Ear Buzzing: Causes and Solutions for Tinnitus Symptoms - Otolaryngology

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Understanding ear buzzing, often referred to as tinnitus, can be a complex issue, especially when it is accompanied by other symptoms such as ear discomfort, changes in hearing, or sensations of fullness in the ear. Your experience of hearing a "harmony" or echo-like sound during certain activities, such as speaking or singing, is indeed a form of tinnitus, which can manifest in various ways, including ringing, buzzing, or other phantom sounds.

Tinnitus is not a disease itself but rather a symptom that can arise from a variety of underlying conditions. In your case, the onset of symptoms following a respiratory infection, such as a cold or tonsillitis, suggests that there may have been some temporary disruption in the auditory system, possibly affecting the Eustachian tube or inner ear structures. The Eustachian tube helps equalize pressure in the ear and can become dysfunctional during infections, leading to sensations of fullness or altered sound perception.

The fact that your symptoms have recurred intermittently over the past two years, particularly after episodes of throat inflammation, indicates a potential link between upper respiratory issues and your ear symptoms. Infections can lead to inflammation in the ear and surrounding structures, which may contribute to your tinnitus. Additionally, the sensation of increased volume when swallowing or the presence of a "buzzing" sound at the end of loud noises could suggest that your middle ear muscles are reacting to sound stimuli in a way that is atypical for you, possibly due to heightened sensitivity or irritation.

The medications prescribed to you, such as Fexofenadine (an antihistamine) and Methocarbamol (a muscle relaxant), may help alleviate some of the symptoms, particularly if there is an allergic component or muscle tension contributing to your discomfort. However, it is essential to monitor your symptoms closely. If you notice that the discomfort in your right ear and the associated facial pain persist or worsen, it may warrant further investigation.

Given your concerns about potential conditions like vestibular neuritis or Meniere's disease, it would be prudent to seek a comprehensive evaluation from an otolaryngologist (ENT specialist) at a larger medical facility, such as Chang Gung Memorial Hospital. They can perform more detailed assessments, including imaging studies (like an MRI) if necessary, to rule out any structural issues or neurological conditions that could be contributing to your symptoms.

In the meantime, consider keeping a symptom diary to track when your tinnitus occurs, its intensity, and any associated activities or environmental factors. This information can be invaluable for your healthcare provider in determining the underlying cause and appropriate treatment options.

Lastly, managing stress and avoiding exposure to loud noises can also help mitigate tinnitus symptoms. Some individuals find relief through sound therapy or cognitive behavioral therapy, which can help in coping with the perception of tinnitus.

In summary, while your symptoms may be related to previous infections and Eustachian tube dysfunction, further evaluation is essential to rule out more serious conditions. Don't hesitate to seek a second opinion or further testing if your symptoms persist or cause significant distress.