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Medical Forum / Diseases and Disorders / Tinnitus / June 2006Immediate steps after ringing in ear
Hi all, I recently got a bad ringing in one ear, whitout apparent cause (i rarely hear loud music and I am only twenty, althought I admit I don't know much about causes. I certainly am under stress, but not more than usual) the doctor prescribed me cortisone for the next three days after which I should come again. If it is still there, I shall get some sort of infusions. Success is unclear. I am a bit unsatisified: I only got to talk to the doc for a very short time, after an hour of tests. I still don't really know what the result of these tests was, only that my hearing apparently works fine, and I was unable to learn more about the cause or the treatment. The ringing, while *very* annoying is not unbearable for a while. What really mortifies me is the thought that it could be permanent. But even more frigthening would it be if there was something I could do, now, to prevent permanent damage, maybe something that was overlooked by the doctor, but that it could be too late later on. So my question: Is there anything I should try *now*, without delay, or ask my doctor about it , to prevent permanent tinnitus? is there a treatment for which it may be to late in a week or two? I guess I could life with the permanent ringing somehow if there are no other option, but the thought of missing a chance now and be reminded of it for ever really robs me of my sleep even more than the sound itself. > I recently got a bad ringing in one ear, whitout apparent cause > (i rarely hear loud music and I am only twenty, althought I admit I > don't know much about causes. I certainly am under stress, but not > more than usual) It can be a chemical imbalance in your nervous system. Asprin has been known to exacerbate it. My experience (since 1982) is that: Avoid the following: red meat smoking, alcohol, stress (make life easy for yourself) sleep loss. long auto or bus trips, noise venues over 80 dBA (loud talking, shouting). These avoidances will minimize the excitation of your tinnitus. You will gradually acclimate to the tinnitus sound, relegating it to the subconscious. The human brain has a wonderful way of accommodating. It takes a little time... about like learning how to ride a bicycle, or learning to fly airplanes. Be aware that "depression" can sometimes arise. Take steps to minimize it (keep a positve outlook) That is most likely due to loss of sleep ("sleep deprivation"). Know it, and accommodate to it. Sleep will generally improve with time and accommodation. Do things you like to do. Keep your friends, get out and around. Anvoid loud venues (get away from noises greater than 80 dBA). Attend music concerts (classical, not rock). It will eventaully work out. Good luck. Angelo Campanella "Angelo Campanella" Wrote: Avoid the following: > red meat > smoking, > alcohol, > stress (make life easy for yourself) > sleep loss. > long auto or bus trips, Why long auto or bus trips? Because of the road noise? Eric > "Angelo Campanella" Wrote: >>red meat [quoted text clipped - 3 lines] >>sleep loss. >>long auto or bus trips, Add to the list; coffee. > Why long auto or bus trips? > Because of the road noise? Yes. In my case, from that day forward, steady noise at and above 80 dBA causes the Tinnitus to worsen that day. Another post indicated Chinese treatment of IV blood thinning, which makes some sense. I have noted for some years that my carotid arteries are thinned a bit.. causing less head circulation than in my younger days. Looks like some progress is being made. Angelo Campanella > It can be a chemical imbalance in your nervous system. > Asprin has been known to exacerbate it. I did take aspirin when it started. hope I did not make it worse accidentally Thanks for your help. I guess I haven't really come to terms with the concept of habituation yet. I just want ot get rid of it for good! :) Avoiding stress is a bit of a problem, now more than ever, since the noise is currently the biggest stress factor > Avoiding stress is a bit of a problem, now more than ever, since the > noise is currently the biggest stress factor. This will be the most vexing experience you have faced. The old German addage "What does not kill me makes me stronger". possibly applies. But life goes on, and it is marginally better with it (life) than without it. I found that work that is rewarding (do things that you do well) helps tranfer your mind to constructive things, to build the bridge back to a satifying life style. I heard recently that a Chinese treatment for early tinnitus is to immediately administer large amounts of circulation enhancing drugs, as is used in treating for blod clots. Aspirin is known to do this, but aspirin is also ototoxic, especially in large doses. The rationale is that the tinnitus is the result of a restricltion of flow of nourishment to the degree needed within the auditory sensoneural system. A common recommendation for avoidance of strokes due to blood clots is a small dose of aspirin daily (83mg), aka "baby aspirin". Angelo Campanella > I heard recently that a Chinese treatment for early tinnitus is to > immediately administer large amounts of circulation enhancing drugs, > as is used in treating for blod clots. One component of noise