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Medical Forum / Diseases and Disorders / Tinnitus / May 2006My ENT and audiologist contradict each other - who's right?
Hello, My ENT says I have Ménière's, except I don't get the spins. My audiologist says my symptoms are tinnitus only. Every now and again I will experience hearing loss in one ear, not complete though. It starts gradually and increases until I can't hear higher pitched sounds. The sensation is like having pressure in the ear and lasts about an hour. External sounds like speech or other noises are distorted and sometimes the external noise will cause a rumbling sound deep inside my ear. Once my hearing returns to normal, I will have a loud ringing noise which eventually subsides. My audiologist says the sensation of pressure is not really pressure at all, but the temporary loss of hearing. My ENT says it's from fluid buildup around the cochlea, which is Ménière's. Is tinnitus associated with random episodes of temporary hearing loss, then loud ringing? >Hello, > [quoted text clipped - 15 lines] >Is tinnitus associated with random episodes of temporary hearing loss, >then loud ringing? Would an MRI show conclusively any fluid buildup around the cochlea? >Would an MRI show conclusively any fluid buildup around the cochlea? I had MRI to make sure no tumors were present. My ENT said nothing about seeing fluid buildup around the cochlea. Because the cranial fluid is reabsorbed, timing would be critical. If I felt a new episode starting, I assume by the time I got to the MRI lab, the episode would be over and the fluid reabsorbed. Martin Smith <beeties@bogfu.com> wrote in part: >>Hello, >> [quoted text clipped - 17 lines] > >Would an MRI show conclusively any fluid buildup around the cochlea? Not the ones that are currently available.  SignatureJim Chinnis / Warrenton, Virginia, USA Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG On 5/2/06 12:02 AM, in article 2v0e52hc90f8hjv3mo3una04hgv4fctmsa@4ax.com, >> Hello, >> [quoted text clipped - 17 lines] > > Would an MRI show conclusively any fluid buildup around the cochlea? No, MRI won't show fluid build up in cochlea. Sensation of pressure , fullness, is part of Cochlear Hydrops. You can have tinnitus, Dizzyness, and hearing loss or only some of these. The Dx is still cochlear hydrops . Meniere's refers to episodic repeat episodes of cochlear hydrops. Please, what is cochlear _hydrops_ ? I have been telling all my drs (IM, rheumatologist, ENT, psych, assorted specialty residents about this "feeling of fullness, pressure" for over a year and no one has mentioned this. %they just all shsyug or roll their eyes or_____? Nancy F , SoCal, USA Christ, Chorus, Cats, Computers > Sensation of pressure , fullness, is part of Cochlear Hydrops. You can > have [quoted text clipped - 3 lines] > cochlear > hydrops. "Nancy F" <nfarrell22@verizon.net> wrote in part: >Please, what is cochlear _hydrops_ ? I have been telling all my drs (IM, >rheumatologist, ENT, psych, assorted specialty residents about this "feeling >of fullness, pressure" for over a year and no one has mentioned this. %they >just all shsyug or roll their eyes or_____? >Nancy F , SoCal, USA When used with reference to the ears, hydrops means endolymphatic hydrops. Hydrops means an excess of fluid. Endolymph is a fluid that fills a space within the inner ear. It is believed by some--but not all--that endolymph hydrops can be felt somehow within the inner ear, even though there are no pressure receptors there. Others believe that the fullness or pressure sensation is due instead to loss of hearing which causes a tightening of tiny muscles within the middle ear. The fullness feeling is most common in those who appear to have endolymphatic hydrops (such as Meniere's patients), but it occurs pretty often in those with hearing loss and tinnitus with no other signs of hydrops. There is a tendency to class those patients (who have no vertigo attacks) as having *cochlear* hydrops. SignatureJim Chinnis / Warrenton, Virginia, USA Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG On 5/5/06 6:31 PM, in article vkun52lasc2okdmvejrhu9artefd038uc3@4ax.com, > "Nancy F" <nfarrell22@verizon.net> wrote in part: > [quoted text clipped - 19 lines] > hydrops. There is a tendency to class those patients (who have no vertigo > attacks) as having *cochlear* hydrops. Excellent answer Jim. You can have tinnitus, dizzyness, hearing loss and a full feeling in the ear all from endolymphatic hydrops. But you can have only three, or only two or even only one symptom. Whether you have all four or less, they all respond to the same Rx. Hi John, http://eebee.net/TinnitusIsaPainintheNeck.shtml All these symptoms can be a result of built up tension in the muscles. This often produces tinnitus. Hearing loss (which is not the same as hearing damage) is often a side effect. But as you have discovered and comes and goes. The feeling of pressure is also a result of tension. >Is tinnitus associated with random episodes of temporary hearing loss, >then loud ringing? YES. Is there a lot of stress in your life? Is anything happening in your life which could be causing muscle tension? Computers are beginning to be a common cause. So is constant telephone use. If you can find a trusted massage therapist for a thorough back massage - this will confirm for you the tension. It will also give you some relief. Then you need to start figuring out what changes to make in your life. Kind regards, Elly. Elly's Tinnitus Resources http://eebee.net/ >Hello, > [quoted text clipped - 15 lines] >Is tinnitus associated with random episodes of temporary hearing loss, >then loud ringing? Elly Byrne <elly@eebee.net.noway> wrote in part: >Hi John, > [quoted text clipped - 44 lines] > >*** Posted via a free Usenet account from http://www.teranews.com *** Seriously, Elly? Temporary severe high-frequency hearing loss from muscle tension? SignatureJim Chinnis / Warrenton, Virginia, USA Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG > Seriously, Elly? Temporary severe high-frequency hearing loss from muscle > tension? I had that happen to me pretty often in the years before my Lyme disease was diagnosed. Sometimes my left ear would go completely deaf for moments, or minutes. Susan Susan <nevermind@nomail.com> wrote in part: >x-no-archive: yes > [quoted text clipped - 4 lines] >was diagnosed. Sometimes my left ear would go completely deaf for >moments, or minutes. And relaxing solved the problem?! I mean, I also have sudden hearing dropouts and have had them since 1990, when I was diagnosed with Meniere's. But I really think it is far-fetched to attribute the hearing loss and tinnitus to muscle tension. REALLY far-fetched... The two things that seem to help with the ear pressure in Menieres are a combination of sodium restriction (or maybe constancy) and diuretics and hearing aids. No one in many years of moderating a large Meniere's discussion group has EVER reported a reduction from any sort of relaxation. SignatureJim Chinnis / Warrenton, Virginia, USA Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG >Susan <nevermind@nomail.com> wrote in part: > [quoted text clipped - 8 lines] > >And relaxing solved the problem?! I don't have hearing dropouts. I guess I have a common, garden variety tinnitus. It isn't severe. The only thing I have found that makes it go away is swimming. If I swim a workout in the morning, the tinnitus disappears completely for the rest of the day. It returns at night and is there again, when I wake in the morning. I assume this is due to relaxation of muscles in the neck and back, although it might have more to do with beta endorphins in the brain. > And relaxing solved the problem?! No, it came and went on its own, til antibiotics solved the problem. > I mean, I also have sudden hearing dropouts and have had them since 1990, > when I was diagnosed with Meniere's. But I really think it is far-fetched to > attribute the hearing loss and tinnitus to muscle tension. REALLY > far-fetched... I know and I agree. Susan |
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