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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tinnitus After Suffering From Mononucleosis?

Yes please. I have a question re my 19 year old grandson. He entered college last fall. In the fall of the year, he developed mono. He was very ill, but of course continued going to classes. I know mono can vary as to duration and intensity. This spring, while home, he and his mother went to a shooting range. He had earbuds in his ears. Shot less than an hour and was standing next to his mother who also was shooting. He noticed terrible ringing in his ears, pain and a loss of some of his hearing. After numerous visits to specialists, doing visits to a couple of compression chambers, it has been determined that he lost permanently a degree of his hearing. We are understandably devastated. This is a boy who always tested normal in all his facilities. He was fitted for hearing aids yesterday and of course that tinnitus disappears when he has the aids on and he definitely can tell the difference in his hearing ability. My question is this: since his mono was significant, could this virus have weakened his hearing nerve endings and the loud noise of shooting exasperated this hearing loss or contributed to same? I have used those earbuds when doing the same and nothing happened. He s been advised to never ever shoot guns again or go to concerts unless he has the appropriate hearing mufflers on. I am a strong advocate of the Second Amendment and feel just awful that I encouraged his participation in this endeavor. I just feel that perhaps since you have swollen glands with mono, that maybe those nerve endings weren t completely healed. Please excuse my spelling errors, but any advice you can offer would, of course, be greatly appreciated. Thank you for listening to my heartache. YYYY@YYYY
Thu, 4 Jul 2019
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General Surgeon 's  Response
Hi,

Tinnitus is a common issue and most causes are benign and temporary. However it this lasts for a longer period then it should be evaluated.

Tinnitus can occur due to causes like chronic ear infection, perforated eardrum, Eustachian tube dysfunction, Meniere's disease, TMJ disorders, Acoustic Neuroma etc.

Tinnitus is not a disease in itself but it is a symptom that indicates that there is some underlying illness.

I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like Audiometry, x Ray MRI can help in diagnosis and treatment can be done accordingly.

In case if ringing does not resolve then you can be advised medicines like Tricyclic Anti-depressant like Amitryptiline, anti anxiety medication like Alprazolam, as well as Multivitamin supplements can be advised.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Tinnitus After Suffering From Mononucleosis?

Hi, Tinnitus is a common issue and most causes are benign and temporary. However it this lasts for a longer period then it should be evaluated. Tinnitus can occur due to causes like chronic ear infection, perforated eardrum, Eustachian tube dysfunction, Meniere s disease, TMJ disorders, Acoustic Neuroma etc. Tinnitus is not a disease in itself but it is a symptom that indicates that there is some underlying illness. I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like Audiometry, x Ray MRI can help in diagnosis and treatment can be done accordingly. In case if ringing does not resolve then you can be advised medicines like Tricyclic Anti-depressant like Amitryptiline, anti anxiety medication like Alprazolam, as well as Multivitamin supplements can be advised. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon