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Suggest Treatment For Mild Sensori-neural Hearing Loss In Ears

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Posted on Fri, 8 May 2015
Question: PFA the medicines he said there is a damage to nerve in ear of 33% ,refered for scanning ,she has lot of ear pain in both ears unable to hear any sound very very pain ful.
doctor
Answered by Dr. Sumit Bhatti (26 minutes later)
Brief Answer:
Recruitment phenomenon or endolymphatic hydrops.

Detailed Answer:
Hi,

Thank you for your query.

1. She has a mild SN (Sensori-Neural) Hearing Loss in both ears. Some hearing loss is expected at her age, but this is usually in the higher frequencies. Such an age related hearing loss (presbyacusis) can lead to 'recruitment' phenomenon where normal sounds are heard abnormally loud causing discomfort and even pain.

2. Her SNHL seems to be in the lower frequencies. There is a possibility of endolymphatic hydrops / Tullio phenomenon. Check if she has dizziness or tinnitus (sounds in the ears).

3. At present Scanning has limited value as the hearing loss is symmetrical.

4. If her blood pressure is stable, keep her on a salt restricted diet and ask your specialist to try neuralgic painkillers, multi-vitamins and anti-hyprops medications.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Sumit Bhatti (15 hours later)
Thanks XXXXXXX for your response,

My mother is little scared whether her ears will be back to normal or not ,and doctor suggested CT scan ,is that required can she come back to normal stage after taking the medicines please advice
doctor
Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
Hyperacusis has limited treatment options.

Detailed Answer:
Hi,

Thank you for writing back.

1. This hearing loss is mild. If it is age related and since a long time, there is no treatment.

2. Without the Hyperacusis, there would be no need to treat such a hearing loss.

3. If this is a recent problem, start with the medical treatment mentioned above. Other options are anti-anxiety drugs, steroids (oral, iv or trans-tympanic) with Hyper Baric Oxygen Therapy (HBOT), Tinnitus Retraining Therapy (done by an Audiologist), Broadband sound 'pink noise' maskers and Tinnex (caroverine).

4. A normal scan will add to the psychological benefit.

5. The success of treatment is not possible to predict. It varies with person to person and to the number of treatments taken.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Sumit Bhatti (24 hours later)
Hi XXXXXXX thanks again for your response,I am not sure whether what my mom got is Hyperacusis or not ,I am attaching some more reports ,please have a look and with all reports in place can you hekp me to identify my Mom problem .

Thanks for your patience and help

XXXXXX
doctor
Answered by Dr. Sumit Bhatti (20 hours later)
Brief Answer:
Start with a revisit to the Audiologist.

Detailed Answer:
Hi,

Thank you for writing back.

1. Since the Scan and reports are normal, most serious causes are ruled out.

2. The Hyperacusis or Recruitment can be confirmed by an Audiologist.

3. I would treat the ear pain first and if it does not respond, try the treatment options mentioned in my previous answers.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Suggest Treatment For Mild Sensori-neural Hearing Loss In Ears

Brief Answer: Recruitment phenomenon or endolymphatic hydrops. Detailed Answer: Hi, Thank you for your query. 1. She has a mild SN (Sensori-Neural) Hearing Loss in both ears. Some hearing loss is expected at her age, but this is usually in the higher frequencies. Such an age related hearing loss (presbyacusis) can lead to 'recruitment' phenomenon where normal sounds are heard abnormally loud causing discomfort and even pain. 2. Her SNHL seems to be in the lower frequencies. There is a possibility of endolymphatic hydrops / Tullio phenomenon. Check if she has dizziness or tinnitus (sounds in the ears). 3. At present Scanning has limited value as the hearing loss is symmetrical. 4. If her blood pressure is stable, keep her on a salt restricted diet and ask your specialist to try neuralgic painkillers, multi-vitamins and anti-hyprops medications. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.