damage is physical damage to the hair cells, in case of recovery it was recoverable damage. Note the risk of damaging only some cells within a critical band, that would be hidden damage and it shows only in increased recovery time after noise exposure, testing for it requires provocation. It is essential to understand the concept because that is why uexpected permanent damage may occur after an exposure that one would think recoverable. It is a simple model, and some of the time simple models help the understanding. If you sprain your ancle you give it rest. If you sprain your hair cells, give them rest. The noise exposure first aid I have used since the 1970's is to avoid further noise, ie. wear yellow EAR earplugs or similar as constantly as possible, also during sleep, for the first three days or until the onset of the post noise exposure tinnitus. It is my personal experience that the delay until the onset of tinnitus can be propertional with the severity of the noise exposure. > Aspirin is known to do this, but > aspirin is also ototoxic, especially in large doses. It has always promoted tinnitus for me. > The rationale is that the tinnitus is the result of a restricltion > of flow of nourishment to the degree needed within the auditory > sensoneural system. That or toxic digetive products from overworked cells, it could also be toxins from the breakdown of damaged cells, a concept that is quite similar to the risk of kidney complications in case of large physical trauma due to the large amount of proteine from damaged cells that enter the bloodstream. > A common recommendation for avoidance of strokes due to blood > clots is a small dose of aspirin daily (83mg), aka "baby aspirin". In this context Gingko Biloba would be more to the point, it is also an anticoagulant, and generally benign, but with caveats, it would however in my unskilled understanding of this make good sense for the first three weeks after a noise exposure. An ACE inhibitor, such as (brand name) Cozaar, has effects that are quite similar to the effects of Gingko Biloba, but without the anticoagulant side of them. All of that to the same point: aiding the logistics of the maintenance work on the hair cells. > Angelo Campanella / Peter Larsen OK...I can tell you what is happening in this part of the world, which is China. In China, it is the standard practice of *all* Chinese state hospitals to give new T patients blood vessel dilating medicine through intravenous injection. I actually do know someone who was diagnosed with T and was rushed to the hospital the first week. He was totally cured even up to today! But it appears to me, from my experience with the doctors in Hong Kong and Canada, that the Anglo-American medical establishment does not subscribe to this 'circulatory theory' that vigorously. You should talk to your doctor about what I said. In case your doctor still holds the lax posture of 'living with it' or 'habituation', I strongly suggest something you can try for yourself. (1)Talk to a pharmacist about taking a tablet of gingko biloba (500mg) each morning before breakfast. Gingko can improve the blood circulation in your head. And your inner ear is located in your head. Right? (2)Also, sleep with a wrapped tower to support your neck. Sometimes sitting in front of the computer for prolonged time period can get you into trouble. Sleeping with a wrapped towel supporting your neck can do a lot to alleviate the neck tension and perhaps prevents a pinched nerve from happening. Most doctors do NOT have the experience of treating tinnitus. And this is not an exaggeration. YOu can talk to Murray in this ng. He has been wrestling with tinnitus for years. T is a tormenting illness. Relax but don't take too lightly of it in the form of just 'habituating' Habituating all you want but your body does not some help in the process. GL correction:" Habituating all you want but your body does NEED some help in the process. GL Hi Hugo, So what is happening in your life at your age? Are you a student? Have you started tinkering with computers? Elly's Tinnitus Resources http://eebee.net/ >Hi all, > [quoted text clipped - 26 lines] >of it for ever really robs me of my sleep even more than the sound >itself. > Hi Hugo, > > So what is happening in your life at your age? > Are you a student? > Have you started tinkering with computers? That would be a yes to both questions. Does that put me in some sort of risk group? As for what's happening, I'm always in some sort of stress, bad habit i know, but I certainly have been in worse stress bevore. >That would be a yes to both questions. >Does that put me in some sort of risk group? According to my theory that could put a strain on your neck/back muscles. Constant study - with bad posture - could strain your back. Over the years there have been quite a few students of your age who wandered into this group after having developed T. Computer work can also put tension on those muscles - especially if there is bad computer posture - or the PC is badly positioned. Stress is the in word these days. But what does stress do to the body? It causes the muscles to tense up. That muscle tension is somehow transferred through the body and sets up the T (one day I will figure out exactly how). Have a read of http://eebee.net/TinnitusIsaPainintheNeck.shtml and the rest of the site. Elly's