After clearing up the ear fungus, there may still be tinnitus?
Hello Dr.
Cheng, I had tinnitus a few days ago and after an examination, it was found that I have a fungal infection.
I was given medication and told to return in three days for a cleaning of the fungus.
After the cleaning, I still experience tinnitus, and my left ear continues to have a persistent humming sound.
I kindly request your guidance.
Heiren, 10~19 year old female. Ask Date: 2016/11/22
Dr. Zheng Jueyi reply Otolaryngology
Hello: After most infections improve, tinnitus should gradually lessen.
It is recommended to continue the medication and return for a follow-up examination.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2016/11/22
More Info
Persistent tinnitus following treatment for an ear fungal infection can be concerning and frustrating. Tinnitus, often described as a ringing, buzzing, or humming sound in the ears, can have various underlying causes, and its persistence after a fungal infection treatment warrants further investigation.
Firstly, it's important to understand that fungal infections in the ear, known as otomycosis, can lead to inflammation and irritation of the ear canal. This inflammation can affect the auditory system, potentially resulting in tinnitus. When the fungal infection is treated but the inflammation persists, tinnitus may continue as a symptom.
In your case, you mentioned that after receiving antifungal treatment, the tinnitus has not improved. This could be due to several factors:
1. Residual Inflammation: Even after the fungal infection is cleared, inflammation in the ear canal may remain. This inflammation can lead to continued irritation of the auditory pathways, causing tinnitus.
2. Eustachian Tube Dysfunction: The Eustachian tube helps equalize pressure in the middle ear. If it becomes dysfunctional due to inflammation or other factors, it can contribute to feelings of fullness in the ear and tinnitus.
3. Auditory Nerve Sensitivity: The auditory nerve may become hypersensitive due to the infection and inflammation, leading to persistent tinnitus even after the primary cause has been treated.
4. Other Underlying Conditions: Tinnitus can also be associated with other conditions such as hearing loss, earwax buildup, or even stress and anxiety. If these factors are present, they may need to be addressed to alleviate the tinnitus.
Given your situation, here are some recommendations:
- Follow-Up with an ENT Specialist: Since your symptoms persist, it would be wise to return to an ear, nose, and throat (ENT) specialist for a thorough evaluation. They may perform additional tests, such as audiometry, to assess your hearing and determine if there are any other underlying issues contributing to your tinnitus.
- Medication Review: Discuss with your doctor any medications you are currently taking. Some medications can exacerbate tinnitus, and a review may help identify if any adjustments are needed.
- Avoid Irritants: Try to avoid loud noises, which can worsen tinnitus. Additionally, avoid inserting anything into your ears, including cotton swabs, as this can lead to further irritation or injury.
- Manage Stress: Stress and anxiety can exacerbate tinnitus. Consider relaxation techniques such as mindfulness, meditation, or yoga to help manage stress levels.
- Sound Therapy: Some individuals find relief from tinnitus through sound therapy, which involves using background noise or music to mask the tinnitus sounds.
- Consider Tinnitus Retraining Therapy (TRT): This is a specialized form of therapy that combines sound therapy with counseling to help individuals habituate to the tinnitus sounds.
In conclusion, while it is common for tinnitus to persist after an ear fungal infection, it is essential to investigate further to rule out any other underlying conditions. A comprehensive approach involving follow-up care, lifestyle adjustments, and possibly sound therapy may help alleviate your symptoms. Always consult with your healthcare provider before making any changes to your treatment plan.
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