Suggest Treatment For Tinnitus

Posted on Sat, 23 Apr 2016

Question: I have tinnitus. At times it is very loud. This past weekend I was in the ER with BP of 200/100. It seems directly connected to elevated BP. I take metoprolol 25 mg daily. This happens frequently . No one has an answer. Do you have any suggestions? YYYY@YYYY

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Need more information

Detailed Answer:
Hello and welcome

I appreciate your concern

The blood pressure is too high. If this reading is persistent then its stage 3 hypertension. Metoprolol alone is insufficient to control the BP. This description can indicate a TIA or central nervous system cause for the vertigo.

kindly answer the following to advise further.

Are you taking any antihypertensive medication besides the metoprolol
Have you had an ambulatory blood pressure monitoring done previously
How are your ldl and cholesterol numbers. have you had them tested recently.

let me know if you have any query

Wishing you best of health

Thanks

Dr M.S Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (4 hours later)

I am not on any other medication . I have not had idl or cholesterol done in over a year. I have lupus. I had an echo cardiogram done 3 months ago & was normal. My BP when I go to cardiologist is usually 130/ 80. I have been blown off my internest, rheumatologist & cardiologist because bp not that high there. ER doc even said you have tinnitus follow up with family doctor. I am not getting any answers from my docs

Answered by Dr. Dr. Muhammad Sareer Khalil (4 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again

Tinnitis is a symptoms which may be due to many pathologies most commonly it can be due to hearing loss such as age related hearing loss, noise induced hearing loss,
Due to obstruction in middle ear like excessive ear wax, foreign body etc
Head injury can cause somatic tinitus. Temporomandibular joint disorder but assosiated with pain in the jaw.
Nasal congestion or sinus infection can create abnormal preasure in middle ear causing tinitis
Acute barotrauma like in diving, flying, blasts etc
Traumatic brain injury causing damage to auditary area
Drugs like NSAIDS, certain antibiotics, diuretics, quinine bases medication
Medical condition like hypothyroidism, hyperthyroidism, anemia, fibromyalgia, high blood pressure, atherosclerosis, hypoglycemia, epilepsy, migrain, depression, anxiety, menier disease, palatal myoclonus, otosclerosis, acoustic neuroma, vestibular shwannoma and other tumrous growth

Tumors in head may press on vessel and cause tinitis, narrowing or kinking of artery in head or neck can cause tinitis due to turbulent flow, Arteriovenous malformation can result in tinitis, vascular tumor of middle ear(glomus tumor), aneurysm of carotid artery or any artery near by can give tinitis and high bp can make it worse
MRI brain should be done further brain angiography carotid doppler can also be done. You may discuss these options with your doctor.

wishing you best of health

Hope this will help
Thanks

Dr M.S Khalil

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