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What Causes Sudden Hearing Loss Due?

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Posted on Mon, 18 Aug 2014
Question: I have experienced sudden hearing loss due to apparent complications from my eustachian tubes. I woke up over 3 weeks ago in pain in both ears and severe hearing loss. got treated with antiobiotics and now on steroids and my hearing hasn't returned. i have constant ringing and popping. i have had two independent hearing tests done a week apart and my hearing loss is substantial with no end in sight. what can i do?
doctor
Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)
Brief Answer:
Please see the answer below...

Detailed Answer:
Hi

Thanks for posting the query. I'll try my best, to help you with this problem.

Sudden Sensorineural Hearing Loss is an uncommon problem and is usually noticed in elderly individuals.

There is no exact cause of this problem. Various theories have been postulated, of which, viral infection is the most commonly believed cause.

Most of the theories mention about the inflammation over the inner ear nerves as the reason for sudden hearing loss.

This is usually treated with the following regimen:
1. High dose of oral steroids to reduce the inflammation of the nerves.
2. Antacids to combat acidity, when oral steroids are used.
3. Oral vitamin B12, for rejuvenation of the injured nerve.
4. Peripheral micro vasodilator, such as, Betahistine or pentoxyphilline for improving blood circulation to the tiny nerve fibres.
5. Bed rest for few days.
6. Hearing evaluation once in 3 days.
7. Finally, to avoid stress and excess straining.
Your treating doctor will know about this.
With the above measures, most of the individuals do recover completely within a month or two.


Also, MRI of the brain is required to rule out any vascular injury.

Hope I have answered your query; I'll be available for the follow up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Naveen Kumar Nanjasetty (16 hours later)
Where cN I get betahistine? And b12?
doctor
Answered by Dr. Naveen Kumar Nanjasetty (3 hours later)
Brief Answer:
Please see the answer below

Detailed Answer:
Hi

Thanks for writing back

Betahistine is available in various brand names such as betaserc, vertin, betagen, betavert, etc.

Vitamin B12 is available OTC as neurobion, neurorubine forte, etc.

In some countries even Betahistine is available OTC.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Naveen Kumar Nanjasetty

Otolaryngologist / ENT Specialist

Practicing since :2001

Answered : 2540 Questions

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What Causes Sudden Hearing Loss Due?

Brief Answer: Please see the answer below... Detailed Answer: Hi Thanks for posting the query. I'll try my best, to help you with this problem. Sudden Sensorineural Hearing Loss is an uncommon problem and is usually noticed in elderly individuals. There is no exact cause of this problem. Various theories have been postulated, of which, viral infection is the most commonly believed cause. Most of the theories mention about the inflammation over the inner ear nerves as the reason for sudden hearing loss. This is usually treated with the following regimen: 1. High dose of oral steroids to reduce the inflammation of the nerves. 2. Antacids to combat acidity, when oral steroids are used. 3. Oral vitamin B12, for rejuvenation of the injured nerve. 4. Peripheral micro vasodilator, such as, Betahistine or pentoxyphilline for improving blood circulation to the tiny nerve fibres. 5. Bed rest for few days. 6. Hearing evaluation once in 3 days. 7. Finally, to avoid stress and excess straining. Your treating doctor will know about this. With the above measures, most of the individuals do recover completely within a month or two. Also, MRI of the brain is required to rule out any vascular injury. Hope I have answered your query; I'll be available for the follow up queries. Regards Dr. Naveen Kumar N. ENT and Head & Neck Surgeon