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can fluid behind the eardrum cause tinnitus? i have tinnitus

 
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  • Answered by:neuromd2012
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Customer Question

can fluid behind the eardrum cause tinnitus? i have tinnitus and frequent ear cracking my ears will randomly get blocked and a higher sound of tinnitus occurs. doctors cant see any ear wax blockage and they can still see the eardrum could i still have an earwax blockage?

 

Optional Information:
Person's Gender: Female
Person's Age: 23

Already Tried:
i have tryed a nasal decongestant called Nasonex that the doctor gave me while i was at the dr clinic and asked me to use that 1 spray each nostril once in morning and once at night after the shower.also been on Roxithromycin 300MG 5 and i still have tinnitus and feeling of blockage also have a really thick flem behind my nose that i have to force down my throat so if i breath normally my nose isnt blocked but i can feel it behind my nostrils if that makes sence.

Submitted: 356 days and 14 hours ago.
Category: Neurology
Value: AU$69
Status: CLOSED

Accepted Answer

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Expert:  neuromd2012 replied 356 days and 14 hours ago.


neuromd2012 :

HI. I'm a neurologist and can try to answer your question.

neuromd2012 :

Hi are you there?\

neuromd2012 :

hi. can you reply?

neuromd2012 :

you in australia? is it about 2:30 pm saturday?

Customer : Hello
Customer : Yes it is 12:30pm and I haven't slept for 5 days because of my condition
Customer : Hello are you there?
Customer : J
neuromd2012 :

Hi. So I read your text. to answer your question,, fluid behind your eardrum can make your tinnitus worse, ear wax or blockages causing conduction hearing loss is a known precipitator of tinnitus, but actually the origin of tinnitus is thought to be a brain event, eminating from the cochlear nucleus

neuromd2012 :

Have you had audiometry done prior to the infection/fluid build up?

neuromd2012 :

did you type something? I don't see it

Customer : Customer says:12:34 PMNo I dnt know what that is I went to the doctor and she said I have fluid behind the ear drum and then gave me those medications I told u. I had a ct scan done I'm waiting for the results also waiting for my appointment to get a hearing test done the one that they blow air into ur ear
Customer : Are u getting my replys?
neuromd2012 :

Yes. You need the hearing test and auditory evoked potentials to determine if you have nerve loss giving rise to tinnitus. Any other factors, loud music all the time? antibiotics, I have a long list of things that can cause it, have you seen the list?

neuromd2012 :

heres the list, look it over and ask me about anything on the list

neuromd2012 :
  • Otologic problems and hearing loss:
    • conductive hearing loss
      • external ear infection
      • acoustic shock
      • loud noise or music[26]
      • cerumen (earwax) impaction
      • middle ear effusion
      • superior canal dehiscence
    • sensorineural hearing loss
      • excessive or loud noise
      • presbycusis (age-associated hearing loss)
      • Ménière's disease
      • acoustic neuroma
      • mercury or lead poisoning
      • ototoxic medications
        • analgesics:
          • aspirin
          • nonsteroidal anti-inflammatory drugs
        • antibiotics:
          • Ciprofloxacin
          • aminoglycosides, e.g., gentamicin
          • chloramphenicol
          • erythromycin
          • tetracycline
          • tobramycin
          • vancomycin
          • doxycycline (Vibramycin)[27]
        • chemotherapy and antiviral drugs:
          • bleomycin
          • interferon
          • pegylated interferon-alpha-2b
          • cisplatin
          • mechlorethamine
          • methotrexate
          • vincristine
        • loop diuretics:
          • bumetanide
          • ethacrynic acid
          • furosemide
        • others:
          • chloroquine
          • quinine
          • antidepressants
          • varenicline (Champix)
          • naproxen
  • neurologic disorders:
    • chiari malformation
    • multiple sclerosis
    • head injury
      • skull fracture
      • closed head injury
      • whiplash injury
      • temporomandibular joint disorder
      • giant cell arteritis
  • metabolic disorders:
    • thyroid disease
    • hyperlipidemia
    • vitamin B 12 deficiency
    • iron deficiency anemia
  • psychiatric disorders:
    • depression
    • anxiety
  • other causes:
    • tension myositis syndrome
    • fibromyalgia
    • vasculitis
    • hypertonia (muscle tension)
    • thoracic outlet syndrome
    • Lyme disease
    • hypnagogia
    • sleep paralysis
    • glomus tympanicum tumor
    • anthrax vaccines which contain the anthrax protective antigen
    • Some psychedelic drugs can produce temporary tinnitus-like symptoms as a side effect
      • 5-MeO-DET[28]
      • diisopropyltryptamine (DiPT)[29]
    • benzodiazepine withdrawal[23][24]
    • nasal congestion
    • intracranial hyper or hypotension caused by for example, Encephalitis or a cerebrospinal fluid leak
Customer : No I haven't seen it if I have nerve loss will an ENT find this thru a CT scan or the hearing test? Can this be fixed? Iv heard of cold lazer light therapy to fix tinnitus what do u think about it?
neuromd2012 :

