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Medical Forum / Diseases and Disorders / Tinnitus / January 2004

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Hearing heartbeat in ear

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John Pellegrino - 02 Jan 2004 18:46 GMT
I am getting a very strong heartbeat in my right ear that sounds very loud.
It started about 4 days ago and only in the right ear. I have taken my
pulse by listening to this pounding in my ear. There are times when it
stops like if I clench my teeth a certain way or sitting in the recliner
and tilting my head back. There are also times when it's not there and when
I sit down it begins. It is very stressful when trying to watch TV and this
loud constant pounding is going on in my right ear. What could be the
reason for it? Why would clenching my teeth a certain way stop it? And also
sitting in the recliner and tilting my head back stops it.

I have made an appointment to see my ENT next Thursday but is there
something someone can tell me that might be causing it or what to do?
William Nunn - 02 Jan 2004 19:23 GMT
I have had this recently, I thought I was having an arrhythmia. It is very
disconcerting but not a sign of a serious problem. Its (probably) a somatic
tension state, or athersclerosis.

> I am getting a very strong heartbeat in my right ear that sounds very loud.
> It started about 4 days ago and only in the right ear. I have taken my
[quoted text clipped - 8 lines]
> I have made an appointment to see my ENT next Thursday but is there
> something someone can tell me that might be causing it or what to do?
John Merlano - 02 Jan 2004 20:11 GMT
> I have had this recently, I thought I was having an arrhythmia. It is very
> disconcerting but not a sign of a serious problem. Its (probably) a somatic
> tension state, or athersclerosis.

Athersclerosis? Is that hardening of the arteries? There is an artery in
the neck that can get plaque buildup and require surgery - is that what you
are suggesting is a possibility?

The strange thing is why clenching my teeth a certain way eliminates the
problem? And also why tilting my head back when reclining eliminates the
problem?

My cholesterol level is 133 and so I find it hard to believe it's some
problem with plaque but...?

How long did you have this problem? And did clenching your teeth stop it
while teeth are clenched and continue when unclenching?

I know it isn't any irregularity in the heartbeat because my pulse is
normal and the pounding heartbeats are uniform. I haven't been nervous
about it being a heart problem, just nervous about hearing this very
annoying sound.

Could it be somehow related to the eustachian tube? TMJ?
Marktvalu - 04 Jan 2004 00:05 GMT
> >I am getting a very strong heartbeat in my right ear that sounds very loud.

       ...................................

Hi John,

I get this from time to time. Dont know what it is but it usually goes away
within a few days. Nothing serious, I guess.

- jean
Elly Byrne - 04 Jan 2004 19:23 GMT
Read http://eebee.net/pt.shtml
about pulsatile tinnitus.

           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

>> >I am getting a very strong heartbeat in my right ear that sounds very loud.
>
[quoted text clipped - 6 lines]
>
> - jean
ENTconsult - 04 Jan 2004 19:42 GMT
this may be a temporary situation. It does not mean you are about to bust a
blood vessel . Hopefully it will be clear by the time you see the doctor.
My car stops all noises when I finally get an appointment witht the mechanic.
This is not tinnitus, as it is an objective sound.
The best way to have it go away is to relax.
Your doctor will look in the ear to see if he sees anything past the ear drum
and if he does he can order tests.
Murray Grossan, M.D.
http://www.ent-consult.com
John Pellegrino - 06 Jan 2004 01:57 GMT
> this may be a temporary situation. It does not mean you are about to bust a
> blood vessel . Hopefully it will be clear by the time you see the doctor.
[quoted text clipped - 5 lines]
> Murray Grossan, M.D.
> http://www.ent-consult.com

The odd thing is it goes away completely if I clench my teeth a certain way
but returns when unclenching my teeth. I've also noticed that sitting in my
recliner and tilting my head back also temporarily stops it.
John Goddard - 06 Jan 2004 23:04 GMT
I thought "objective" meant that an observer could hear it.  I do not
understand therefore why you think this sound is objective.
John
> this may be a temporary situation. It does not mean you are about to bust a
> blood vessel . Hopefully it will be clear by the time you see the doctor.
[quoted text clipped - 5 lines]
> Murray Grossan, M.D.
> http://www.ent-consult.com
John Pellegrino - 07 Jan 2004 00:31 GMT
> I thought "objective" meant that an observer could hear it.  I do not
> understand therefore why you think this sound is objective.
> John

He said it wasn't tinnitus because it is an objective sound meaning others
can heat it.

