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Medical Forum / Diseases and Disorders / Tinnitus / December 2003

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Follow up report after seeing ENO specialist

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Simon Brightwell - 24 Dec 2003 11:05 GMT
Firstly Merry Christmas to all fellow sufferers and their families.

I came to this NG about 3 weeks ago following the start of ringing in my
ears after a rock concert. One of you kindly asked me to report back after I
had seen a specialist.

The ENO specialist didn't help much. He just told me that my normal hearing
was not affected after I did the hearing-test (which I more or less knew
anyway), and that my inner ear was damaged and consequently could hear a
high-pitched ringing tone 24/7. After I prompted him, he said it might just
suddenly dissappear, or stay with me forever, but will most likely very
slowly disappear into the background as the years go by!! Apart from that he
said very little, except that he wanted me back in 6 weeks for another
hearing test. I'm not too sure that I see the point in that. He gave me no
tips about lowering stress levels, diet, or listening to white-noise, all
thing which I have picked up from this NG. Maybe I should try and find a
real "tinnitus" specialist if there is such a thing here in Holland.

Just for the record, the ringing has stayed there for about 5 weeks now
since the concert. I would say that the pitch is more or less constant and
extremely annoying. The initial anxiety has died down, and I have noticed
that when I am feeling down in general, the tinnitus is more noticeable, but
on days in which I am in good spirits I can go hours without thinking about
it. I get the impression that thinking about the T  is worse than T itself,
if you know what I mean.!!! A couple of times when I was really down and
fealing sorry for myself I resorted to standing in the bathroom for 10
minutes, running the shower to counteract the noise in my head.

I have every sympathy for you all in this NG, as you most of you are
long-term sufferers. Just think I've only gone 5 weeks so far!!!  Is it
worse in the beginning ??

I look forward to your reactions.
Best wishes,
Simon,
Rijswijk, The Netherlands.
Simon Brightwell - 24 Dec 2003 12:29 GMT
Hi again. I meant ENT, of course, (Ear Nose & Throat). I mixed it up with
the DUTCH (KNO = keel, neus & oor). Silly me!

Simon.

> Firstly Merry Christmas to all fellow sufferers and their families.
>
[quoted text clipped - 32 lines]
> Simon,
> Rijswijk, The Netherlands.
francispoon - 25 Dec 2003 02:40 GMT
> Hi again. I meant ENT, of course, (Ear Nose & Throat). I mixed it up with
> the DUTCH (KNO = keel, neus & oor). Silly me!
[quoted text clipped - 27 lines]
> > extremely annoying. The initial anxiety has died down, and I have noticed
> > that when I am feeling down in general, the tinnitus is more noticeable,

When you have good sleep, the ringing could be reduced to a very tolerable  level.

FP
=============================
but
> > on days in which I am in good spirits I can go hours without thinking
>  about
[quoted text clipped - 12 lines]
> > Simon,
> > Rijswijk, The Netherlands.
Susan - 24 Dec 2003 14:04 GMT
>I have every sympathy for you all in this NG, as you most of you are
>long-term sufferers. Just think I've only gone 5 weeks so far!!!  Is it
>worse in the beginning ??

It's much worse in the beginning, when it's so difficult not to focus on it.
Over time, most folks kind of forget it's there unless they listen for it.

Susan
Steve Ostler - 24 Dec 2003 14:11 GMT
> Firstly Merry Christmas to all fellow sufferers and their families.

Hi Simon - and to you too !

> The ENO specialist didn't help much. He just told me that my normal hearing
> was not affected after I did the hearing-test (which I more or less knew
> anyway), and that my inner ear was damaged and consequently could hear a
> high-pitched ringing tone 24/7. After I prompted him, he said it might just
> suddenly dissappear, or stay with me forever, but will most likely very
> slowly disappear into the background as the years go by!!

Ah yes - 'habituation'.

> Just for the record, the ringing has stayed there for about 5 weeks now
> since the concert. I would say that the pitch is more or less constant and
[quoted text clipped - 3 lines]
> it. I get the impression that thinking about the T  is worse than T itself,
> if you know what I mean.!!!

This is very true. When you're not aware of it it's as good as it's not
there at all. I call this 'virtual silence'.   During these periods you
discover your life goes on, just as it always did.    :o)

> I have every sympathy for you all in this NG, as you most of you are
> long-term sufferers. Just think I've only gone 5 weeks so far!!!  Is it
> worse in the beginning ??

I've had mine for 8 months now. In the beginning it was a complete misery
and fluctuated widely but now it has settled down. It's still highly
annoying when I'm in bed at night or if I'm feeling low during the day. I
have tried Ginkgo Biloba but with inconclusive results.  The only thing I
find which really _does_ work is to wear earphones connected to a little
amplifier which has been modified to emphasise the high (tinnitus)
frequencies, and thus replace the T with information-bearing sound. This
makes the T virtually inaudible.

> I look forward to your reactions.
> Best wishes,

All the best to you and yours for Christmas and the New Year !

