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Medical Forum / Diseases and Disorders / Tinnitus / January 2005Tinnitus followed by short deafness
I saw a post by Marsha Johnson a few years ago here on this kind of issue, but we are extremely worried. My partner had SSNHL about 5 month ago, in the left ear. It is high frequency loss, and accompanied by loud tinnitus and hyperacusis (which has been getting worse). The loss happened at the same time as he had bad diahorrea. It was diagnosed by the doctor as glue ear, and we only recently discovered it was permanent and probably viral (by a private ENT). He has had an MRI Scan and blood tests, all clear. But tonight we were scared by a sudden dip in his hearing in his "good" ear, after a burst of tinnitus. It seemed to get better (loud tinnitus after the deafness for a second), but what shoud we do? Has anyone got any idea what would cause this, and what we should do. We are really worried and all we seem to get is a shrug, and "idiopathic" diagnosis in the UK. Best wishes Linda So you had a hearing test and it showed that you had a hearing loss. Many, many people have a hearing test which shows a hearing loss. But many, many people have hearing that returns when the Tinnitus improves. Therefor the hearing was not permanent. Imagine a garden hose. Imagine a kink in the hose. So now the water cannot get through. That does not mean the hose is damaged. It just means it is blocked. If we undo the kink the water flows through again. The hearing must be like that. The hearing mechanism appears to be blocked. Some sound cannot get through. If we can undo the blockage then the hearing will return to normal. This happens quite often. An operation on the ears is not the answer. Unnecessary damage might be done. And an ENT knows that. They do not as a rule advocate surgery. Just as an operation on the kinked garden hose is not the answer. Cutting the kink out of the hose would certainly allow the water to flow through, but unnecessary damage is done to the hose. Elly's Tinnitus Resources http://eebee.net/ >I saw a post by Marsha Johnson a few years ago here on this kind of >issue, but we are extremely worried. My partner had SSNHL about 5 month [quoted text clipped - 16 lines] > >Linda Hi Linda, I am sorry your partner has so much trouble at the moment. Have you by now come to the conclusion that the hearing loss and tinnitus are happening at the same time? And most likely the hearing loss is a result of the tinnitus - or at least what caused the tinnitus. Quite a few years ago a respected audiologist said: "Some people with Tinnitus also have hearing loss, but not all of them. Contrary to popular opinion, the research that I have read indicates that Tinnitus does not really decrease one's ability to hear the frequencies of the ringing. It just seems that way." susan moreland (audiologist) http://eebee.net/hearloss.shtml Tinnitus very often is caused by extreme tension in the neck/shoulder muscles. When this tension is reduced the tinnitus will improve and so will the hearing loss. http://eebee.net/TinnitusIsaPainintheNeck.shtml >I saw a post by Marsha Johnson a few years ago here on this kind of >issue, but we are extremely worried. My partner had SSNHL about 5 month [quoted text clipped - 16 lines] > >Linda Elly's Tinnitus Resources http://eebee.net/ The terms you use here are contradictory. The term glue ear refers to liquid in the middle ear. This can result in hearing loss and tinnitus but is easily treatable by draining the fluid out of the middlle ear. Sensory neural hearing loss refers to an inner ear loss with no patholog of the middle ear. You can have a mix of both. A recent onlset of sensory neural hearing loss with tinnitus and hyperacusis may respond to treatment with diuretics and low salt diet. Both ears recently involved with this suggests some sort of auto immune condition that is commonly treated with anti-inflammatory medication. Murray Grossan, M.D. http://www.ent-consult.com >A recent onlset of sensory neural hearing loss with tinnitus and hyperacusis >may respond to treatment with diuretics and low salt diet. >Both ears recently involved with this suggests some sort of auto immune >condition that is commonly treated with anti-inflammatory medication. Or an active infection that responds to antibiotics, as in my case: Laryngoscope >2003 Feb;113(2):312-5 Sudden deafness and lyme >disease. Lorenzi MC, Bittar RS, Pedalini ME, Zerati F, Yoshinari NH, >Bento RF. OBJECTIVES/HYPOTHESIS Otolaryngological manifestations are >common in Lyme disease, affecting up to 75% of patients. One of these >symptoms is sudden deafness. Hearing loss has been frequently described >in Lyme disease; on the other hand, titers seropositive for, the causal >agent of this disease, have been found in almost 20% of cases of sudden >deafness. No consensual information exists on the outcome of >Borrelia-seropositive patients or on the importance of determining >Borrelia antibody