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Steve

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 #1 
Hello dear Dr Nagler,

Is it ok, in your opinion , to still use headsets on a low to moderate volume when you have tinnitus ?

I have to use headsets and work and use them occasionally for gaming as well, off course I Always make sure the volume is low. I use them for several hours/day sometimes, but I don't want to make my tinnitus worse in the long run.

Thanks for your opinion on this matter.
Dr. Nagler

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 #2 
Quote:
Originally Posted by Steve
Is it ok, in your opinion , to still use headsets on a low to moderate volume when you have tinnitus ?

Yes!

Stephen M. Nagler, M.D.

__________________

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

No bird ever soared in a calm. Adversity is what lifts us.
-
David McCullough quoting Wilbur Wright
Steve

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 #3 
Thanks for the reply,

The thing is, my tinnitus is significantly louder for more than a week now after using my headset for a couple of hours at low to moderate volume, with a couple of breaks in between.

I don't know how it is even possible, maybe it was too loud as I was watching action movies, maybe the sounds of the actual action in the movie was too loud ?

Maybe another factor to consider is the fact that I took Levitra a couple of hours prior so maybe my ears are more susceptible to damage after taking medication ?

I have tinnitus for 4 years and habituated to the point where it did not bother me and I did not even hear it 95% of the time , I felt cured so this new setback certainly is very unwelcome and I feel I have only myself to blame by using the headset for an extended period of time.

Usually my spikes after exposure 'noise' lasts about 3 to 4 days,not this time though.

I am trying to rule out anything I did differently in my routine, maybe it is because the e-liquid I am vaping since I stopped smoking ?

What are your toughts on this , will this be a temporary spike caused by anxiety ?
Dr. Nagler

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 #4 
Steve, tinnitus loudness is multifactorial. Boiled down to the simplest terms, how loud your tinnitus sounds to you at any given point in time is a factor of (1) the strength of the tinnitus signal from wherever in the auditory system it originates and (2) the manner in which the pathways within the brain process that signal on its way from its place of origin to the auditory cortex, the place in the brain where it is actually perceived. [You hear it in your ears, but you perceive it in your brain.] Now, in order to know whether or not your tinnitus is actually louder (i.e., whether there has been an increase in the strength of your tinnitus signal), you would have to undergo a tinnitus loudness match conducted by an audiologist under controlled conditions in an audiology booth, comparing that result with your tinnitus loudness match at an earlier point in time. And based upon what you have written above, my guess is that your loudness match today would be identical to what it was a couple of weeks ago. In other words, your tinnitus sounds louder, but it really isn't.

As to whether the increase in how loud your tinnitus sounds to you is temporary or permanent, likely it is temporary ... because likely your tinnitus loudness match has not changed at all.

As I see it, anyway.

All the best -

Stephen M. Nagler, M.D.
http://www.atlantatinnitus.com

__________________

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

No bird ever soared in a calm. Adversity is what lifts us.
-
David McCullough quoting Wilbur Wright
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