Tinnitus
Hello, doctor.
I just went shooting, and after finishing, I noticed that one side of my ear feels muffled, and I hear a ringing sound, similar to the sound of mosquitoes when the wind blows.
I asked my instructor, and he said it might be tinnitus, but it has been 5 hours and there hasn't been any improvement.
When I cover the other ear, I find it a bit difficult to hear.
Is this normal? (I wore earplugs while shooting.)
Mr. Meng, 20~29 year old female. Ask Date: 2024/04/29
Dr. Zheng Jueyi reply Otolaryngology
If you continue to have difficulty hearing, it is recommended that you promptly visit the ENT (Ear, Nose, and Throat) department at a hospital for a hearing evaluation and medical treatment.
Reply Date: 2024/04/29
More Info
Tinnitus, or ringing in the ears, can be a common occurrence after exposure to loud noises, such as gunfire, even when wearing ear protection like earplugs. The symptoms you are experiencing, including a feeling of fullness in one ear and the perception of sounds like ringing or buzzing, are indicative of temporary auditory disturbance, which can occur after exposure to loud sounds.
When you shoot a firearm, the sound levels can reach up to 140 decibels or more, which is significantly above the threshold that can cause hearing damage. Even with ear protection, some sound may still penetrate, especially if the earplugs are not properly fitted or if they do not provide adequate noise reduction for the specific type of noise exposure.
The fact that you are experiencing these symptoms five hours after the exposure is concerning, as tinnitus that persists for an extended period may indicate potential damage to the auditory system. Temporary tinnitus can resolve on its own, but if it lasts longer than a few hours or becomes chronic, it could signal underlying issues such as noise-induced hearing loss or other auditory pathologies.
In your case, the muffled hearing in the affected ear when you cover the other ear is also noteworthy. This could suggest that there is some degree of auditory dysfunction, possibly due to temporary threshold shift (a temporary reduction in hearing sensitivity) or even a more serious condition like acoustic trauma.
It is essential to monitor your symptoms closely. If the tinnitus persists beyond 24 hours, or if you experience additional symptoms such as dizziness, significant hearing loss, or pain, it is advisable to seek medical attention from an ear, nose, and throat (ENT) specialist or an audiologist. They can perform a thorough evaluation, including hearing tests, to determine the extent of any potential damage and recommend appropriate treatment or management strategies.
In the meantime, here are some general recommendations to help manage your symptoms:
1. Avoid further exposure to loud noises: Protect your ears from additional loud sounds to prevent further damage.
2. Limit caffeine and alcohol: These substances can sometimes exacerbate tinnitus symptoms.
3. Stay calm: Stress and anxiety can worsen tinnitus, so try to engage in relaxing activities.
4. Consider sound therapy: Background noise or white noise machines can help mask the tinnitus, making it less noticeable.
In summary, while experiencing tinnitus after shooting is not uncommon, the persistence of your symptoms warrants further evaluation. It is crucial to take care of your auditory health, especially after exposure to loud sounds. If symptoms continue or worsen, please consult a healthcare professional for a comprehensive assessment.
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