Have Tinnitus. Taking Gingko Biloba. Feeling Weak And Pressure On Head. What Is The Cause Of Tinnitus?
Thank you for your query.
1. There is no cause for worry. Tinnitus is not XXXXXX in over 99% cases. Your hearing and balance tests are normal. Tinnitus has a tremendous nuisance value. Almost all people at some point in their lives experience tinnitus.
2. Since your Tympanogram shows a Type As graph, a trial of medication should be taken for three to four weeks.
3. What is your exposure to occupational noise and loud music / earphones / mobile phones? Exposure to loud noise is also a leading cause for tinnitus.
4. Does your Tinnitus change when you clench your teeth? If so, a dental reference is needed.
5. Common tinnitus therapy includes ginkgo biloba, multivitamins and antioxidants. You may try Transtympanic steroids or Caroverine (Tinnex) injectable or capsules under the supervision of an ENT Specialist.
6. Ideally Caroverine (Tinnex) is for treatment of a type of Tinnitus known as Cochlear Synaptic Tinnitus. In this the middle ear should be normal.
7. A DNS causes nasal turbinate hypertrophy on the lateral walls of the nose and this in turn blocks the sinuses. Blocked sinuses are poorly ventilated and along with stasis of secretions, continuing infection and inflammation is common. This causes Eustachian Tube Dysfunction.
8. Regular steam inhalation is one of the best and simplest ways to keep the Eustachian Tubes healthy and functioning. If steam inhalation makes you uncomfortable, then your septal deviation and nasal obstruction is significant. A plain CT PNS (Para Nasal Sinuses) will definitely help understand your problem. The scan should be on a new generation multi-slice scanner with 1 mm coronal, axial and sagittal cuts.
9. Balloon Sinuplasty and radio-frequency ablation of the nasal turbinates may help avoid a septum operation. The Balloon dilatation procedure of the Eustachian tube (ET) is still in it's infancy. An anatomically patent ET may not still not work physiologically. Also the inner end is cartilage and outer end is very hard bone. The main carotid artery canal may also be dehiscent. It may be tried if all else fails.
10. Kindly let me know the results of your investigations. This will help in suggesting further treatment. I must emphasize that in a vast majority of patients of tinnitus, the cause is never found. However there are further treatment options depending on the type of tinnitus.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.