Managing Tinnitus and Auditory Sensitivity: Seeking Solutions and Support

Tinnitus with auditory sensitivity?

I have been experiencing tinnitus for over two years, with fluctuations in severity but never completely stopping.
I underwent a basic hearing test at a teaching hospital, which came back normal.
Following my doctor's advice, I tried to coexist with the tinnitus without resistance.
Recently, however, the tinnitus has suddenly worsened in both ears, accompanied by increased auditory sensitivity.
I find sounds like motorcycle traffic, air conditioning compressors, and even the sound of flushing the toilet to be jarring.
I initially planned to live with the tinnitus for life, but now it has suddenly intensified.
I'm unsure how to improve this situation.
Is there a chance for improvement? I have seen online cases of patients with even more severe auditory sensitivity, some of whom have developed suicidal tendencies, which is alarming.
I hope to manage my condition better.
What tests should I undergo? Can you recommend any specialists? Thank you!

Morris, 50~59 year old female. Ask Date: 2021/09/22

Dr. Zheng Jueyi reply Otolaryngology

Hello, if auditory sensitivity does not show any obvious functional abnormalities, it may be related to emotional factors.
If the symptoms continue to worsen, it is advisable to visit an otolaryngologist at a medical center for an examination.
If there are issues such as insomnia or anxiety, you may also consult a psychiatrist for assistance.
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: 2021/09/22

More Info

Managing tinnitus and auditory sensitivity can be a challenging journey, especially when symptoms worsen over time. Tinnitus, often described as a ringing or buzzing in the ears, can be a persistent and distressing condition. When combined with auditory sensitivity, or hyperacusis, the experience can become overwhelming, as you have described.
Firstly, it’s important to understand that tinnitus can arise from various underlying causes, including exposure to loud noises, ear infections, age-related hearing loss, and even stress. In your case, the fact that you have experienced tinnitus for over two years, with recent exacerbation, suggests that it may be related to changes in your auditory system or increased sensitivity to sound.
Auditory sensitivity, or hyperacusis, is characterized by an increased perception of sounds that are typically considered tolerable. This condition can be particularly distressing, as you noted with everyday sounds becoming unbearable. The combination of tinnitus and hyperacusis can lead to significant emotional distress, anxiety, and even depression, which is why it’s crucial to seek help.

Here are some steps you can take to manage your symptoms:
1. Consult an Audiologist or ENT Specialist: It’s essential to see a healthcare professional who specializes in hearing disorders. An audiologist can conduct a comprehensive hearing evaluation, including tests for tinnitus and hyperacusis. They can also help determine if there are any underlying issues contributing to your symptoms.

2. Hearing Therapy: Cognitive Behavioral Therapy (CBT) and sound therapy are often recommended for managing tinnitus and hyperacusis. CBT can help you develop coping strategies and reduce the emotional distress associated with your symptoms. Sound therapy involves using background noise or specific sounds to help mask tinnitus and gradually desensitize your auditory system to louder sounds.

3. Hearing Aids or Sound Generators: If your hearing is affected, hearing aids can be beneficial. They amplify external sounds, which may help mask the tinnitus. Sound generators, which produce white noise or other soothing sounds, can also provide relief.

4. Lifestyle Modifications: Reducing exposure to loud noises is crucial. Consider using ear protection in noisy environments. Additionally, managing stress through relaxation techniques, such as mindfulness or yoga, can help alleviate symptoms.

5. Support Groups: Connecting with others who experience similar challenges can provide emotional support and practical advice. Many organizations offer resources for individuals dealing with tinnitus and hyperacusis.

6. Regular Follow-ups: Since your symptoms have worsened, it’s important to have regular follow-ups with your healthcare provider to monitor your condition and adjust your treatment plan as necessary.

7. Consider Psychological Support: If you find that your symptoms are leading to feelings of hopelessness or suicidal thoughts, it’s crucial to seek immediate psychological support. Mental health professionals can provide strategies to cope with the emotional aspects of living with tinnitus and hyperacusis.

In conclusion, while managing tinnitus and auditory sensitivity can be complex, there are various strategies and treatments available that can help improve your quality of life. It’s important to take proactive steps and seek the appropriate medical care. Remember, you are not alone in this journey, and there are resources and professionals available to support you.

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