By the way, today has brought forth a noticeable improvement.

>> this may be a temporary situation. It does not mean you are about to bust
> a
[quoted text clipped - 8 lines]
>> Murray Grossan, M.D.
>> http://www.ent-consult.com
ENTconsult - 07 Jan 2004 01:27 GMT
objective means it can be recorded, whether by an amplifier, Otoacoustic
emission or other means. Pulse beat can be recorded.
Murray Grossan, M.D.
http://www.ent-consult.com
John Goddard - 07 Jan 2004 18:49 GMT
Thanks, but I'm still not sure I understand.  I thought that pulsatile
tinnitus could be either subjective (audible only to the subject) or
objective (audible with, say, a stethoscope in in the periauricular area).
The pulse in the carotid artery (and other normal points) is of course
objective but shouldn't be objective when listened for by an observer in
area of the ear - unless the subject has objective pulsatile tinnitus.
Arggghhhhhh!
John

> objective means it can be recorded, whether by an amplifier, Otoacoustic
> emission or other means. Pulse beat can be recorded.
> Murray Grossan, M.D.
> http://www.ent-consult.com
ENTconsult - 08 Jan 2004 17:22 GMT
Need to establish definitions here.
If someone has a hairline fracture of the tibia, this can be seen on X ray and
is an OBJECTIVE finding.
If someone has pain in the tibia this can't be objectified.
On observer is one who reads the x ray or recordes the movement of the outer
hair cells of the inner ear.
If you have a clock that sends a signal that is infra red, the unequipped
individual can't observe it, but with the proper sensors it can be viewed and
recorded by that observer in an objective manner.

Want to make millions ? figure out a way to objectify pain.
Murray Grossan, M.D.
http://www.ent-consult.com
Bob - 08 Jan 2004 17:45 GMT
> Need to establish definitions here.
> If someone has a hairline fracture of the tibia, this can be seen on X ray and
[quoted text clipped - 9 lines]
> Murray Grossan, M.D.
> http://www.ent-consult.com

I worked on a somewhat misguided project to do just that.  We designed a box
with 10 buttons, a dial, and a modem.  It was used by people who took
Prednisone for the relief of pain associated with arthritis.  The subjects
would turn the dial to the dosage taken some time earlier and then press a
button denoting how they ranked their pain on a scale from one to ten.  The
box, connected to their phone line, would transmit the dosage and pain rank
to a central computer for analysis.  There was no allowance for steroid
psychosis, skeletal degradation or the consequence of inhibiting the immune
system.  :-)

BillyBob
ENTconsult - 13 Jan 2004 04:57 GMT
For pain we still use the one to 10 designation but this is subjective.
There currently is no uniform designation for Tinnitus. The terms mild ,
moderate , severe, etc are used but usually are not defined.
Actually I am currently looking for a "grading" system for tinnitus and would
appreciate suggestions.
Murray Grossan, M.D.
http://www.ent-consult.com
Howard Gutnick - 07 Jan 2004 21:24 GMT
> I thought "objective" meant that an observer could hear it.  I do not
> understand therefore why you think this sound is objective.
[quoted text clipped - 11 lines]
> > Murray Grossan, M.D.
> > http://www.ent-consult.com

Instead of calling it objective tinnitus, it might be better to call it a
somatosound, which refers to an internally generated (non neural) sound that
you can hear. Venous sludging, cracking of knuckles, creaking of the neck,
spasming of the middle ear muscles all could be considered somatosounds and
not the typical tinnitus.

HNG
 
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