Tinnitus Anemia
Hello, doctor.
Since I can remember, I have experienced persistent high-frequency tinnitus in both ears.
When I was younger, I thought everyone was the same until eight years ago when I became pregnant and was diagnosed with oceanic anemia.
I realized that my frequent dizziness might be caused by anemia, and at times, I have even experienced severe symptoms like limb spasms and facial drooping.
I usually have low blood pressure and low blood sugar, and as I age, my fatigue has worsened.
I am concerned about being a burden to my family.
Could you please advise which specialty I should consult? Recently, my tinnitus has intensified with my menstrual cycle, followed by headaches, which is quite distressing.
I would appreciate any guidance you can provide, and if you could recommend a physician in Kaohsiung, that would be even better.
Thank you.
kiki, 40~49 year old female. Ask Date: 2021/07/22
Dr. Xiao Yongxun reply Family Medicine
Dear Miss Kiki:
1.
Your situation is quite unique, involving the fields of otolaryngology, neurology, hematology, and obstetrics.
Based on your description, one might suspect that you have poor circulation in the inner ear and the head and neck region.
When anemia occurs, it can exacerbate symptoms such as dizziness, headaches, tinnitus, and even lead to symptoms like limb twitching and facial drooping.
Additionally, during menstruation, the anemia may become more pronounced, resulting in more noticeable dizziness, headaches, and tinnitus.
However, this is merely speculative.
According to your account, your anemia is classified as thalassemia, and theoretically, as long as your hemoglobin levels are normal and you have a safe delivery, there should be no issues! This means there should not be a possibility of worsening symptoms.
Therefore, if symptoms worsen during menstruation, could there be other contributing factors? There is also the issue of hypoglycemia; it is essential to know how low your blood sugar levels drop.
The differential diagnosis for hypoglycemia is extensive and complex, involving multiple systems that must be clarified and should not be overlooked.
2.
I recommend that you bring the relevant test and examination reports to discuss with your primary care physician, carefully consider the information, and make a decision thereafter.
Reply Date: 2021/07/22
More Info
Tinnitus, often described as a ringing or buzzing in the ears, can be a distressing condition that significantly impacts one's quality of life. In your case, it appears that your tinnitus has been persistent since childhood, and you have also been diagnosed with "thalassemia," a type of anemia that can lead to various symptoms, including dizziness and fatigue. The connection between anemia and tinnitus is not uncommon, as reduced oxygen levels in the blood can affect the auditory system, potentially exacerbating tinnitus symptoms.
Given your history of anemia and the recent exacerbation of your tinnitus, it is crucial to seek medical attention. The symptoms you describe, such as dizziness, headaches, and the severity of your tinnitus, suggest that you may benefit from a comprehensive evaluation. Here are some recommendations regarding the medical specialties you should consider consulting:
1. Hematology: Since you have a history of thalassemia, a hematologist can assess your blood condition and determine if your anemia is contributing to your tinnitus and other symptoms. They can evaluate your hemoglobin levels, iron status, and overall blood health, which is essential in managing your anemia effectively.
2. Otolaryngology (ENT): An ear, nose, and throat specialist can provide a thorough evaluation of your tinnitus. They can perform hearing tests and assess any underlying conditions affecting your auditory system. ENT specialists are well-equipped to diagnose and treat tinnitus and can recommend appropriate management strategies.
3. Neurology: If your symptoms include severe headaches and episodes of facial drooping or limb twitching, it may be beneficial to consult a neurologist. They can evaluate for any neurological conditions that may be contributing to your symptoms, including migraines or other types of headaches that could be linked to your tinnitus.
4. Primary Care Physician: Your primary care doctor can coordinate your care and refer you to the appropriate specialists. They can also help manage your overall health, including monitoring your blood pressure and blood sugar levels, which you mentioned are typically low.
In terms of finding a physician in Kaohsiung, I recommend looking for a hospital or clinic that has a multidisciplinary approach, where you can access both hematology and ENT services. Major hospitals in Kaohsiung, such as Kaohsiung Medical University Hospital or Chang Gung Memorial Hospital, have comprehensive departments that can address your needs.
Additionally, it is essential to keep a symptom diary to track your tinnitus episodes, including their intensity, duration, and any associated symptoms like headaches or dizziness. This information can be invaluable for your healthcare providers in diagnosing and managing your condition.
Lastly, regarding your concerns about being a burden to your family, it is important to communicate openly with them about your health challenges. Seeking treatment can help alleviate your symptoms and improve your quality of life, which ultimately benefits both you and your loved ones.
In summary, I recommend consulting a hematologist and an ENT specialist to address your anemia and tinnitus. A neurologist may also be necessary if your symptoms persist or worsen. By taking these steps, you can work towards better management of your health and find relief from the distressing symptoms you are experiencing.
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