Living with Tinnitus: My 10-Year Journey After Ear Infections - Otolaryngology

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I have been experiencing tinnitus for over ten years?


Hello, I had an episode of acute otitis media in elementary school, and I first visited a clinic for treatment.
Later, I was referred to the ENT department at a hospital, where they confirmed that the otitis media had resolved.
However, since then, I have been experiencing tinnitus.
I underwent a hearing test in a soundproof room, and the doctor said there were no significant issues.
Blood tests also came back normal.
The doctor advised me to coexist with the tinnitus and not to overthink it.
For the past ten years, I haven't experienced any dizziness or headaches; it's just the tinnitus that is present 24/7.
It hasn't affected my sleep, nor has it worsened significantly.
Recently, I started to pay more attention to it, and it seems that I have tinnitus in both ears.

Ru, 10~19 year old female. Ask Date: 2020/09/03

Dr. Ji Zhaoyun reply Otolaryngology


Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over.
2) Sequelae of sudden sensorineural hearing loss or auditory nerve damage.
3) Otitis media: a) Acute otitis media: often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in severe cases, there may be ear discharge.
b) Chronic otitis media with acute exacerbation: usually occurs when there is a pre-existing perforation in the eardrum, which can become inflamed due to unclean water or improper ear cleaning.
All of the above conditions can be appropriately treated with medication after consulting a physician.
If you have already undergone pure tone audiometry (which requires headphones in a soundproof room where sounds prompt you to press a button, rather than just using a tuning fork), and it has been confirmed that you do not have sudden sensorineural hearing loss, then medication may suffice.
However, if you have not had pure tone audiometry, it is advisable to visit a hospital for an examination to rule out sudden hearing loss, as the optimal treatment window for sudden hearing loss is within two weeks, and early treatment yields better outcomes.
If you have not had any relevant examinations in the past year, it is recommended to consult an otolaryngologist to confirm the diagnosis and determine the best course of treatment.
Wishing you peace and good health.
Ministry of Health and Welfare Taichung Hospital.

Reply Date: 2020/09/03

More Info


Living with tinnitus can be a challenging experience, especially when it follows a medical condition like an ear infection. Your journey over the past ten years, marked by the onset of tinnitus after an acute middle ear infection, is not uncommon. Tinnitus, often described as a ringing, buzzing, or hissing sound in the ears, can arise from various causes, including ear infections, exposure to loud noises, and even stress.

It's important to understand that tinnitus is a symptom rather than a disease itself. In your case, the acute middle ear infection likely caused some damage to the auditory system, leading to the persistent ringing in your ears. The fact that you have undergone hearing tests and blood tests, with results indicating no significant issues, is reassuring. This suggests that your tinnitus may not be linked to any underlying medical condition that requires treatment.

The advice from your doctor to "live in peace with tinnitus" is a common approach. Many healthcare professionals recommend a combination of strategies to help manage the condition. Here are some additional insights and coping mechanisms that may assist you in your journey with tinnitus:
1. Sound Therapy: Many individuals find relief through sound therapy, which involves using background noise or white noise machines to mask the tinnitus sounds. This can help distract your brain from focusing on the ringing.

2. Cognitive Behavioral Therapy (CBT): CBT is a psychological approach that can help you change the way you perceive and react to tinnitus. It can be beneficial in reducing anxiety and improving your quality of life.

3. Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, and deep-breathing exercises can help reduce stress and anxiety, which may exacerbate tinnitus symptoms.

4. Hearing Aids: If you have any degree of hearing loss, hearing aids can amplify external sounds, which may help mask the tinnitus.

5. Avoiding Triggers: Certain factors can worsen tinnitus, such as caffeine, nicotine, and loud noises. Identifying and avoiding these triggers can help manage your symptoms.

6. Regular Check-ups: Since your tinnitus has persisted for a decade, regular follow-ups with an ear, nose, and throat (ENT) specialist can help monitor your condition and rule out any new developments.

7. Support Groups: Connecting with others who experience tinnitus can provide emotional support and coping strategies. Many find comfort in sharing their experiences and learning from others.

8. Education: Understanding tinnitus and its mechanisms can empower you. Knowledge can reduce fear and anxiety associated with the condition.

It's also worth noting that while tinnitus can be bothersome, many people learn to live with it without it significantly impacting their daily lives. Since you mentioned that it hasn't affected your sleep or caused dizziness or headaches, this is a positive sign. However, if you notice any changes in your symptoms or if they begin to interfere with your quality of life, it would be wise to consult your healthcare provider for further evaluation.

In conclusion, living with tinnitus is a personal journey that varies from person to person. While it can be frustrating, employing various coping strategies and maintaining open communication with your healthcare providers can help you manage your symptoms effectively. Remember, you are not alone in this experience, and support is available.

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