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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tinnitus Along With Dry Eyes, Dizziness And Fatigue?

I m a 24 year old female who has celiac disease and was recently diagnosed with cardiomyopathy, a left bundle branch block (starts I believe when my pulse gets above 80). I had atrial flutter and had an electrophysiology study, where they ablated some arrhythmias, and during the procedure I went into afib, and required cardioversion to fix it. They ve also told me I have left ventricular dysfunction that is causing heart failure. I also got a cardiac implant that records my heart but is not a pacemaker or defib. My heart was completely fine in January of 2017. I had an ekg that showed NO problems, then by August of 2017, I developed all of the above stated problems. Recently I ve been feeling quite sick and these are my symptoms. Sensitivity to sound Lots of ringing and roaring in ears Dry eyes Dry mouth Very sore joints Exhausted Light headed Chest bubbles/fluttering Bad memory Diarrhea/constipation (causing bleeding) Tremors No appetite Significant pain in armpits Sore neck Night sweats My main medical care is through Veterans Affairs which is beyond incompetent so any possible answers would be greatly appreciated!!
Mon, 13 Aug 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

First of all I suggest you to have regular follow up with your cardiologist and get evaluated from time to time. Now coming to your problem of tinnitus, it may or may not be related to your heart disease. I suggest you to consult an ENT surgeon first. Treatment of tinnitus involves. Treating an underlying health condition. To treat your tinnitus, your doctor will first try to identify any underlying, treatable condition that may be associated with your symptoms. If tinnitus is due to a health condition, your doctor may be able to take steps that could reduce the noise. Examples include: 1. Earwax removal. Removing impacted earwax can decrease tinnitus symptoms. 2. Treating a blood vessel condition. Underlying vascular conditions may require medication, surgery or another treatment to address the problem. 3. Changing your medication. If a medication you're taking appears to be the cause of tinnitus, your doctor may recommend stopping or reducing the drug, or switching to a different medication. Noise suppression: In some cases white noise may help suppress the sound so that it's less bothersome. Your doctor may suggest using an electronic device to suppress the noise. Devices include: 1. White noise machines. These devices, which produce simulated environmental sounds such as falling rain or ocean waves, are often an effective treatment for tinnitus. You may want to try a white noise machine with pillow speakers to help you sleep. Fans, humidifiers, dehumidifiers and air conditioners in the bedroom also may help cover the internal noise at night. 2. Hearing aids. These can be especially helpful if you have hearing problems as well as tinnitus. 3. Masking devices. Worn in the ear and similar to hearing aids, these devices produce a continuous, low-level white noise that suppresses tinnitus symptoms. 4. Tinnitus retraining. A wearable device delivers individually programmed tonal music to mask the specific frequencies of the tinnitus you experience. Over time, this technique may accustom you to the tinnitus, thereby helping you not to focus on it. Counseling is often a component of tinnitus retraining. Medications: Drugs can't cure tinnitus, but in some cases they may help reduce the severity of symptoms or complications. Possible medications include: 1. Tricyclic antidepressants, such as Amitriptyline and Nortriptyline, have been used with some success. However, these medications are generally used for only severe tinnitus, as they can cause troublesome side effects, including dry mouth, blurred vision, constipation and heart problems. 2. Alprazolam (Niravam, Xanax) may help reduce tinnitus symptoms, but side effects can include drowsiness and nausea. It can also become habit-forming.

Hope I have answered your query. Let me know if I can assist you further.
Regards,     
Dr. Sanjay Kini
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What Causes Tinnitus Along With Dry Eyes, Dizziness And Fatigue?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. First of all I suggest you to have regular follow up with your cardiologist and get evaluated from time to time. Now coming to your problem of tinnitus, it may or may not be related to your heart disease. I suggest you to consult an ENT surgeon first. Treatment of tinnitus involves. Treating an underlying health condition. To treat your tinnitus, your doctor will first try to identify any underlying, treatable condition that may be associated with your symptoms. If tinnitus is due to a health condition, your doctor may be able to take steps that could reduce the noise. Examples include: 1. Earwax removal. Removing impacted earwax can decrease tinnitus symptoms. 2. Treating a blood vessel condition. Underlying vascular conditions may require medication, surgery or another treatment to address the problem. 3. Changing your medication. If a medication you re taking appears to be the cause of tinnitus, your doctor may recommend stopping or reducing the drug, or switching to a different medication. Noise suppression: In some cases white noise may help suppress the sound so that it s less bothersome. Your doctor may suggest using an electronic device to suppress the noise. Devices include: 1. White noise machines. These devices, which produce simulated environmental sounds such as falling rain or ocean waves, are often an effective treatment for tinnitus. You may want to try a white noise machine with pillow speakers to help you sleep. Fans, humidifiers, dehumidifiers and air conditioners in the bedroom also may help cover the internal noise at night. 2. Hearing aids. These can be especially helpful if you have hearing problems as well as tinnitus. 3. Masking devices. Worn in the ear and similar to hearing aids, these devices produce a continuous, low-level white noise that suppresses tinnitus symptoms. 4. Tinnitus retraining. A wearable device delivers individually programmed tonal music to mask the specific frequencies of the tinnitus you experience. Over time, this technique may accustom you to the tinnitus, thereby helping you not to focus on it. Counseling is often a component of tinnitus retraining. Medications: Drugs can t cure tinnitus, but in some cases they may help reduce the severity of symptoms or complications. Possible medications include: 1. Tricyclic antidepressants, such as Amitriptyline and Nortriptyline, have been used with some success. However, these medications are generally used for only severe tinnitus, as they can cause troublesome side effects, including dry mouth, blurred vision, constipation and heart problems. 2. Alprazolam (Niravam, Xanax) may help reduce tinnitus symptoms, but side effects can include drowsiness and nausea. It can also become habit-forming. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sanjay Kini