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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What Causes Painful Ringing In Ears?

i am taking 2g of epilim a day and i have noticed an increase of ringing in my ears which can be almost painful so much so i dread going to bed where its quiet. About 4 months ago my neurologist ,mentioned i may have to have an mri scan on my auditory meati as i had slight hearing loss in one ear. could this be connected? i am on the epilim for severe migraines
Tue, 7 Jul 2020
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General Surgeon,  's  Response
Hi,

Noted your history of taking Epilin that is Sodium Valproate for Migraine 2 gm a day seems to be more dose and this drug actually reduces tinnitus in some patients.
Hence you should get the following things done:
Consult an ENT Surgeon as second opinion, ENT Examination and evaluation.
Audiometry to know the nature and extent of hearing loss.
MRI of the brain, mastoid, 8 th cranial nerves to study the cause.
All these will help to know the exact cause so that this can be treated .
Like If you have got a vascular loop over the nerve, surgery will help.
Hypertension if present and if controlled well can help.
Hence it is of utmost importance to find the exact cause so that a proper management can be done.
This will also help to know the cause and nature of Migraine/headache.
Avoid stress and anxiety.
Do not be alone as this can cause depression or fear.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT & General Surgeon
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What Causes Painful Ringing In Ears?

Hi, Noted your history of taking Epilin that is Sodium Valproate for Migraine 2 gm a day seems to be more dose and this drug actually reduces tinnitus in some patients. Hence you should get the following things done: Consult an ENT Surgeon as second opinion, ENT Examination and evaluation. Audiometry to know the nature and extent of hearing loss. MRI of the brain, mastoid, 8 th cranial nerves to study the cause. All these will help to know the exact cause so that this can be treated . Like If you have got a vascular loop over the nerve, surgery will help. Hypertension if present and if controlled well can help. Hence it is of utmost importance to find the exact cause so that a proper management can be done. This will also help to know the cause and nature of Migraine/headache. Avoid stress and anxiety. Do not be alone as this can cause depression or fear. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT & General Surgeon