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Medical Forum / Diseases and Disorders / Tinnitus / April 2006

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Non_organic Tinnitus?

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IHearU - 14 Mar 2006 05:54 GMT
Ive been lurking in this group for some time now.
so thanks to all the posters.

Ive had tinitus for longer than I can remember, but its since living in
the peaceful and relatively quiet countryside that Ive noticed it more.

Since been assulted (wacked in the tinnitus ear and rendered
unconscious) the tinnitus (in the left ear) has been 2 to 3 times worse.
Its a constant, old valve television type. Louder than the crickets here
(in a subtropical climate).

I went to see an ENT yesterday and he said that it was "non organic"
tinnitus. By that he meant he couldnt locate a physical basis for it.

With neck pains and headaches, now receding after 2.5 months after that
assault, the ENT said was probably a bit of whiplash. He thought thought
that the tinnitus would go down to its previous level, probably sooner.

is "inorganic tinnitus: another word for "I dont know, maybe its all in
your head"?

it reminds me of the diagnosis of "only soft tissue injury" - without
knowing what tissues or what to do about it.

the good news is that the hearing is unaffected, almost normal.
the bad news is I am left without a specific diagnosis.

Ive tried Ghingko for 2 months, and asprin - to no avail.

any comments welcome. (yes, I know about habituation and neck
exercises).
fyfpoon@gmail.com - 14 Mar 2006 15:15 GMT
Don't take gingko with aspirin together.

Try a certified acupuncturist and see if that would click.
drfrank21@gmail.com - 15 Mar 2006 03:29 GMT
> the good news is that the hearing is unaffected, almost normal.
> the bad news is I am left without a specific diagnosis.

The diagnosis is "tinnitus"; it's the cause (etiology) that's
unknown in your case. Trying to pin down the cause
is a diagnostic challenge and many times one is not
found.

Ask your ENT to try some medications such as nortriptyline
(Pamelor),amitriptyline (Elavil) or  the benzos such as Atavan
or Xanax; they can be of help for many people.

frank
Eric J. Scharer - 16 Mar 2006 01:42 GMT
> Dr. Frank wrote:
>
[quoted text clipped - 3 lines]
>
> frank

Dr. Frank:

I am unable to take tricyclic AD's because of the cardiac side effects.
Can you recommend some SSRI AD's?

Thanks, Eric
drfrank21@gmail.com - 16 Mar 2006 16:21 GMT
> I am unable to take tricyclic AD's because of the cardiac side effects.
> Can you recommend some SSRI AD's?
>
> Thanks, Eric

The tricyclic's and benzos (atavan,xanax)  I think have a dual effect
of actually (potentially) easing the tinnitus itself and helping the
anxiety/ depression that exists with many people with tinnitus.
Again, the benzo's have addictive potential.

As far as the ssri's are concerned (prozac, paxil, zoloft), I don't
think they can actually help the tinnitus other than reducing
the stress and anxiety of the situation itself. And again, there
is some controversy relating to the safely (depedence issues)
the ssri's.

My own personal situation, I use Atavan on an occassional basis
at night to help me sleep. I did not find that the tricyclic's helped
my tinnitus after a trial run but everyone is different.
Many times Melatonin (6 mg) does the trick for me at night.

frank
IHearU - 16 Mar 2006 05:36 GMT
drfrank21@gmail.com wrote in news:1142389781.762510.163690
@z34g2000cwc.googlegroups.com:

>> the good news is that the hearing is unaffected, almost normal.
>> the bad news is I am left without a specific diagnosis.
[quoted text clipped - 7 lines]
> (Pamelor),amitriptyline (Elavil) or  the benzos such as Atavan
>  or Xanax; they can be of help for many people.

perhaps, but I did ask about any mediactions and he dismissed their
efficacy in this case.
he was fairly sure that it would go down to its previous levels soon
enough.
I think cyro's are the next step, though my finances are strictly
limited.
thanks for the suggestions..

> frank
William Nunn - 20 Mar 2006 02:21 GMT
> drfrank21@gmail.com wrote in news:1142389781.762510.163690
> @z34g2000cwc.googlegroups.com:
[quoted text clipped - 20 lines]
>
>> frank

He should definately not dismiss their efficacy. Imo, he dosn't know what he
is talking about. As Dr Frank said tricyclic antidepressants and benzos will
help you to adjust to it.
IHearU - 21 Mar 2006 01:45 GMT
>>> frank
>
> He should definately not dismiss their efficacy. Imo, he dosn't know
> what he is talking about. As Dr Frank said tricyclic antidepressants
> and benzos will help you to adjust to it.

I'll run it by my GP next time I see him , but I think I'm coping ok

Ive had it for years, though not at this much louder level
I wouldnt say Im depressed as a result, but Im losing a couple of hours
sleep in the early hours of the morning lately (whether because of the
tinnitus, I dont know).

So dothese medications make the symptoms lessen, or just make the patient
happier? If the latter, Id just rather cope with it without drugs .
If the former, Id be glad to give them a go.
borris - 11 Apr 2006 00:10 GMT
GP put me on amitriptyline hydrochloride   25mg/day

ive ben on it for a few days now and already hate the side effects.
some web results say that this can cause tinnitus, so there is a bit of
a contradiction.

Ill let you know how it goes.

>>>> frank
>>
[quoted text clipped - 12 lines]
> patient happier? If the latter, Id just rather cope with it without
> drugs . If the former, Id be glad to give them a go.

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