Ringing,
Buzzing,
Hissing, suggest inner ear or central pathology.
Popping or Clicking suggestive of middle or external ear or the palate problem.
Pulsatile sound may reflect anxiety or acute inflammation in internal ear.
Vascular causes consist of high cardiac output intra cranial aneurysm, arterio-venous malformation.
CAUSES :
Unknown, but most probably related to any ear disease, hearing loss 20%, noise induced, head injury, otosclerosis / post-stapedectomy.; Meniere's, glomulous jugular tumor.
Cardiovascular: BP>, Hb< , heart failure.
AVOID DRUGS :
Tranquillizers,
Aspirin ,
loop diuretic,
aminoglycosides,
quinine,
NSAID,
chemotherapy,
alcohol excess,
psychological assosiations as well.
OTOSCOPIC EXAMINATION :
to see tympanic membrane, Eustachian tube and middle ear disease.
TEST :
Audiometry, Tympanogram. Investigate unilateral tinnitus. Others : Hb, syphillis, serology, lipids.
TREATMENT :
You have tinnitus constantly or regularly.
Your tinnitus is getting worse.
Your tinnitus is bothering you for example it is affecting your sleep or concentration.
According to diagnosis, some time only counselling the patient that try to live with it if a major cause is excluded. If deafness is present then advice to use device, if it disturb the sleep then patient could use a radio tuned off station under the pillow, and a masking device.
DRUGS :
Hypnotics at night are the best choice,
betahistine only helps in Meniere's disease is the cause.
Trial support of melatonin (3mg,at night).
baclofen [(10mg/12hr) PO incresing to (30mg/12hr )over 3 weeks].
Hissing, suggest inner ear or central pathology.
Popping or Clicking suggestive of middle or external ear or the palate problem.
Pulsatile sound may reflect anxiety or acute inflammation in internal ear.
Vascular causes consist of high cardiac output intra cranial aneurysm, arterio-venous malformation.
CAUSES :
Unknown, but most probably related to any ear disease, hearing loss 20%, noise induced, head injury, otosclerosis / post-stapedectomy.; Meniere's, glomulous jugular tumor.
Cardiovascular: BP>, Hb< , heart failure.
AVOID DRUGS :
Tranquillizers,
Aspirin ,
loop diuretic,
aminoglycosides,
quinine,
NSAID,
chemotherapy,
alcohol excess,
psychological assosiations as well.
OTOSCOPIC EXAMINATION :
to see tympanic membrane, Eustachian tube and middle ear disease.
TEST :
Audiometry, Tympanogram. Investigate unilateral tinnitus. Others : Hb, syphillis, serology, lipids.
TREATMENT :
You have tinnitus constantly or regularly.
Your tinnitus is getting worse.
Your tinnitus is bothering you for example it is affecting your sleep or concentration.
According to diagnosis, some time only counselling the patient that try to live with it if a major cause is excluded. If deafness is present then advice to use device, if it disturb the sleep then patient could use a radio tuned off station under the pillow, and a masking device.
DRUGS :
Hypnotics at night are the best choice,
betahistine only helps in Meniere's disease is the cause.
Trial support of melatonin (3mg,at night).
baclofen [(10mg/12hr) PO incresing to (30mg/12hr )over 3 weeks].
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