Tinnitus Resources http://eebee.net/ >> Hi Hugo, >> [quoted text clipped - 7 lines] >As for what's happening, I'm always in some sort of stress, bad habit i >know, but I certainly have been in worse stress bevore. Below is a quote from pubmed.com when I searched "tinnitus hbo". There are more articles about this treatment method. In general what I remember is that it is most effective in the first week, one German clinic web page wrote 85% success, and 60% in the first 3 month, and 25% in the first year. The study below shows success if 5 days after trauma, and if you take 10 treatment. You can find HBO probably near beach resorts where people dive, because it is used for diving accidents, and also diabetics use it. I found one, on a near by city, and went three times so far about 75 days after the onset. I think it does something though I am not cured yet, and my chances are not so good, and it costs me around 90$ a session, and I don't care because I don't want to live like that. So if there is a chance for relief I take it. My advice to you is to go to a near by hospital emergency room, and ask them if they have HBO, or a pressure chamber, and if they don't which hospital have it, then go to that hospital first thing in the morning, find the pressure chamber, do whatever tests they want, and take the treatment. My HBO clinic wanted to see a referral from my doctor, a hearing test, and a chest Xray. So if you have these take them with you. Also some HBO for tinnitus combine it with drugs, I am not sure which, and I just take massive amounts of Gingko Biloba standardized extract. But I think the drugs are steroids (like the cortisone you took) and vasodilating drugs. I have been told in the group here that Gingko would have the same effect as vasodilating drugs, and I also read in some place that dilation may let blood flow everywhere, and thus reducing the pressure of it in the ear, where as Gingko make the blood less sticky, thus letting it flow into narrower places. I don't have steroid, but I did manage to obtain ear drops with a bit of cortisone. Also take all the vitamins RDA. Note that the multivitamins pills don't contain 100% magnesium, which is said to be important, so get that too (400mg/day), also some magnesiums are not digested well so get the best kind of what they have, in my case magnesium citrate was the best they had. Also zinc is said to be important, but you can't take more than 50mg/day without extra copper, and manganese, and you may want to take extra B complex, and extra E too. It is better to be safe than sorry, you don't want to live with a hole in your head. Well, maybe you do, I don't. There are more methods to deal with it, but this method gave me the impression that it cures, where as the other methods mess with your mind or hearing so you will notice the tinnitus less. Also the chances of this method to succeed are getting smaller as time goes by, so don't take your time. --------------------------------------- Pol Merkuriusz Lek. 2005 Sep;19(111):348-50. Related Articles, Links [Effectiveness of pharmacologic therapy combined with hyperbaric oxygen in sensorineural hearing loss following acute acoustic trauma. Preliminary report] [Article in Polish] Winiarski M, Kantor I, Smereka J, Jurkiewicz D. Wojskowy Instytut Medyczny, Klinika Otolaryngologii CSK MON, Warszawie. miechwin@wp.pl Exposure to loud sounds can cause acute acoustic trauma and permanent sensorineural hearing loss. The aim of the study was to evaluate effectiveness of pharmacological treatment combined with the hyperbaric oxygen (HBO) in the treatment of sensorineural hearing loss following acute acoustic trauma for patients treated in the Department of Otolaryngology of Military Institute of Health Service and Warsaw Center for Hyperbaric Therapy and Wounds Treatment. MATERIAL AND METHODS: Group of 12 patients (22 damaged ears) with acute acoustic trauma (10 men and 2 women), 16-67 years of age, mean age 28 years, was involved in our study. Patients with tinnitus and sensorineural hearing loss of minimum 15 dB at 0.25-8 kHz were included in the treatment group. Hearing gain of minimum 10 dB at 0.25-8 kHz and decrease in the intensity of tinnitus was considered as an improvement. 4 days was the mean time interval between acoustic trauma and starting the pharmacological treatment, 7 days was the mean time interval for the hyperbaric oxygen therapy commencement. RESULTS: Statistically significant difference in Pure Tone Audiometry results obtained before and after the treatment was noted in 4 kHz when considering all damaging factors that caused acoustic trauma and in 6 kHz only for damage resulting form shooting. Statistically significant difference was noted in 6 kHz if the HBO therapy was continued over 10 days (p < 0.00001). Statistically significant difference was noted in 4, 6, 8 kHz when treatment was started within 5 days since the acoustic trauma (p < 0.000001). CONCLUSIONS: Hyperbaric oxygen therapy is the unique method of increasing concentration of oxygen in the inner ear fluids thus facilitates the regeneration process. Hyperbaric oxygen therapy combined with steroids is an effective method of sensorineural hearing loss treatment following acute acoustic trauma. PMID: 16358866 [PubMed - indexed for MEDLINE] |
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