Tinnitus: A Teenager's Struggle with Ear Noise and Hearing Loss - Otolaryngology

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Tinnitus


Hello Dr.
Hsu,
I am a 17-year-old high school girl.
On the morning of December 16, I suddenly experienced tinnitus when I woke up, and I felt something was wrong.
That day, I went to a small clinic to see an ear specialist.
The doctor suggested that it might be due to prolonged use of my portable music player, so he prescribed medication for three days.
Initially, I responded well to the treatment, and by the next morning, the tinnitus had subsided.
My hearing was normal during the day, but I still experienced tinnitus at night.
I returned for a follow-up appointment, and the doctor prescribed another three days of medication.
However, since the tinnitus at night did not improve, I went to National Taiwan University Hospital for further examination on December 21.
The results of the tests were normal, so the doctors only prescribed anti-anxiety medication.

However, that Friday after the examination, I experienced tinnitus again, and it seemed louder the next morning.
I found it strange, but I had to go to Hsinchu for an event, so I didn't pay much attention to it.
Later, the tinnitus persisted; although it became quieter, it was still there.
As long as there was noise, it would mask the sound of the tinnitus, but I was aware that it was still present.
I then went to another hospital for a hearing test on December 30, and the results indicated hearing loss.
I felt a bit disheartened because it was only nine days after the examination at NTU, and I couldn't understand how I could have hearing loss.

I am very worried now.
Doctor, what should I do? Is it true that tinnitus cannot be treated? I have been very careful and have followed the doctor's advice not to use my portable music player.
Could it be because our classroom is very noisy (we tend to speak loudly after class)? Please advise me, as I am feeling very frustrated.

Xiao Yezzi, 10~19 year old female. Ask Date: 2006/01/02

Dr. Xu Jiazhen reply Otolaryngology


Hello: In response to your question, there are many causes and sources of tinnitus.
Some patients may also experience hearing loss, which could be due to damage to the hair cells.
The fluctuating nature of tinnitus is a subjective experience that only the patient can perceive.
When hearing is still relatively good, even slight hearing loss can be difficult to detect.
Currently, there are many treatment options available, but they may not necessarily lead to a cure.
Long-term management can involve medication to control symptoms, along with regular monitoring of changes in hearing.

Reply Date: 2006/01/02

More Info


Hello! Thank you for sharing your experience with tinnitus and hearing loss. It sounds like you've been through a lot in a short period of time, and it's understandable to feel frustrated and worried about your condition. Let's break down your situation and explore some potential causes and management strategies.

Tinnitus, often described as a ringing, buzzing, or hissing sound in the ears, can be caused by a variety of factors. In your case, it seems to have started suddenly, which can sometimes indicate an underlying issue. The fact that you mentioned listening to music through headphones for extended periods could be a contributing factor. Prolonged exposure to loud sounds can lead to noise-induced hearing loss, which may also be associated with tinnitus.

Your initial visit to a local clinic resulted in a diagnosis that linked your tinnitus to your headphone use, and the medication prescribed seemed to help initially. However, the persistence of your symptoms, especially at night, suggests that there may be more at play. The fact that your hearing tests at different facilities yielded different results can be concerning, but it’s important to remember that hearing can fluctuate, and various factors, including stress and environmental noise, can affect your auditory perception.

You mentioned that your classroom environment is quite loud, which could exacerbate your tinnitus. High levels of ambient noise can make it difficult for your auditory system to process sounds effectively, potentially leading to increased awareness of tinnitus. Additionally, anxiety and stress can heighten the perception of tinnitus, creating a cycle that can be challenging to break.

Here are some steps you might consider taking:
1. Follow-Up with an Audiologist: Since you have experienced changes in your hearing, it would be beneficial to see an audiologist for a comprehensive evaluation. They can provide a detailed assessment of your hearing and help determine the extent of any damage.

2. Sound Therapy: Many individuals with tinnitus find relief through sound therapy. This involves using background noise or white noise to help mask the tinnitus sounds. You can try using a fan, a white noise machine, or even soft music to help distract from the tinnitus, especially at night.

3. Cognitive Behavioral Therapy (CBT): If anxiety is a significant factor in your experience of tinnitus, CBT can be an effective treatment. It helps individuals develop coping strategies and change their perception of tinnitus, reducing its impact on daily life.

4. Lifestyle Modifications: Consider reducing your exposure to loud environments and using ear protection when necessary. Additionally, managing stress through relaxation techniques, such as mindfulness or yoga, can be beneficial.

5. Regular Monitoring: Keep track of your symptoms, including when they worsen or improve. This information can be valuable for your healthcare providers in determining the best course of action.

6. Consult an ENT Specialist: If your symptoms persist or worsen, it may be worthwhile to consult an ear, nose, and throat (ENT) specialist for further evaluation. They can assess for any underlying conditions that may be contributing to your tinnitus and hearing loss.

It's important to remember that while tinnitus can be distressing, many people find ways to manage their symptoms effectively. With the right support and strategies, you can improve your quality of life. Don't hesitate to reach out to healthcare professionals who can guide you through this process. You're not alone in this, and there are resources available to help you navigate your tinnitus and hearing concerns. Take care!

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