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Medical Forum / Diseases and Disorders / Tinnitus / April 2004

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Newbie question- T - gets louder during sleep

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Uoid - 26 Apr 2004 01:45 GMT
I have ring that is constantly there. Its managable during day. When going
to sleep volume is about the same as during other times.

Upon awakening volume extremely loud. Wether having been asleep for 1 hour
or 8 hours. So loud that it has promted several visits to ER at all hours of
night.

Have visited ENT. Had blood work, CT of sinus's, MRI of head, chest x-rays.
All normal except CT shows severe sinus infection.

Doctors not directly associating sinus problem with tinnitus.

Why does it get so loud during sleep.

Uoid
terri231@knowspam.mam - 26 Apr 2004 02:15 GMT
>I have ring that is constantly there. Its managable during day. When going
>to sleep volume is about the same as during other times.
[quoted text clipped - 11 lines]
>
>Uoid

The tinnitus might sound louder after you have been asleep because of
the congestion or negative pressure due to your sinus condition
"amplifying" the sound.  Another thought is that as you wake up your
senses are waking up, too, so the tinnitus may appear louder until you
begin going about your day and having other things on your mind or
sounds around you to mask the tinnitus.

Terri

http://pub219.ezboard.com/btinnitusactivismandsupport
Oregon7 - 26 Apr 2004 06:18 GMT
There is also an inhibitory function that relaxed during unconsciousness and re
instates itself when we are awake........I also like the theory of negative
pressure in the middle ear space during sleep as we do not swallow and
therefore equalize pressure in the middle ear space during sleep, which acts as
a vacuum and sucks up air via the lining of that space, therefore creating a
little vacuum and neg pressure which may pull in on the stapes footplate and
the round window membrane, disturbing the pressure of the inner
ear..........so......that is a long winded explanation of 2 possible
theories..........not to mention number 3, which is the attentional/distraction
theory.

Marsha Johnson, M.S.
Steve Ostler - 26 Apr 2004 14:51 GMT
> Upon awakening volume extremely loud. Wether having been asleep for 1 hour
> or 8 hours. So loud that it has promted several visits to ER at all hours
of
> night.
> Why does it get so loud during sleep.

This is exactly my experience too. I've put it down to the tinnitus being
conditioned by the level of brain (or ascending reticular system?)
arousal.  Our minds seem to function at different levels (eg. consider all
the wierd thoughts/memories that have a life of their own and come as if
from nowhere as we fall asleep). Maybe we 'hear' on different levels
simultaneously too, and the tinnitus stimulus is coupled mainly to the level
we reach just before or after sleep.  Just an idea....

>I also like the theory of negative
> pressure in the middle ear space during sleep as we do not swallow and
[quoted text clipped - 3 lines]
> the round window membrane, disturbing the pressure of the inner
> ear

Though wouldn't this mean our ears 'popped' when we swallowed to correct
this first thing in the morning ? Mine don't.

Steve O
Oregon7 - 26 Apr 2004 20:58 GMT
>Though wouldn't this mean our ears 'popped' when we swallowed to correct
>this first thing in the morning ? Mine don't.

Yes, you would think they would snap crackle and pop.......hmmmmm that is a
good point.

MJ
Elly Byrne - 26 Apr 2004 21:06 GMT
http://eebee.net/TinnitusIsaPainintheNeck.shtml

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

For email: elly at eebee.cjb.net

>I have ring that is constantly there. Its managable during day. When going
>to sleep volume is about the same as during other times.
[quoted text clipped - 11 lines]
>
>Uoid
Anne - 29 Apr 2004 22:50 GMT
> http://eebee.net/TinnitusIsaPainintheNeck.shtml
>
[quoted text clipped - 8 lines]
> >
> >Uoid

That pain in the neck link is very informative. I now sleep with a
pillow roll (imagine a giant tootsie roll) under my neck and if I
place it just right my waves and ocean noise in my ear goes away. You
should try it.
fbionyourtail - 30 Apr 2004 05:50 GMT
>I have ring that is constantly there. Its managable during day. When going
>to sleep volume is about the same as during other times.
[quoted text clipped - 9 lines]
>
>Why does it get so loud during sleep.

Interesting as I have the exact opposite experience. Sometimes I
awaken blissfully to the sound of little more than my breathing and
virtually no audible noise but then the day takes over and it's
unbearable. Other days I wake up and it's terrible, usually on days
after I've stressed myself out and didn't get much sleep.

I have had sinus problems but my CT and every other test sets me in
perfect health which is sort of frustrating in a way. You definitely
should get the sinus checked out and see whether T gets lower. I've
found the stress causes me headaches and potentially more noticeable
T.

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