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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Prolonged Tinnitus, Burning Sensation In The Ear And Vertigo

Concussion 2 years ago - took about 6 months before back to normal. Last March, was treated for a sinus infection, but had fullness in left ear. Had ear syringed, but didn t help. Started feeling mildly nauseated and off-balance, light-headed, and foggy in April. Tinnitus at bedtime, when everything was quiet. Also felt my left ear draining at times, like there was water in my ear, but there was no fluid in my ear. Exercise, even taking a walk, made me feel sick. Also experienced some vertigo. Vestibular rehab in June/July cleared up the vertigo-like episodes for the most part, but the treatment itself, including the 20 days of at-home exercises made me feel very sick. Prescribed serk during this time, which didn t help. Prescribed 25 mg of diuretic in August, which helped for a couple of weeks, but I was also on vacation so taking things easy. Back to work in September and got worse again. Still taking diuretic and waiting to see an ENT. My ear is much worse, tinnitus is much worse, and now have soreness and a burning sensation in my ear. I still have the draining feeling often, and almost always feels full. I feel better when things are quiet and I can just focus on one thing for long periods. When I have a lot of meetings or a lot going on, I am much worse - brain fog, nausea, light-headed, pain in ear, worsening tinnitus. My doctor mentioned meniere s and/or acoustic neuroma as possibilities. CT Scan normal, blood work normal. Expecting that the ENT will order an MRI (my family physician can t order it), but the wait is long to see the ENT and then there will be another wait for the MRI. I have researched, and I don t think meniere s fits. The neuroma...maybe. maybe a perilymph fistula from the concussion?
Tue, 12 Feb 2019
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General Surgeon 's  Response
Hi,

Tinnitus is a common issue and most causes are benign and temporary. However, this lasts for a longer period then it should be evaluated.

Tinnitus can occur due to causes like a chronic ear infection, perforated eardrum, Eustachian tube dysfunction, Meniere's disease, TMJ disorders, acoustic neuroma etc.

Tinnitus is not a disease in itself but it is a symptom that indicates that there is some underlying illness. I would suggest you consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like audiometry, x-ray MRI can help in diagnosis and treatment can be done accordingly.

In case if ringing does not resolve then you can be advised medicines like Tricyclic Anti-depressant like Amitryptiline, anti-anxiety medication like Alprazolam, as well as Multivitamin supplements can be advised.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Prolonged Tinnitus, Burning Sensation In The Ear And Vertigo

Hi, Tinnitus is a common issue and most causes are benign and temporary. However, this lasts for a longer period then it should be evaluated. Tinnitus can occur due to causes like a chronic ear infection, perforated eardrum, Eustachian tube dysfunction, Meniere s disease, TMJ disorders, acoustic neuroma etc. Tinnitus is not a disease in itself but it is a symptom that indicates that there is some underlying illness. I would suggest you consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like audiometry, x-ray MRI can help in diagnosis and treatment can be done accordingly. In case if ringing does not resolve then you can be advised medicines like Tricyclic Anti-depressant like Amitryptiline, anti-anxiety medication like Alprazolam, as well as Multivitamin supplements can be advised. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon