Persistent Tinnitus: Seeking Relief for Ear Ringing and Sleep Issues

Tinnitus lasting for three consecutive days?

Hello Doctor, four days ago while I was sleeping, I started hearing a persistent high-pitched ringing sound in my right ear.
The sound is not loud, but it is continuous and particularly noticeable when I try to sleep, which has caused me insomnia.
I usually use earplugs, and I initially thought it was noise from the room, but even with earplugs, I can still perceive this high-frequency ringing in my right ear.

The day after it started, I went to see a doctor.
I am currently studying abroad, and the foreign doctor examined my ear and said there was inflammation.
He prescribed antibiotics, stating that I should feel better within 24 hours, but that has not been the case.
Yesterday, I visited another clinic where a Chinese doctor told me that my nasal congestion was causing some kind of eustachian tube dysfunction.
He gave me a nasal spray and allergy medication.
However, after taking the medication yesterday, there has been little improvement, and the ringing in my right ear continues.
Doctor, what should I do in this situation? I have nasal congestion and phlegm in my throat, but I do not feel like I have cold symptoms.
In the past two to three days, sometimes I experience pain inside my ear, and at times there is pain behind and below the outer part of my ear.
When I sleep on my side and press against my ear, the ringing becomes more pronounced.
I am really unsure if the diagnoses from the doctors here are correct, as this tinnitus-like sound is preventing me from sleeping and affecting my mental well-being.
I would greatly appreciate your advice, as I am alone abroad and truly don’t know what to do.

Xiao Xiong, 10~19 year old female. Ask Date: 2015/12/24

Dr. Zheng Jueyi reply Otolaryngology

Hello, if the tinnitus is more noticeable in a quiet environment, it is mostly benign and may be related to eustachian tube dysfunction or otitis media following a cold.
It is recommended to finish the prescribed medication and not to pay special attention to the tinnitus for now.
You can play music or distract yourself, as most cases should gradually improve.
Additionally, improving sleep quality is advised, as poor sleep can also contribute to tinnitus.
Wishing you health and safety.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/24

More Info

Hello! It sounds like you're experiencing persistent tinnitus, which is often described as a ringing, buzzing, or hissing sound in the ears that can be particularly bothersome, especially when trying to sleep. Your situation is compounded by nasal congestion and throat discomfort, which can indeed affect your ear health and contribute to the perception of tinnitus.

Tinnitus can arise from various causes, including exposure to loud noises, ear infections, earwax buildup, and even sinus issues. In your case, the inflammation in your ear, as noted by the first doctor, could be a contributing factor. The second diagnosis regarding nasal congestion affecting your Eustachian tubes (the tubes that connect your middle ear to the back of your nose) is also plausible. When these tubes become blocked, it can lead to pressure changes in the ear, which may exacerbate tinnitus symptoms.

Here are some steps you can take to help manage your symptoms:
1. Follow Up with Healthcare Providers: Since you have already seen two doctors, it may be beneficial to seek a third opinion, preferably from an ENT (Ear, Nose, and Throat) specialist. They can conduct a thorough examination and may perform tests to determine the exact cause of your tinnitus and ear discomfort.

2. Manage Nasal Congestion: Since you mentioned having nasal congestion, using a saline nasal spray can help keep your nasal passages moist and clear. Decongestants may also be helpful, but they should be used with caution and ideally under the guidance of a healthcare professional.

3. Stay Hydrated: Drinking plenty of fluids can help thin mucus and alleviate nasal congestion. Staying hydrated is also important for overall health.

4. Avoid Irritants: Try to avoid exposure to loud noises, as this can worsen tinnitus. Additionally, avoid caffeine and nicotine, as they can exacerbate tinnitus symptoms in some individuals.

5. Sound Therapy: Consider using white noise machines or apps that produce soothing sounds to help mask the tinnitus when you are trying to sleep. This can make it less noticeable and help you relax.

6. Cognitive Behavioral Therapy (CBT): If tinnitus is significantly affecting your quality of life, cognitive behavioral therapy can be an effective treatment. It helps you develop coping strategies and can reduce the distress associated with tinnitus.

7. Sleep Hygiene: Establish a calming bedtime routine to improve your sleep quality. This includes going to bed and waking up at the same time each day, creating a comfortable sleep environment, and avoiding screens before bedtime.

8. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they worsen or improve. This information can be valuable for your healthcare providers in determining the best course of action.

9. Consider Medication: If your tinnitus is linked to anxiety or stress, discussing medication options with a healthcare provider may be beneficial. Some medications can help alleviate anxiety, which may, in turn, reduce the perception of tinnitus.

10. Stay Informed: Educate yourself about tinnitus and its management. Understanding your condition can empower you to take proactive steps in managing it.

It's understandable to feel anxious and frustrated when dealing with persistent symptoms, especially while being away from home. Remember, seeking help from professionals who understand your situation is crucial. You are not alone in this, and there are effective strategies and treatments available to help you manage your tinnitus and improve your sleep. Take care, and I hope you find relief soon!

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