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Medical Forum / Diseases and Disorders / Tinnitus / March 2007

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Waking up From Sleep

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d.roberts@insightbb.com - 30 Dec 2006 12:39 GMT
I'm curious if others experience the breif escape of the ringing as I
seem to have when I first wake up in the morining. The first couple
minutes after waking up I dont hear the constant ringing. I dont know
if its really gone or if its just that my brain isnt fully awake.
Whatever it is, it nice to have complete silience. Even though it's
only for a short time.
John Green - 31 Dec 2006 01:35 GMT
> I'm curious if others experience the breif escape of the ringing as I
> seem to have when I first wake up in the morining. The first couple
> minutes after waking up I dont hear the constant ringing. I dont know
> if its really gone or if its just that my brain isnt fully awake.
> Whatever it is, it nice to have complete silience. Even though it's
> only for a short time.

I've noticed a similar thing, although for me the quiet period only
lasts a few seconds.  When you go to sleep your brain turns off the
signals from your ears (which is why you only get awoken by loud
noises).  I suspect the same process is what turns off the tinnitus.
(I've never noticed any high pitched ringing while dreaming.)
marrer - 01 Jan 2007 23:49 GMT
>> I'm curious if others experience the breif escape of the ringing as I
>> seem to have when I first wake up in the morining. The first couple
[quoted text clipped - 8 lines]
> noises).  I suspect the same process is what turns off the tinnitus.
> (I've never noticed any high pitched ringing while dreaming.)
unfortunately for me, t is the last thing i hear at night, and the first
thing i hear in the morning. in fact, it is at its worst in the
morning-only relieved by a shower. maybe its down to how it originated?
my t is noise induced.
The New Guy - 23 Mar 2007 16:22 GMT
> unfortunately for me, t is the last thing i hear at night, and the first
> thing i hear in the morning. in fact, it is at its worst in the
> morning-only relieved by a shower.

Maybe the heat of the shower is loosening the neck area and that is
helping.
Paul - 31 Dec 2006 09:33 GMT
I have thought often about this. Some people claim that the tinnitus wakes
them up from their sleep, but I have the feeling that during sleep it is
silent. When I wake up, within a few seconds (actually within a second I'd
say) "the noise is turned on".

(Only  now I see John Green is making the same point.)

The strange thing is that generally my tinnitus is worse in the morning than
in the evening.

It is interesting that for you it lasts minutes rather than seconds. Maybe
you should experiment to see how you can extend that period by doing or
avoiding things or thoughts.

> I'm curious if others experience the breif escape of the ringing as I
> seem to have when I first wake up in the morining. The first couple
> minutes after waking up I dont hear the constant ringing. I dont know
> if its really gone or if its just that my brain isnt fully awake.
> Whatever it is, it nice to have complete silience. Even though it's
> only for a short time.
Buzz - 01 Jan 2007 21:39 GMT
HI, yes for the brief precious moments which you get fooled that maybe
the T is  gone!! But it returns. I need to know what happens exactly
when we just awaken while stile in bed as I have the pulsitile T .  Do
you? And I am pounding and pulsing loudly while still in bed and I
really want to stay in bed but can't as it is too loud and it makes me
anxious and scared so I have to get up prematurely ( the urge to go to
the bathroom seems the initiative to urge the body to wake up but
getting back to sleep is difficult then).. If I have a bad dream its
Very loud and the rapid pulsiile T is so fast which copies the pulse
either way even with a nap when I awake WOW, it take about 5-10 minutes
to come down to normal bearable T.  Would love to know what bodily
function happens that makes us wake up as it the most disabling for me
and how could I eliminate this T on awakening, is it forced blood
pressure or increased anxiety saying: wake up:! which would affect
pulsitile T..?Also when I place my head on a soft pillow it raises the
T too so I hope I pass out quickly to shut the noise down or its
torture.
thanks  buzz

> I'm curious if others experience the breif escape of the ringing as I
> seem to have when I first wake up in the morining. The first couple
> minutes after waking up I dont hear the constant ringing. I dont know
> if its really gone or if its just that my brain isnt fully awake.
> Whatever it is, it nice to have complete silience. Even though it's
> only for a short time.
KewlKiwi - 02 Jan 2007 10:21 GMT
> I'm curious if others experience the breif escape of the ringing as I
> seem to have when I first wake up in the morining.

