take them anymore.

You should have been prescribed potassium, to replace what you excreted with
all that water.  Very low carb dieters have to supplement it at first, too,
after the initial water whoosh.  The cramping is very quickly relieved by a
little Lite salt (potassium chloride).

Susan
Jennifer Bell - 10 Dec 2004 00:52 GMT
they told me to eat an extra banana a day...I did..it didnt help.....they
didnt even want to give me the diuretics in the first place..I had to keep
reminding me that my ENT recomended them. Too bad I threw them out..I'd like
to try them again.
>x-no-archive: yes
>
[quoted text clipped - 7 lines]
>
>Susan
snap_crackle_pop - 10 Dec 2004 03:54 GMT
> they told me to eat an extra banana a day...I did..it didnt help.....they
> didnt even want to give me the diuretics in the first place..I had to keep
[quoted text clipped - 5 lines]
>>>I was prescribed diueretics once, after two days I had such bad cramps I
>>>didnt take them anymore.

Get another prescription filled.  Talk to your doctor.  As
one of our good doctors here often says, this is a treatable
condition.  Work with your doctor to make the treatment
work.  If one diuretic causes problems, try another, or
alter the dose, and as Susan says, make sure your
electrolytes are balanced.

And, thank you for your detailed description of your office
visit.  I've never had a complete physical of the ears, and
I found it very interesting.  No doctor has ever done more
than glance in my ears to make sure they are still there,
but I've not suffered infections or hearing loss, either, to
my great fortune.

Best wishes,

scp

>>You should have been prescribed potassium, to replace what you excreted
>
[quoted text clipped - 5 lines]
>>
>>Susan
Susan - 10 Dec 2004 15:55 GMT
>they told me to eat an extra banana a day...I did..it didnt help.....they
>didnt even want to give me the diuretics in the first place..I had to keep
>reminding me that my ENT recomended them. Too bad I threw them out..I'd like
>to try them again.

Bananas are really sugary, so not a great choice.  Also not THAT high in
potassium, I think, compared to say, an avocado.

A sprinkle of salt substitute is much cheaper, easier and lower cal.

Susan
ENTconsult - 10 Dec 2004 05:41 GMT
There are more than a dozen diuretics available,
methazolamide is one of many.
Murray Grossan, M.D.
http://www.ent-consult.com
Jim Chinnis - 10 Dec 2004 16:55 GMT
entconsult@aol.comnospam (ENTconsult) wrote in part:

>There are more than a dozen diuretics available,
>methazolamide is one of many.
>Murray Grossan, M.D.

Some diuretics should not be taken with potassium supplements at all.
Monitoring of blood electrolytes is probably a good idea with all diuretics,
at least at first.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Susan - 10 Dec 2004 17:38 GMT
>Some diuretics should not be taken with potassium supplements at all.
>Monitoring of blood electrolytes is probably a good idea with all diuretics,
>at least at first.

Sure, but in her case, potassium was recommended, and she didn't get enough.
Serious cramping is a very reliable symptom, and an avocado or sprinkle of lite
salt is enough to do the trick without an overdose.

Unless you're saying that there are antidiuretics that require avoidance of
potassium rich foods, too?

I'm not very familiar with this type of drug.

Susan
Jim Chinnis - 10 Dec 2004 18:02 GMT
sufein@aol.comnospam (Susan ) wrote in part:

>x-no-archive: yes
>
[quoted text clipped - 12 lines]
>
>Susan

There have been some diuretic problems reported on the Meniere's Discussion
Group over the past several years. There are individual differences involved
that can be important. The various diuretics (there are lots of them) affect
different people differently. And some are more effective on hydrops,
apparently.

I was addressing Dr. Grossan's comment, not Jennifer's. No, I'm not suggesting
that diuretics can require avoidance of potassium-rich foods. Processed foods
may be an exception (some of the "low sodium" things, like soups and bouillion
are very high in added potassium).

Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Oregon7 - 18 Dec 2004 06:56 GMT
Yes, but low fq hearing loss has also been associated with diabetes.  This was
in the news recently.

Also heavily linked with inner ear disorders like Meniere's.  It is thought
that the increased fluid pressure in the inner ear presses first on the apical
end where the low fq cells are located.  Then we find an unusual low fq hearing
loss........

Murray is right, often water loss type meds are first prescribed, other helpers
can be immune system agents or anti inflammatory agents like steroids.........

MJ
 
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