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Tinnitus retraining therapy for ear problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   ent
Doctor :   Hi
Doctor :   How can I help you ?
User :   Hello Sir. I am trying this online consultation thing for the first time so pardon me for my ignorance..
User :   Well I am 29 Male.
Doctor :   No , no dont worry
Doctor :   Please go ahead with your query.
User :   It started with some pain in my Left ear about a month back.
User :   After 2-3 days, I could notice some discharge so visited a local doc.
User :   he diagnosed it as a fungal infection and prescribed the meds for 5 days.
Doctor :   Ok.
User :   the ear was better after 4-5 days
User :   but still not perfect
User :   so visited a ENT expert and he gave his own prescription for 7-10 days
User :   And also cleaned the Ear with some vaccum thing.
Doctor :   Ok.
User :   Well taking all those meds my hearing in that ear is "almost" normal. But now I am having this tinnitus problem which started after I saw the 2nd doc.
Doctor :   ok
User :   He says its just fine and that I keep using the drops and don't let water come in the ear for 30 days and I will be fine.
User :   But its been a month now. And I am worried whether this will ever go or not.
Doctor :   Ok, Let me ask you a few queries to help you better ?
User :   Please..
Doctor :   Has he examined your ear ?
Doctor :   With an otoscope ?
Doctor :   Has he said there is a problem in the tympanic membrane ?
User :   Whats an otoscope? He has some light on his forhead or something and looks in the ear with it and says its all clear and I am unnecessarily worrying.
User :   No.. He didn't mention any such thing.
Doctor :   Yes that is right
Doctor :   That is what is otoscope .
User :   Ok.
User :   He has seen with it twice and always he says its fine.
Doctor :   Usually tinnnitus is very common in ear with perforation or tympanic membrane, as you have pus coming out .
User :   I feel my left side bit blocked or something.. I mean its still not perfect and light as it used to be.
Doctor :   It can still have some remnant of Otitis or ear infection.
User :   Does it usually this long to go?
Doctor :   When have you stopped the antibiotics ?
Doctor :   And how long and what were the antibiotics you were prescribed ?
User :   I have taken them for I guess 14-15 days. Since then I am just using the drops.
Doctor :   Ok, What are they ?
User :   Let me check.
Doctor :   Ok.
User :   Gosh.. I am finding it tough to read the prescription.. Let me write out whatever I can read :)
User :   Clot*m or something
Doctor :   Ok, No problem.
User :   Top*dem
User :   Fixi***
User :   Sorry its really difficult
Doctor :   Ok.No issue , just follow the recommendations and lets see and try to solve it : Tinnitus can be caused : Doctor :   1. Sometimes medications themselves.
Doctor :   2. Prolonged external ear infection
Doctor :   3. prolonged middle ear effusion.
Doctor :   Though there are numerous other etiologies, I would suggest any of these : Doctor :   And got to get it screened whether it is Objective tinnitus or Subjective ?
Doctor :   I would suggest you to take all the medication & prescription to the same ENT & discuss with him.
Doctor :   And discuss all the advises & possibilities that I have advised ypou .
User :   Ok. But do you think as it has occurred after this fungal infection and medicines will it go eventually?
Doctor :   Yes , usually if it has ocurred now after the infection, it will subside , if you have tinnitus previous to this , you need long term treatment.
User :   No. I never had ANY Ear problem.
User :   including tinnitus.
Doctor :   Ok.
*External sound
*Low-pitched sound treatment has shown some positive, encouraging results.
*Tinnitus masker (white noise, or better 'shaped' or filtered noise)
*Tinnitus retraining therapy
*Auditive stimulation therapy (music therapy)
*Auditive destimulation therapy (also called "notched music" therapy) uses individually designed music with the patients' favorite music altered to remove the musical tones that match the aural frequencies associated with their tinnitus. The removal of these tones alleviates the tinnitus by destimulating brain activity for these specific frequencies.
*Compensation for lost frequencies by use of a hearing aid.
*Ultrasonic bone-conduction external acoustic stimulation
*Avoidance of outside noise (exogenous tinnitus)
User :   I hope it goes with time. That is what a Doc friend of mine also said. But I was still worried as its been a month. I just don't know how much time these Ear problems can take to solve.
Doctor :   * This is regarded as the best - Neuromonics Tinnitus Treatment
User :   I am praying that I it solves on its own. Anyways thanks for let me know that there are tinnitus specific treatments.
Doctor :   Most resolve after the infection subsides, please do not worry or take up neuromonic treatment.
Doctor :   Do discuss about the medicine as it can have side effects and cause tinnitus.
Doctor :   Take care.
User :   Ok. Thanks Sir.
Doctor :   Thank you for consulting me.And you are welcome.
Doctor :   Bye for now.
User :   Bye. Good nite.
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