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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for tinnitus

My father in law, Age-78 taking medicine for BP & maintained BP within Normal & Non Diabetic.
Most of the time ' humming sound' occurs in left ear. Sometimes sounds are louder like the sounds of Working Machine & when such louder sounds occurs, then sometimes Vomiting happens. Such incident happened 4 times during 2013 & o3 times in each year between 2008 to 20111.
Moderate hearing loss I Left Ear while right ear is normal.
C.T Scan of Paranasal Sinuses Remarks: -
Severe Pansinusitis bilateral obliterated, osteomeatal complexes, Bilateral Hypertrophied nasal turbinates.....

Request attention & advise for resolution of the problem.......
R.C.De, Cell # 94711 92023 & E-Mail :- YYYY@YYYY
Sat, 1 Feb 2014
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ENT Specialist 's  Response
Hi, There can be multiple reasons for tinnitus and problems with the inner ear or auditory nerve are commonly behind this. The middle ear pathology can also lead to tinnitus but usually the examination findings or findings of pure tone and impedence audiometry help in differentiating the cause whether in middle ear or inner ear. If the problem lies in middle ear, the audiometry will show conductive type of hearing loss while inner ear pathology will give a sensori neural hearing loss. Most of the times the reason lies in inner ear and the various group of drugs which are used are betahistine, B complex, amitriptyline or Ginkobiloba. If the hearing loss is significant and requires a hearing aid, the issue of tinnitus should also be discussed with audiologist and hearing aid can be programmed to neutralize that tinnitus by tinnitus matching. regards
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Suggest treatment for tinnitus

Hi, There can be multiple reasons for tinnitus and problems with the inner ear or auditory nerve are commonly behind this. The middle ear pathology can also lead to tinnitus but usually the examination findings or findings of pure tone and impedence audiometry help in differentiating the cause whether in middle ear or inner ear. If the problem lies in middle ear, the audiometry will show conductive type of hearing loss while inner ear pathology will give a sensori neural hearing loss. Most of the times the reason lies in inner ear and the various group of drugs which are used are betahistine, B complex, amitriptyline or Ginkobiloba. If the hearing loss is significant and requires a hearing aid, the issue of tinnitus should also be discussed with audiologist and hearing aid can be programmed to neutralize that tinnitus by tinnitus matching. regards