titers. The present study aimed to determine the >prevalence of seropositivity for Borrelia in sudden deafness, describing >clinical characteristics and outcomes.STUDY DESIGN This was a prospective >observational study.METHODS Forty-seven consecutive patients with sudden >deafness were enrolled in the study. Demographic data, the presence of >tinnitus and vertigo, and low- and high-frequency pure-tone averages were >recorded. The percentage of hearing recovery was determined. Data >obtained from Borrelia-seropositive patients were described and compared >with those from the seronegative group.RESULTS Titers positive >for antibodies were present in 21.3% of the cases. Seropositive and >seronegative groups of patients were homogeneous concerning age, sex >distribution, the presence of tinnitus and vertigo, and high- and >low-frequency hearing thresholds. Hearing outcome was not significantly >different between the groups of patients.CONCLUSIONS No distinctive >clinical characteristic was found between seropositive and seronegative >subjects. The hearing outcome of treated Borrelia-seropositive patients >was similar to that of the seronegative group. PMID: 12567088 >[PubMed - in process] Lyme Disease and Ear or Hearing Disorders http://www.geocities.com/HotSprings/Oasis/6455/hearing-links.html Hearing Disorders AND Lyme disease Ear Diseases AND Lyme disease Otolaryngologic manifestations AND Lyme disease Otoneurological manifestations AND Lyme disease Vestibular Diseases AND Lyme disease inner ear (internal ear) AND Lyme disease middle ear (tympanic cavity) AND Lyme disease external ear (pinna) AND Lyme disease earlobe AND human AND Lyme disease earlobe AND lymphocytoma AND Lyme disease earlobe AND lymphadenosis benigna cutis AND Lyme disease auricul* AND Lyme disease Cogan's syndrome AND Lyme disease deafness AND Lyme disease dizziness AND Lyme disease earache (otalgia) AND Lyme disease endolymphatic hydrops (disorder of vestibular system of inner ear) AND Lyme disease hearing loss AND Lyme disease partial hearing loss AND Lyme disease hyperacusis (abnormally acute hearing) AND Lyme disease labyrinthitis (inflammation of the labyrinth of the internal ear) AND Lyme Disease mastoid AND Lyme disease Meniere's disease AND Lyme disease otitis (inflammation of the ear) AND Lyme disease oto-sinusitis AND Lyme disease the otolaryngologist AND Lyme disease tinnitus AND Lyme disease vertigo AND Lyme disease Links to all of the above at: Lyme Disease and Ear or Hearing Disorders http://www.geocities.com/HotSprings/Oasis/6455/hearing-links.html Susan Dear Linda: Loud short term burst tinnitus after a short episode of sudden hearing loss or deafness in that ear is extremely common and absolutely not related to any condition of importance of a clinical sense. It is simply a spasm of the tiny middle ear muscles rather like a Charley Horse and it is related to stress, coffee drinking, or absolutely nothing at all! I get these myself and while they can be alarming to someone who already has tinnitus, they are simply nothing to worry about. If you get a LOT of them, go see a neuro otologist, please. Marsha Johnson, M.S. > Dear Linda: > [quoted text clipped - 10 lines] > > Marsha Johnson, M.S. I have mild form of persistence tinnitus that was caused by noise exposure, and I use to frequently get these tinnitus bursts your talking about. I never use to worry most of the time because they always went away after 10 to 20 seconds. They would mostly appear during stressful times. The tone frequency, which ear, and duration of the ringing would be completely random. But I have made a breakthrough the last 6 months. I have always enjoyed my coffee and tea. Some days, that would be by sole fluid intake. About ten years ago it was mostly tea, then I started drinking coffee about 5 years go. Especially the last few years, I notices the tinnitus bursts more frequently. Some would occur as much as 2 a day, but mostly every several days, and rarely would I go two weeks without experiencing one. Anyway, the good news. about 6 months ago I removed caffeine completely out of my diet, and substituted tea and coffee with water. The last tinnitus burst I remember was about a month ago during afternoon following a strong cup of coffee. I realized that this was the first burst I experience for a while. It didn't hit me until that day I drank the coffee, that the tinnitus burst were possibly cause by caffeine. Was it coffee and/or tea that had been giving me the tinnitus burst all these years ? Now only very occasionally (once per two months say) I get an extremely mild tinnitus burst. Effectively its gone. I have drank the occasional instant coffee (one every 2 or 3 weeks), without effects. It seems that its like a build up in the body, and won't cause tinnitus bursts immediately after consuming one small dose of caffeine. I hope this little discovery of mine is useful for others to know about. Adam
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