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What Cause Prolonged And Persistent Ear Pain?

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Posted on Mon, 12 Jan 2015
Question: Hi,
I have been getting ear pain since one year. Below is history about my pain.
1)     The pain was started in my left year last year December end (1 year back). If I talk on phone for 5 min or using headphones connected to computer for more than 10 min I was getting pain. At that time if I went to ENT specialist and did all the tests needed. Nothing was found and he gave some medicine and I used it for 1 month and did not find any improvement.
2)     After 2 months the similar pain started in right ear, at that time I was getting pain when I talk on phone or using headphones. I went to another ENT specialist. He suggested me to take CT scan for brain and found nothing. He suggested some medicine and used that too.
3)     I also used some homeopathy medicine for 3 months no cure
4)     Two and half months the situation became worst. The pain has increased more. I was getting pain in both the ears if my ears exposed to loud sounds. . I consulted neurologist as it might be issue with some nerves. He asked to take MRI scan for brain. Even that was also good. He suggested some vitamin tablets and injections. I have been using them for more than 2 and half months but no result.
It is increased day by day and situation became worst. I am getting pain even if I sit in front of computer for more than 30min. I am not sure about the issue. I went through many articles over the internet. They are saying these symptoms looks like hyperacusis.
Please help me out. Is this something due to radiation effect or hyperacusis. What is the right direction I need to take to get rid of it? Please suggest me. It is effecting my job.
doctor
Answered by Dr. Abubakar Siddiqh (32 minutes later)
Brief Answer:
referred ear pain-needs evaluation.

Detailed Answer:
Hi,

I have gone through your question and understand your concerns that you are having periodic er pain.

I would like to ask you few more details.

Is there any dizziness or hearing loss ?
Is your ear pain associated with ringing sensation in ears ?

Kindly get back to me with the details.

As per your clinical details, it appears to be referred pain (no symptoms other than ear pain) from other sites (tonsillitis or impacted teeth).

I suggest you to consult ENT surgeon and give detailed history (migraine or GERD), ENT examination (sinusitis, temparo-mandibular joint problems), laryngoscopy (base of tongue, vocal card lesions), audiometry (to differentiate cochlear and retro-cochlear(hypercusis)). Depending on the examination, treatment can be started.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Abubakar Siddiqh (54 minutes later)
I don't have any dizziness or hearing loss and also don't have any ringing sensation in ears.

I met few ENT specialists also and they did some audiology tests and said nothing in my ear. What is the cause of the symptoms.

I would like to know
1) what are the exact symptoms of hyperacusis.
2) If i attacked with hyperacusis what is the next step for me?
3) I heared about TRT. What is this? how it is helpful? .Is this available in india?
doctor
Answered by Dr. Abubakar Siddiqh (32 minutes later)
Brief Answer:
Evaluate with investigations

Detailed Answer:
Hello again,

Thanks for considering my answer and for your follow up.

Not associated with other symptoms rules out ear related disorders. Evaluate with the investigations for the exact cause, what, I have already mentioned.

Answers for your queries
1. Hyperacusis- Is increased sensitivity to loud sounds. Commonly seen in damage of auditory nerve or certain hearing areas of brain, stress, some chronic ill health patients or musicians (where loud sound destroys hearing nerve).

2. Hyperacusis always associated with tinnitus (ringing in ears).

3. TRT- Tinnitus retraining therapy, commonly used in tinnitus. It is also useful in hyperacusis (where training given daily with counseling, once discomfort sounds are matched with external noise generators). Needs audiometry and audiologist opinion related to TRT.

Hope, I have answered your query.

Take care.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Abubakar Siddiqh (46 hours later)
Thanks for your reply.
If i supposed to attack with hyperacusus what are the possible ways to get rid of it. Sorry to repeatedly asking the same question as the issue killing me literally.
I am not able to attend functions and not able to go movies.
doctor
Answered by Dr. Abubakar Siddiqh (59 minutes later)
Brief Answer:
Needs evaluation.

Detailed Answer:
Hello again,

As such, there is no dizziness, no hearing loss and no ringing sensation. Kindly evaluate for the investigations, whatever I have mentioned.

Please cover your ears with ear plugs, so that the intensity of the sound that enters your ear is reduced. Hearing aid is not the proposed treatment for your problem (hearing aids are used in hearing loss with tinnitus).

Hope, I have answered your query.

Take care.


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. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions

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What Cause Prolonged And Persistent Ear Pain?

Brief Answer: referred ear pain-needs evaluation. Detailed Answer: Hi, I have gone through your question and understand your concerns that you are having periodic er pain. I would like to ask you few more details. Is there any dizziness or hearing loss ? Is your ear pain associated with ringing sensation in ears ? Kindly get back to me with the details. As per your clinical details, it appears to be referred pain (no symptoms other than ear pain) from other sites (tonsillitis or impacted teeth). I suggest you to consult ENT surgeon and give detailed history (migraine or GERD), ENT examination (sinusitis, temparo-mandibular joint problems), laryngoscopy (base of tongue, vocal card lesions), audiometry (to differentiate cochlear and retro-cochlear(hypercusis)). Depending on the examination, treatment can be started. Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.