Same here.

It's not a subjective thing either, since I can hear the radio (alarm
clock) when I wake up, but within 30 seconds or so the T starts up and
drowns out the radio.

I think it's blood-pressure related.

Bob
Skycloud - 02 Jan 2007 18:42 GMT
> I think it's blood-pressure related.

Yes, or maybe related to changes in the blood flow patterns in the brain as
it changes from sleep to wakefulness.

It would be interesting to see a PET scan showing the differences,
especially around the auditory cortex.

Skycloud
Janice - 03 Jan 2007 02:57 GMT
I doubt the auditory system would show anything. Tinnitus is in the
brain.

>> I think it's blood-pressure related.
>
[quoted text clipped - 5 lines]
>
> Skycloud
Skycloud - 03 Jan 2007 09:30 GMT
>> It would be interesting to see a PET scan showing the differences,
>> especially around the auditory cortex.

>I doubt the auditory system would show anything. Tinnitus is in the brain.

The auditory cortex is part of the brain.

S
Greg Berchin - 02 Jan 2007 23:13 GMT
Mine is worst upon waking.  If I wake in the middle of the night, it is
deafening.  During the day it subsides; quietest just before bedtime.
Angelo Campanella - 03 Jan 2007 06:30 GMT
> I'm curious if others experience the breif escape of the ringing as I
> seem to have when I first wake up in the morining. The first couple
> minutes after waking up I dont hear the constant ringing. I dont know
> if its really gone or if its just that my brain isnt fully awake.
> Whatever it is, it nice to have complete silience. Even though it's
> only for a short time.

    On first acquirung T in 1982, I was very upset at its presence. I made
a T-masker from a battery powered (Ivie IE-10) pink noise generator and
set of headphone, feeding said phones (monaural) through a 0.1 uf
capacitor. One night a few days into that usage, I awoke in the middle
of the night, and for about 1/2 second, I did NOT hear the T.        

    Then the T resumed it usual level. At that time (for the first time) I
concuded that the T signal can be disconnected from the concious brain.
It is also true that the perception of hearing is likewise disconnected
from the concious brain during full sleep.

    From that moment onward, I felt as though I could then cope with T for
the rest of my life, provided I had the means to fall alseep soundly.

    After that, I coined a set of five irritants that might interfere with
falling asleep:

    Fatigue,
`    Red meat,
    Coffee,
    Alcohol and
    Stress (worry).

    To this day, I am careful to not  accumulate too much of any of the above.

        Angelo Campanella
Paul - 03 Jan 2007 14:28 GMT
> Then the T resumed it usual level. At that time (for the first time) I
> concuded that the T signal can be disconnected from the concious brain.

Exactly, I recognize and remember that feeling very well.
One realizes that T is not really a part of oneself. Only my hope was that
on the basis of this, it should be possible to control the mind in such a
way that one could switch off the T also when awake.
So far, no luck.
Mr. Y - 04 Jan 2007 01:18 GMT
Just an idea, but here it goes.  When I think about other things, my brain
is devoting it's energy to those things, thus taking away from thinking
about T.  However, when you sleep, maybe these parts of the brain are not
working as hard, and therefore, the T is more noticable when you first get
up.  I also have my T quiet when i wake up for about 1 second or so.  Also,
when I am really tired and I am partially daydreaming in the morning, my T
goes away.

> I'm curious if others experience the breif escape of the ringing as I
> seem to have when I first wake up in the morining. The first couple
> minutes after waking up I dont hear the constant ringing. I dont know
> if its really gone or if its just that my brain isnt fully awake.
> Whatever it is, it nice to have complete silience. Even though it's
> only for a short time.
Janice - 04 Jan 2007 01:43 GMT
You just forgot to listen for it.

> Just an idea, but here it goes.  When I think about other things, my
> brain is devoting it's energy to those things, thus taking away from
[quoted text clipped - 12 lines]
>> Whatever it is, it nice to have complete silience. Even though it's
>> only for a short time.
Skycloud - 04 Jan 2007 14:38 GMT
> Just an idea, but here it goes.  When I think about other things, my brain
> is devoting it's energy to those things, thus taking away from thinking
[quoted text clipped - 3 lines]
> Also, when I am really tired and I am partially daydreaming in the
> morning, my T goes away.

