Dr. Nagler's Tinnitus Corner
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brianpembrook

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 #1 
Dr. Nagler,
Thank you very much for this forum.  I have had tinnitus for approx. 15 years, after being in construction for 23 years and also playing the drums as a child.  Never really bothered me.  Always knew it was there and from time to time would look online to see if there were any "cures" on the horizon.  Two weeks ago, I had my first spike (probably doubled or tripled) four days after we were awarded a large electrical contract from our best customer that has a tight time frame to get done.  I know that I'm very, very stressed and tense.  I also have neck pain associated with stress and am working with a chiropractor.  My mother has ALZ and is near her life's end and dealing with my father is very difficult.  My sister was just diagnosed with thyroid cancer.  However, I really believe the majority of the problem is work related.  My wife also thinks I have hearing loss, so I had a hearing test done by an audiologist who had very primitive equipment.  He said I had mild to moderate high frequency hearing loss.  Thats all he said.  I'm scheduling another test with a large practice on Monday in Albany, NY.  I'm also looking into therapy on coping with these issues.  I'm extremely healthy (ideal height and weight and blood work done recently was perfect).  I guess my main question is in your experience, will the tinnitus back off when the work stress is resolved?  (job completed)  Thank you.  Brian Pembrook
Dr. Nagler

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 #2 
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Originally Posted by brianpembrook
I guess my main question is in your experience, will the tinnitus back off when the work stress is resolved?

Hi Brian. I really wish I knew the answer to that question for sure. I mean, in principle you would think that an exacerbation due exclusively to stress would settle back down when the stress is resolved, and indeed that is often the case. But tinnitus loudness is often multifactorial - even when stress is at the root of it - so it's really hard to predict in any given case.

I am pleased to hear that you are having an audiological evaluation. Hopefully your audiologist will have a good bit of experience in tinnitus. That would certainly be helpful.

I fear that I have not provided any useful information, but anybody who claims to be able to predict what tinnitus will do from one day the next is either clairvoyant or delusional. I am neither - just a guy giving this my very best shot.

I wish you well with it.

Dr. Stephen Nagler
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

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

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 #3 
Do you recommend Xanax as a short term remedy for tinnitus. I was prescribed .25mg twice a day, and I have to say, it does help. Any thoughts or past experiences would be helpful. Thanks.
Dr. Nagler

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Originally Posted by Brian
Do you recommend Xanax as a short term remedy for tinnitus. I was prescribed .25mg twice a day, and I have to say, it does help. Any thoughts or past experiences would be helpful.

In tinnitus Xanax is really a two-edged sword. The drug is a benzodiazepine generally felt to be effective in reducing anxiety, and it is one of the more commonly prescribed drugs in tinnitus. On the other hand it can be habit-forming and has the theoretical potential to inhibit habituation. So, as with many medication-related issues, the answer is not straightforward. I wish I could be more helpful in that regard, but it's just not a "one size fits all" situation.

Dr. Stephen Nagler

__________________

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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