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Medical Forum / Diseases and Disorders / Tinnitus / May 2004

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Is  hearing loss the whole explanation?

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Louise - 22 May 2004 07:03 GMT
For the last few years I've complained about tinnitus and been told the
standard, stop coffee, lower salt etc.  None of these have done much for
me and my experience has been that weather has the greatest impact.

However, when I see an ENT, they do a hearing test and they do document
loss above the normal human speech level.  Once this loss is
"documented", they dismiss the tinnitus saying it is a result of the
hearing loss and there's nothing to be done.

Is it true to assume that if I have some (relatively mild), hearing loss
that is consistently documented (it just drops off), then I should stop
searching for reasons for the tinnitus?  

And if that's true, then why does the tinnitus vary from day to day - I
don't think my hearing loss does?

TIA

Louise
Ball 33 - 22 May 2004 18:25 GMT
> For the last few years I've complained about tinnitus and been told the
> standard, stop coffee, lower salt etc.  None of these have done much for
[quoted text clipped - 15 lines]
>
> Louise

Hi Louse,

If the tests had indicated one of the few conditions known to cause tinnitus
your ENT probably would have discussed those with you.

From what I've read here over the years, everyone's tinnitus varies from day
to day if not from hour to hour.  Some of us think it isn't as loud when we
are rested, others find it very loud after a short nap.

Is your tinnitus less intrusive when your attention is drawn to something
else?  If so, that is a very good indicator of habituation.  In my case, I
only hear it when I pause to listen for it and then I find it to be as loud
as ever.  That certainly wasn't the case during my first year or so when I
focused on the sound and spent a lot of my time trying to find ways to make
it go away.  That was a waste of time to some extent but this group did give
me some tips that helped me habituate.
Elly Byrne - 22 May 2004 21:51 GMT
So you had a hearing test and it showed that you had a hearing loss.

Many, many people have a hearing test which shows a hearing loss. But
many, many people have hearing that returns when the Tinnitus
improves. Therefor the hearing was not permanent.

Imagine a garden hose. Imagine a kink in the hose. So now the water
cannot get through.
That does not mean the hose is damaged. It just means it is blocked.
If we undo the kink the water flows through again.

The hearing must be like that. The hearing mechanism appears to be
blocked. Some sound cannot get through. If we can undo the blockage
then the hearing will return to normal. This happens quite often.

An operation on the ears is not the answer. Unnecessary damage might
be done. And an ENT knows that. They do not as a rule advocate
surgery.

Just as an operation on the kinked garden hose is not the answer.
Cutting the kink out of the hose would certainly allow the water to
flow through, but unnecessary damage is done to the hose.

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

>For the last few years I've complained about tinnitus and been told the
>standard, stop coffee, lower salt etc.  None of these have done much for
[quoted text clipped - 15 lines]
>
>Louise
Peter Larsen - 23 May 2004 09:30 GMT

> For the last few years I've complained about tinnitus and been
> told the standard, stop coffee, lower salt etc.  None of these
> have done much for me

They are indeed in my experience quite irrelevant.

> and my experience has been that weather has the greatest impact.

Didn't anybody suggest lowering your noise exposure?

> However, when I see an ENT, they do a hearing test and they
> do document loss above the normal human speech level.  Once
> this loss is "documented", they dismiss the tinnitus saying
> it is a result of the hearing loss and there's nothing to be
> done.

> Is it true to assume that if I have some (relatively mild),
> hearing loss that is consistently documented (it just drops off),
> then I should stop searching for reasons for the tinnitus?

No. Lower your average long term noise exposure and it will subside, but
slowly, ever so slowly. Bad sources of noise include many kitched
appliancen and also driving at 55 mph with the car window next to you
open, and if you can hear the car stereo well at that speed with that
window open, then the car stereo too is a "bad noise source". Brake
squeals and compressor horns are really bad baddies.

> And if that's true, then why does the tinnitus vary from
> day to day - I don't think my hearing loss does?

Your hearing and thus by definition also your hearing loss varies
greatly from day to day, and during the day, tinnitus also just varies,
obviusly the previous days noise exposure matters in the context.

Many people in this newsgroup always have their favorite make and model
of earplugs with them.

> Louise

  Kind regards

  Peter Larsen

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Louise - 25 May 2004 05:48 GMT
>  
> > For the last few years I've complained about tinnitus and been
[quoted text clipped - 39 lines]
>
>    Peter Larsen

Thanks for the clarification.

It didn't really occur to me that noise exposure from "yesterday"
affected the tinnitus of today - but it makes good sense.

It has been suggested that I lower my noise exposure and fortunately, I
don't work in a noisy environment, nor do I drive very much.

However, I live in NYC - Manhattan :-)  "Quiet" is very relative.  I
stick my fingers in my ears whenever I hear a loud noise coming, like a
fire engine or ambulance, but I am still exposed to quite a din.

I have taken to using ear plugs during the previews at movie theaters
since they are always so very loud.

But when my tinnitus is bad and I plug my ears, I "hear" it even more,
which I find very irritating.  Does everyone have this experience?  Any
solutions?

Louise
 
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