Dr. Nagler's Tinnitus Corner
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joejoe

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 #1 
Hi Dr.Nagler,

I have been a lurker on this forum for some time now and its good to see feedback without negativity compared to other forums.

To give some history have tinnitus for about 10 years now (after ear infection) but also could have been partly due to noise (festivals without ear protection) and most of the time it doesn't effect me greatly.

My question is for the past 2 years I'm noticing that my hearing is more sensitive and I get tinnitus spikes more often, (cinema, pub airplane etc) but it returns to baseline after a week.

During the same time (2 years ago) changed job from an office environment to factory environment and I use hearing protection more often compared to before. So I think this may be the cause.

So I'm wondering how to improve my resistance to noise, do you think TRT,CBT would be useful in this situation or just use earplugs less?
Dr. Nagler

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 #2 
Hi joejoe. And welcome.

When you say that your hearing is more sensitive, do you mean that sounds that are well-tolerated by others now sound uncomfortably loud to you, or do you mean that sounds that used to present no problem now seem to exacerbate your tinnitus?

Stephen M. Nagler, M.D.
Atlanta Tinnitus Consultants, LLC

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The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi
joejoe

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 #3 
Thanks for the reply, it's a bit of both but more emphasis on the latter.

For example a few months ago I went to see the new star wars film and after an hour I felt that my right ear was getting sore (bad ear) with all the sudden explosions then because of this I started using earplugs for the rest of the movie for relief.

Also at work as an engineer I get called out to the factory floor various times throughout the day and while the noise level is below 80db, certain noises tend to tire my ears but when this happens I pop back into to office to do other work.
Dr. Nagler

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 #4 
Got it, joejoe. Thank you.

So rather than jump to TRT, CBT, or the like, what I think you should do is arrange for a tinnitus and hyperacusis evaluation conducted by a hearing healthcare professional who is knowledgeable and experienced in those areas. That way you can make a decision responsibly from a position of knowledge rather than just by guessing. And in the meantime, try as best you can to gradually wean yourself off of earplugs.

One other thing. I put the Star Wars movie series in the same category where I put Saving Private Ryan, which is to say that everybody in attendance should be wearing earplugs throughout.

Hope this helps more than frustrates.

Stephen M. Nagler, M.D.

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The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi
joejoe

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 #5 
Thanks for your feedback.
Dr. Nagler

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 #6 
You are welcome.

All the best -

Stephen M. Nagler, M.D.

__________________

The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi
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Dr. Nagler's Tinnitus Corner is provided for education and information only. It is not intended for the purpose of providing medical care and should in no way substitute for appropriate in-person consultations with qualified healthcare professionals. By using this site, participants agree to hold Dr. Nagler and Atlanta Tinnitus Consultants, LLC harmless with respect to any loss, injury, claim, liability, or damage arising from following the postings herein.