Yes, it's reasonable to suppose that, just like a computer, the brain has
limited processing power and in general it will prioritise the tasks to aid
survival.  This means, when there are pressing matters to attend to in the
outside world, such as people to talk to or traffic to avoid, it'll
concentrate on those things first, and ever-present  background stimuli that
might otherwise demand attention because they're unpleasant (like the
feeling of your pinching shoes or...your tinnitus) will get ignored for a
while.

This is why wearing a hearing amplifier that only amplifies sound around the
tinnitus frequencies can be so effective in suppressing tinnitus.  The brain
latches onto the information-bearing content present in that sound and is
simply unable to simultaneously process the tinnitus underneath.

Skycloud
Janice - 05 Jan 2007 00:32 GMT
As in "we can only feel one pain at a time"?

>> Just an idea, but here it goes.  When I think about other things,
>> my brain is devoting it's energy to those things, thus taking away
[quoted text clipped - 20 lines]
>
> Skycloud
Skycloud - 05 Jan 2007 10:20 GMT
> As in "we can only feel one pain at a time"?

If one pain carried information about the outside world and the other
didn't, then the answer would likely be yes.  For example, if a dog was
painfully biting you on a day you had a bad headache, the matter of dealing
with the dog would be far the more pressing.  While you were dealing with
the dog, I assure you your mind would not be on your headache...

Similarly, in the case of tinnitus, of course you can normally hear it
alongside other sounds although if the real world sounds are particularly
engrossing you'll forget the tinnitus for a while.

However, if those incoming real world sounds lying *in the same frequency
band*  as the tinnitus are boosted by a hearing amplifier,  a deeper effect
occurs - at least in my case.  The brain switches to only processing the
sound coming from the outside world.  I presume this is because the brain's
processing capacity on a given frequency channel is limited and the real
world sounds contain useful information, whereas the tinnitus does not. The
tinnitus becomes redundant and is suppressed.

Having recourse to this technique in the early days of my T really helped me
cope.  Guessing here, but I should think it wouldn't be so useful for those
suffering from hyperacusis or recruitment...

Skycloud
d.roberts@insightbb.com - 06 Jan 2007 18:05 GMT
> This is why wearing a hearing amplifier that only amplifies sound around the
> tinnitus frequencies can be so effective in suppressing tinnitus.  The brain
> latches onto the information-bearing content present in that sound and is
> simply unable to simultaneously process the tinnitus underneath.

That's interesting. I am on my first day with digital BTE hearing aids
and have no change with the T. The audiogram shows I have significant
hearing loss at 1500Hertz and levels off at 4000Hertz. Dropping to
around 55 on the vertical scale. I told the audiologist yesterday at
the fitting that I felt that the volume wasn't loud enough. He said
volume wasn't what I needed that speech clarity is what we want. He
said I need to hear the high frequencies such as women's and children
speaking. I'm not so sure of that as I have been married for 33
years!...lol. The point I'm tyring to make is the only reason I opted
for the hearing aids was to get relief from the T. He programed these
to buffer background noise. I feel I would prefer as you stated for the
hearing aids to pick up on those noises to either mask or drown out the
T. Here's the kicker! My insurance is covering the cost of the aids but
if I back out I will be out $500 on a cancellation fee. Are all hearing
aids capable of doing what you stated above?
Skycloud - 06 Jan 2007 19:00 GMT
> That's interesting. I am on my first day with digital BTE hearing aids
> and have no change with the T. The audiogram shows I have significant
[quoted text clipped - 11 lines]
> if I back out I will be out $500 on a cancellation fee. Are all hearing
> aids capable of doing what you stated above?

I'm no expert on hearing aids. I didn't research them but instead made my
own arrangements when I first had my T problem.  However yes, I would have
thought that digital aids could be programmed to do just about anything.
The problem is their cost.

There are currently much cheaper alternatives available over the internet,
but it's not appropriate for me to discuss them here because I have direct
commercial involvement.

All the best,

Skycloud

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