Steve O
Ear Rings - 25 Dec 2003 03:33 GMT
Listen to the tinnitus. Analyse it and try your hardest to concentrate on
making it worse/louder. You will tire of this and shut it out. Sort of a
homeopathic style remedy.

This works for many people.

> Firstly Merry Christmas to all fellow sufferers and their families.
>
[quoted text clipped - 32 lines]
> Simon,
> Rijswijk, The Netherlands.
stephjeff - 25 Dec 2003 18:14 GMT
I'm new here too.  Sorry to hear about your tinnitus.  I too have got
it.  I played a gig earlier this month, and that's all it took.  I've
played for many years in bands, in bars and at pretty loud levels.  I
usually experienced some tinnitus, but it would be pretty much gone
the next day.  So earlier this month, I played a bar that I have
played at for years.  I don't play as loud as I used too when I was
younger, and I didn't that night.  But after the gig, my ears were
screaming.  It hasn't went away.  This was three weeks ago. It seemed
to get even worse with the cold I just got over.  It's very similar to
how Ear Rings described his sypmtoms.

I'm going to see a doctor tomorrow. I'm not optimistic about it
though.

Some things I've noticed with my case is, when I open my mouth wider
or stick my tounge out, raise my eyebrows or use any muscles in my
head, the SOUND gets louder.

I had a few drinks last night.  Well it was quite a few.  I had a good
buzz but no loud music or anything to aggravate it {or so I thought}.
The SOUND was much more intense.  Does it alcohol affect it for you
guys?

As I said earlier, I have had bad tinnitus before but it was
temporary.  This time, I don't think so.  It is an awful way to live.
I can see how some might think extreme, insane things if you
concentrate on it. There have been a few times I had to listen to see
if it's still there.  It is of course, but at least I know I will have
to concentrate on not concentrating on it- that may be all I have.

> Listen to the tinnitus. Analyse it and try your hardest to concentrate on
> making it worse/louder. You will tire of this and shut it out. Sort of a
[quoted text clipped - 45 lines]
> > Simon,
> > Rijswijk, The Netherlands.
francispoon - 26 Dec 2003 02:28 GMT
You are going through what i went through in the beginning.
Currently, or at least today, the ringing has come down to a rather
tolerable level.  The following is what I have been using.  I added
one by one to the combination in order to find out the cause and
effect relationship to my tinnitus of each item added.

(1)10 mg of FLUNARIZINE HYDROCHLORIDE.  This helps blood circulation
in the head.  I take it in the morning with my ACE inhibitor but you
had better check with your doctor if you had high blood pressure.
(2)100 mg of vitamin B1, 50mg each, taken twice a day.  But I will
slow it down after a few more days of concentrated bombardment to say
60 per day.
(3)Herb tea daily but this may be too vague for doctors trained in
western medical discipline to understand.  The purpose of the herbs is
to invigorate your kidney.  It does NOT hurt for any man to nourish
his kidney even though he does not have tinnitus.  As a matter of
fact, nourishing the kidney is the foremost step in the nourishing
process of the whole body, according to my doctor who was trained in
both western and herb medicine.  But you have to go to doctors who
know what they are doing.
(4)2 bodily massages daily, one at 4pm and one at 8pm.  The purpose is
to break the anxiety cycle.
(5)ATIVA as a sleeping pill.  0.5 mg of Ativa helps for only a few
hours in a day but when it is supplemented by 3 tablets of herbs, the
latter make the sleep longer and sweater.  GOOD SLEEP IS ESSENTIAL TO
LOWERING THE RINGING!
(6)Habituation: assume everyone in the world were born with tinnitus!
And therefore you are 'normal'.  Go out and do what other 'normal' men
do.

Hope this could help a bit.

FP

> Firstly Merry Christmas to all fellow sufferers and their families.
>
[quoted text clipped - 32 lines]
> Simon,
> Rijswijk, The Netherlands.
Elly Byrne - 26 Dec 2003 19:23 GMT
I quite agree. Gives the ENT somethign to play with. Gives you the
idea that he is doing something. But it will achieve nothing.

I went to an ENT in the early days and simply refused to have a
hearing test. I considered my hearing perfectly OK.

           Tinnitus is a pain in the neck
Elly's Tinnitus Resources
http://www.eebee.net/
http://www.tinnitusrelief.net/

For email: elly at eebee.cjb.net

>except that he wanted me back in 6 weeks for another
>hearing test. I'm not too sure that I see the point in that.
Oregon7 - 27 Dec 2003 00:14 GMT
I, like many others, did not really undestand the difference between an ENT and
an otologist until I earned my degree as an audiologist and focused on tinnitus
some years ago.

Otologists are hard to find.  I am not sure how many there are in the world,
but not too many.  They are really the ones that should direct the medical exam
of the person who has tinnitus, as they specialize in just the
ear..............

ENTs are well educated, too, but must also care for all sorts of other body
parts, like tonsils. And noses.  And necks..........

I encourage people to visit otologists as they are able........

MJ
 
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