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Suggest Treatment For Tinnitus

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Posted on Mon, 10 Nov 2014
Question: During a dental appt, I was injected with epi and experienced immediate hearing loss and fuzziness. It resolved, but the next day, I had ear pressure, hearing loss & tinnitus and saw my PCP (diagnosed with blocked eustachian tube). Treatment with Afrin, Ocean Spray & Nasalcrom with decongestants & antihistamines. Tinnitus remains, but can hear out of the ear again! Now (one week later), I have headaches worsening when bent over or sneezing, radiating from back to front, pressure behind one eye and now ear pain (throbbing). Also am shaky and feel generally ill and tired. No fever. It's 3am and I woke up with pain. Feel better sitting up.
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Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
Ear examination, PTA, I/A

Detailed Answer:
Hi,

Thank you for your query.

1. Get an ear examination done. PTA (Pure Tone Audiometry ) and I/A (Impedance Audiometry/Tympanometry) must be done in order to assess the hearing levels and the source of the tinnitus.

2. Keeping the history of this Sudden Sensorineural Hearing Loss (SSNHL) in mind, I would recommend that your physician prescribe vasodilators (such a pentoxifyline), antivirals (such as acyclovir), low molecular weight dextran (lomodex) and high dose steroids (after ruling out any ear infection).

3. A lot depends on the findings of these tests. Hence upload the results for further treatment advice.

If you have any more questions I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2686 Questions

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Suggest Treatment For Tinnitus

Brief Answer: Ear examination, PTA, I/A Detailed Answer: Hi, Thank you for your query. 1. Get an ear examination done. PTA (Pure Tone Audiometry ) and I/A (Impedance Audiometry/Tympanometry) must be done in order to assess the hearing levels and the source of the tinnitus. 2. Keeping the history of this Sudden Sensorineural Hearing Loss (SSNHL) in mind, I would recommend that your physician prescribe vasodilators (such a pentoxifyline), antivirals (such as acyclovir), low molecular weight dextran (lomodex) and high dose steroids (after ruling out any ear infection). 3. A lot depends on the findings of these tests. Hence upload the results for further treatment advice. If you have any more questions I will be available to answer them. Regards.