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Suggest Medical Tests To Rule Out Pulsatile Tinnitus

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Posted on Thu, 3 Mar 2016
Question: I have had persistent/chronic tinnitus for about 18 months, there was no apparent reason for this. I saw an ENT specialist but he said as the tinnitus was in both ears it would not be anything serious. he said there was no point in any investigations as there was no treatment for it and he told me to "ignore it"!
It have kind of learned to live with it and it has remained stable, no increase or decrease in the noise. But two weeks ago after weeks of having a cough (probably viral infection), I woke up with extreme pain in my left ear, throbbing noise and inflammation around my jaw. I recognised it as an ear infection because I had a few ear infections approx 12 years ago. GP said to wait 3 days and if no change to start a 5 day course of Amoxycillin which I took.
The majority of the ear pain and the swollen glands went down within a few days; but three weeks later I still have louder tinnitus than before, both general whistling/ringing and pulsatile tinnitus.
Went to see my GP today, he looked at my eardrum and said it was no longer red and inflamed but it looked dull and he could see a scab which is probably from a perforation. He said no point in taking any more antibiotics and has referred me to ENT Specialist, but I will probably have to wait for weeks.
My question is in two parts. Firstly, I would like a scan of my ear to see if there is any deformity to try and diagnose the tinnitus, maybe there is fluid that could be drained. If I am fobbed off again I won't get one but I think it is a reasonable request - I don't know if there are any other tests that would be useful. Secondly, I am worried sick that my tinnitus will not reduce to it's previous level; it is the most awful thing to live with and I get very upset about it, it is ruining my life. But I suppose the tinnitus may return to normal once the perforation heals and any fluid dries up?
Your advice will be appreciated.
doctor
Answered by Dr. Ronald Schubert (44 minutes later)
Brief Answer:
Tinnitus

Detailed Answer:
Thank you for contacting HCM with your health care concerns. \

I am so sorry to her about your problems with tinnitus. As a sufferer myself I know how you feel. I think you do have the right for at least one scan of your vestibular area to see if you have an deformity known as auditory neuroma. These are rare but can cause tinnitus. in all likelihood it will be normal because you have been having this tinnitus for so long. Other symptoms from the neuroma would have developed during this time.

The current level of tinnitus will reduce as your ear heals from the recent ear infection. It may take 2-4 weeks to resolve. So be patient and you should be able to return to your normal level of tinnitus

I hope I answered your question. Please contact us again if you have any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ronald Schubert (1 hour later)
Thank you doctor, sorry you are a fellow sufferer of this horrible condition.
I googled auditory neuroma, don't think I have this as I don't have any other symptoms, I forgot to say in my question that I don't have any hearing loss.

If I have fluid/gunk in my ear, would that show up on a scan? And any problems with the bones in my ear, would that show?

I am wondering if the tinnitus could be related to thyroid dysfunction. I have hypopituitarism so therefore am hypothyroid. I have been taking levothyroxine for approx 40 years, I occasionally have blood tests to check my levels but my endocrine specialist says that the tests are not particularly reliable. I am wondering whether altering the dose I take would have any effect on the tinnitus or not at this stage.
doctor
Answered by Dr. Ronald Schubert (12 minutes later)
Brief Answer:
Tinnitus

Detailed Answer:
Scan would not show anything like fluid in your ears. The only real reason to do a scan is to rule out the neuroma ans since you have no hearing loss or other symptoms then it would not be approved.

Thyroid function would also not be associated with the tinnitus. Tinnitus is strictly from damage to the inner ear on a microscopic level.

I am sorry that you have to deal with the ringing but life still goes on. I usually have music or other sounds around me to help my mind be distracted to the better noise and music instead of the ringing.

Good luck
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ronald Schubert (19 hours later)
Thanks.

There is much on the internet about a link with thyroid dysfunction and tinnitus, but it is very difficult to get to the bottom of this. There is also talk that certain medications can cause it to including anti depressants.
Usually, when someone has something wrong with them, the cause can be diagnosed and treatment can be considered. I find it very frustrating that this doesn't apply to tinnitus.
I do use sound therapy to help to mask the noise, but it is still making me quite distressed and worried.
I just hope that the increase in volume will go back down again and I can get my life back.
doctor
Answered by Dr. Ronald Schubert (4 minutes later)
Brief Answer:
Tinnitus will reduce

Detailed Answer:
Your tinnitus will reduce after this acute illness. I understand your frustration. Just be patient.

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. Chakravarthy Mazumdar
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Answered by
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Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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Suggest Medical Tests To Rule Out Pulsatile Tinnitus

Brief Answer: Tinnitus Detailed Answer: Thank you for contacting HCM with your health care concerns. \ I am so sorry to her about your problems with tinnitus. As a sufferer myself I know how you feel. I think you do have the right for at least one scan of your vestibular area to see if you have an deformity known as auditory neuroma. These are rare but can cause tinnitus. in all likelihood it will be normal because you have been having this tinnitus for so long. Other symptoms from the neuroma would have developed during this time. The current level of tinnitus will reduce as your ear heals from the recent ear infection. It may take 2-4 weeks to resolve. So be patient and you should be able to return to your normal level of tinnitus I hope I answered your question. Please contact us again if you have any additional questions