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Suggest treatment for ringing in left ear along with change in quality of sound

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Posted on Tue, 10 May 2016
Question: About a month ago, the hearing in my left ear just didn't feel right. There just isn't the quality or clarity of sound as my right, plus I have some light ringing. I thought initially it was ear wax but my doctor found nothing. I was referred to an ENT. Initially I was given antibiotics and when they did nothing I had an audiology test and an MRI. The audiology test showed the left ear has a build up of inner ear fluid, the MRI clear. The ENT said it would clear up in 6 months, I had to greatly change my diet. No caffeine, no alcohol or chocolate. The lack of any clinical treatment or diagnosis has kind of confused me somewhat. Is that all there is to it? Am I wasting my energies stressing about something that will sort itself out in time?
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Answered by Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:
Endolymphatic hydrops

Detailed Answer:
Hello and welcome

While there can be many causes for the tinitis and change in quality of sound but your description suggest that your are having this pathology called endolymphatic hydrops called minere disease which is characterized by vertigo, sensineural hearing loss, tinitis ,aural fullness .


Main pathology is distention of endolymphatic system of ear due to increased volume of endolymph either due to increase production or faulty obsorption, exact cause is not yet known but various things are related to it like vasomotor distubances , allergy , sodium and water retention, hypothyroidism, autoimmume and viral atiologies.


Age group is 30-60 yrs
Male are more affected
Disease is unilateral
Symptoms are episodic vertigo fluctuating hear loss tinitus sens of fullness and pressure in ear
Some times loud sounds can produce vertigo called tullio phenomena


Its not that you must have all the classic presentation because there is critrea for diagnosis in which we decide certain definite probable and possible minere disease
Investigation include pure tone audiometry ( early stages low frequencies are affected)
Speech audiometry
Descrimination score is 55-85% between attacks but much impaired during attack
Special audiometric tests are
Recruitment test is positive
Short increment sensitivity test
Tone decay test
Electrochocleography caloric tests glycerol test


Treatment includes
Genreal measures
Reassurance cessation of smoking low salt diet
Avoid alcohol cofee tea excessive water stress.
Mental relaxation exercises like yoga
Medication
Vestibular sedatives vasodilators diuretics probenthin elimination of allergens
Surgical treatment includes
Conservative procedures and destructive procedure
New therapy include intermitten low pressure therapy
There is no exact treatment
It is matter of time that your disease will evolve or will stay like this.

Let me know if you have any query

Wishing you best of health

Please consult your doctor before taking any further course of action

Hope it helps

Thanks

Dr M.S Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2912 Questions

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Suggest treatment for ringing in left ear along with change in quality of sound

Brief Answer: Endolymphatic hydrops Detailed Answer: Hello and welcome While there can be many causes for the tinitis and change in quality of sound but your description suggest that your are having this pathology called endolymphatic hydrops called minere disease which is characterized by vertigo, sensineural hearing loss, tinitis ,aural fullness . Main pathology is distention of endolymphatic system of ear due to increased volume of endolymph either due to increase production or faulty obsorption, exact cause is not yet known but various things are related to it like vasomotor distubances , allergy , sodium and water retention, hypothyroidism, autoimmume and viral atiologies. Age group is 30-60 yrs Male are more affected Disease is unilateral Symptoms are episodic vertigo fluctuating hear loss tinitus sens of fullness and pressure in ear Some times loud sounds can produce vertigo called tullio phenomena Its not that you must have all the classic presentation because there is critrea for diagnosis in which we decide certain definite probable and possible minere disease Investigation include pure tone audiometry ( early stages low frequencies are affected) Speech audiometry Descrimination score is 55-85% between attacks but much impaired during attack Special audiometric tests are Recruitment test is positive Short increment sensitivity test Tone decay test Electrochocleography caloric tests glycerol test Treatment includes Genreal measures Reassurance cessation of smoking low salt diet Avoid alcohol cofee tea excessive water stress. Mental relaxation exercises like yoga Medication Vestibular sedatives vasodilators diuretics probenthin elimination of allergens Surgical treatment includes Conservative procedures and destructive procedure New therapy include intermitten low pressure therapy There is no exact treatment It is matter of time that your disease will evolve or will stay like this. Let me know if you have any query Wishing you best of health Please consult your doctor before taking any further course of action Hope it helps Thanks Dr M.S Khalil