An MRI scan is better than a CT scan for you, if you are 2 years old. It would pick up swelling or edema within the ear system, both internal and external, with the ct scan you are looking for bleeding or fracture, which I assume no one hit you in the head

neuromd2012 :

I meant 23 years old

neuromd2012 :

the hearing test is important because usually there is sensorineural hearing loss, that is to say you have damaged your hearing nerve somehow before you get tinnitus, it usually does just come from the ear wax/fluid, but it can

neuromd2012 :

The brainstem auditory evoked potentials (BAER's) are also very important if you have an abnormal hearing test because it can localize where on the

neuromd2012 :

auditory pathway you have problems.

neuromd2012 :

there are some great new treatments, I haven't heard of the lazer, but there is magnetic stimulation

Customer : No I haven't had any one hit me or anything should I ask my dr to send me to get one? What can be done for this I'm really suffering and I have some mucus right at the bak of my nose so I can breath normal but I have a thick mucus that I have to keep swilling to get down my throat yesterday I had my left part under my eye and my eye hurting for alittle and it gave me a slight headache in my forehead but it went away after awhile
Customer : Magnetic stimulation?
neuromd2012 :

Well you need symptomatic treatment for the nasal congestion. Have you tried mucinex (guiafenesin), it loosens up the thick mucus and you can then clear it out. Are you on antibiotics?

Customer : I am on that roxar antibiotic the one I told u I'm on my second script of it 5 tables 1 per day
neuromd2012 :

I will send you the article on magnetic stimulation for tinnitus

neuromd2012 :
  • Langguth B, Zowe M, Landgrebe M, et al. (2006). "Transcranial magnetic stimulation for the treatment of tinnitus: a new coil positioning method and first results". Brain Topography 18 (4): 241–7. doi:10.1007/s10548-006-0002-1. PMID 16845596.
  • ^ Fregni F, Marcondes R, Boggio PS, et al. (Sep 2006). "Transient tinnitus suppression induced by repetitive transcranial magnetic stimulation and transcranial direct current stimulation". Eur J Neurol. 13 (9): 996–1001. doi:10.1111/j.1468-1331.2006.01414.x. PMID 16930367.
  • Customer : My ears keep clicking aswell and randomly making this pop noise
    neuromd2012 :

    You put a high field magnet near your ear which generates a small electrical field and it aligns your nerve signals in the cochlear nucleus, completely uninvasive way to reset your nerve so the tinnitus goes away. I 've heard that it works pretty well. But it sounds like you have to get rid of this infection first, but you had tinnitus before the infection right?

    neuromd2012 :

    that's all the fluid

    neuromd2012 :

    I have to go now. Please hit the accept button if you think I answered your question. Write me back in 10 hours or so as it is 1 am here. bye

    Customer : How does this work? The link is very jumbled it doesn't work should I just google it? No I didn't tinnitus started with the ear infection but the dra can't see the infection there just assuming one dr said there is fluid behind the ear drum because the ear drum wasn't moving properly when she looked in my ear with the light and asked me to clamp my nose and blow to try pop my ears that's when she said I have fluid behind it my inner ear aches and I had pretty bad dizziness but that has settles

    Expert TypeBoard Certified Physician
    Category: Neurology
    Pos. Feedback: 95.3 %
    Accepts: 5214
    Answered: 4/14/2012

    Experience: General Adult Neurologist. Board Certified. Experimental Neuroimaging and Neurodiagnostics

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