Tinnitus is disturbing my sleep, but the doctor said there is no medication to treat it and advised me to adapt to the tinnitus?
Hello, I have been experiencing pulsatile tinnitus and previously consulted Dr.
Yeh at the National Taiwan University Hospital Hsinchu Branch.
I underwent hearing tests, neck ultrasound, and cerebral angiography.
Dr.
Yeh initially stated that there is no medication for tinnitus and recommended that I try music therapy to see if it would help.
Later, I did not agree to participate and was advised to learn to coexist with the tinnitus, and I was told that I no longer needed to return for follow-up visits.
Subsequently, I visited another doctor at Hsinchu Mackay Memorial Hospital (I forgot the doctor's name), but upon learning that I had seen Dr.
Yeh, the doctor said that Dr.
Yeh's assessment was likely correct and advised me to adapt to the tinnitus.
Now, I am experiencing not only pulsatile tinnitus but also general tinnitus (ringing), both occurring in the morning and evening, and affecting my left ear.
I have considered seeing another doctor, but I am concerned that the medical records linked to my health insurance card might lead many ENT specialists to hesitate in questioning Dr.
Yeh's diagnosis.
I am quite troubled and unsure of what to do! Thank you.
Joi, 50~59 year old female. Ask Date: 2021/02/19
Dr. Zheng Jueyi reply Otolaryngology
Hello: Common tinnitus examinations have been completed, and if no significant abnormalities are found, the best current advice is indeed to coexist peacefully with the tinnitus.
However, if symptoms continue to change, you may consult other hospitals or return to the original hospital for reevaluation.
Providing the physician with relevant information can help avoid redundant tests, as each physician will make an independent assessment.
Wishing you peace and health! Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2021/02/19
More Info
Coping with tinnitus, especially when faced with the reality that there is no definitive cure, can be an incredibly challenging experience. Tinnitus, which is often described as a ringing, buzzing, or hissing sound in the ears, can significantly impact one’s quality of life. The fact that you have already consulted with specialists and undergone various tests, such as hearing assessments and imaging studies, indicates that you are taking proactive steps to understand your condition. However, the advice you received—that tinnitus has no cure and that you should learn to coexist with it—can feel disheartening.
Firstly, it’s important to acknowledge that tinnitus can have various underlying causes, including exposure to loud noises, ear infections, age-related hearing loss, and even certain medications. In your case, the pulsatile tinnitus you mentioned suggests that the sound you hear may be related to blood flow or vascular issues. This type of tinnitus can sometimes be more complex, as it may indicate an underlying condition that requires further investigation.
While it is true that many healthcare providers may suggest sound therapy or music therapy as a means to manage tinnitus, it is essential to understand that these approaches aim to help you cope rather than eliminate the sound. Sound therapy works by providing external noise to mask the tinnitus, making it less noticeable. This can be beneficial, especially in quiet environments where tinnitus may seem more pronounced. Additionally, cognitive behavioral therapy (CBT) has been shown to help some individuals manage the emotional distress associated with tinnitus. It can provide strategies to change the way you perceive and react to the sounds.
If you are feeling frustrated with the current management strategies, it may be worthwhile to seek a second opinion from another otolaryngologist (ENT specialist) or an audiologist who specializes in tinnitus management. While you expressed concern about your medical records being shared, it is your right to seek further evaluation and treatment options. Different practitioners may have varying approaches to tinnitus management, and it’s possible that another specialist could offer new insights or therapies that might be more effective for you.
In addition to professional help, there are lifestyle changes and self-care strategies that can also aid in managing tinnitus. Stress management techniques, such as mindfulness meditation, yoga, or deep-breathing exercises, can help reduce the perception of tinnitus. Regular physical activity can also improve overall well-being and reduce stress, which may, in turn, lessen the severity of tinnitus symptoms.
Furthermore, maintaining a healthy diet and avoiding stimulants such as caffeine and nicotine may also help some individuals. Keeping a journal to track your tinnitus patterns and any potential triggers can provide valuable information to discuss with your healthcare provider.
Lastly, connecting with support groups or online communities can be incredibly beneficial. Sharing experiences with others who understand what you are going through can provide emotional support and practical advice on coping strategies.
In summary, while it may feel overwhelming to cope with tinnitus, especially when faced with the notion that there is no cure, there are various management strategies available. Seeking additional opinions, exploring sound therapy, engaging in stress-reduction techniques, and connecting with support networks can all contribute to a more manageable experience. Remember, you are not alone in this journey, and there are resources and strategies that can help improve your quality of life despite the challenges posed by tinnitus.
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