Hi,
Your typical symptoms of
tinnitus of provocation by sound, settling with no movements or noise, more so at night with pains and pricks is noted. The commonest causes are related to inflammation in the middle and
inner ear having
cochlea and vestibule that controls movements and balancing. The primary cause can be in the nose or
sinuses. Hence, I would advise you the following:
* Consult an ENT Surgeon for proper clinical evaluation, examination, ENT Endoscopy
*
CT scan of the sinuses and mastoids is needed to know the internal status as this can not be seen by endoscopy
* Relevant tests of blood
All these will lead to a proper diagnosis and thus allow a specific treatment to get symptomatic relief as well as permanent cure. You will need a long course of treatment till cured will and in some cases surgery may be needs. Treatment as any associated conditions is also needed.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, General Surgeon