LuisGustavo
Member
Registered:1549836392 Posts: 4
Posted 1551558238
#1
Hi Dr. Nagler: I hope you are doing very well. I'm very quiet study man and I never went to parties with loud song. On January 2018, I went to birthday with so much loud music...then, on next day, my tinnitus started on my left ear. After 6 months, I accustomed with tinnitus and my life was come back. After 7 months, since January 2019, I've had ear pain like hyperacusis...day by day. I don't know why hyperacusis has started. I have mild hearing loss on both ears but I only have tinnitus in left ear; but hyperacusis is on both ear. I never have infections on my ear. My 3 short questions are: 1) how I can relieve my daily ear pain? 2) Is there some treatment for hyperacusis? Is it possible to cure myself from hyperacusis? Thank you so much for your attention!!! Luis Gustavo
Dr. Nagler
Owner
Registered:1436892834 Posts: 1,761
Posted 1551566038
#2
Luis, you describe yourself as a "very quiet study man." You also say that since January you have had ear pain "day by day." Please tell me if you have the pain even when you are in relatively quiet areas. Thank you. Stephen M. Nagler, M.D.
__________________The best way to find yourself is to lose yourself in the service of others. - Mahatma GandhiNo bird ever soared in a calm. Adversity is what lifts us. - David McCullough quoting Wilbur Wright
LuisGustavo
Member
Registered:1549836392 Posts: 4
Posted 1551713088
#3
Hi Dr. Nagler: I hope you are doing very well. Thank for answering me. Sometimes, I've had ear pain even when I am in relatively quiet areas...sometimes no. When I sleep, I put pink noise during night and I don't have ear pain. When I wake up, I turn on TV for listening news...sometimes after 10 minutes, I have ear pain...sometimes I don't have. For example, sometimes bus motor is very loud to me...sometimes, it isn't.
Dr. Nagler
Owner
Registered:1436892834 Posts: 1,761
Posted 1551717559
#4
Quote:
Hi Dr. Nagler: I hope you are doing very well. Thank for answering me. Sometimes, I've had ear pain even when I am in relatively quiet areas...sometimes no. When I sleep, I put pink noise during night and I don't have ear pain. When I wake up, I turn on TV for listening news...sometimes after 10 minutes, I have ear pain...sometimes I don't have. For example, sometimes bus motor is very loud to me...sometimes, it isn't.
Luis, hyperacusis is a condition wherein sounds that are well-tolerated by others sound uncomfortably loud. In extreme cases the sounds that are well-tolerated by others can actually cause pain at the time of exposure and possibly for a few minutes thereafter. Since you describe pain that can occur even in relatively quiet areas, I do not believe that your ear pain is due to hyperacusis. My suggestion would be for you to arrange for a thorough ENT evaluation so that your condition can be properly diagnosed. All the best with it - Stephen M. Nagler, M.D.
__________________The best way to find yourself is to lose yourself in the service of others. - Mahatma GandhiNo bird ever soared in a calm. Adversity is what lifts us. - David McCullough quoting Wilbur Wright
LuisGustavo
Member
Registered:1549836392 Posts: 4
Posted 1552133348
#5
Hi Dr. Nagler: I hope you are doing very well. Thank you for answering me. I went to ENT and I already had all the exams, including computed tomography and magnetic resonance. I don't have any tumor or infection. When I said my ear pain that can occur even in relatively quiet areas, I would say the follow example: last night, I taught law class on university. After 3 hours, I went to my house with some pain. During the night (at my house where a quiet area), my ear pain has increased for all night (from 1am until 9am). After I woke up, my ear pain was still increased when I was at my living room (another quite area in my house). On 9am, while I took my breakfast at my kitchen (another quit area), my ear pain decrease a little bit. Please, I ask you: 1) Would not this situation seem with hyperacusis? 2) My Ent has prescribed betahistine for 2 months. He told me if betahistine won't work, another way is take selective serotonin reuptake inhibitors (SSRIS) because it can work to reduce sensitivity of my ears (but I don't have depression). Have you known if SSRIS can work and treatment ear pain from hyperacusis? I would like to relieve my ear pain because I have had ear pain for 2 months...every day! Again, thank you so much for your attention and for the opportunity to learn with you!!! Have a nice Saturday! Luis Gustavo
Dr. Nagler
Owner
Registered:1436892834 Posts: 1,761
Posted 1552240062
#6
Luis, to the best of my knowledge SSRIs do not help with ear pain from hyperacusis - or from any other cause for that matter. Stephen M. Nagler, M.D.
__________________The best way to find yourself is to lose yourself in the service of others. - Mahatma GandhiNo bird ever soared in a calm. Adversity is what lifts us. - David McCullough quoting Wilbur Wright