Q. I have tinnitus in my right ear for a few years. Please help.
Hello doctor,
I am a 33-year-old female. I have tinnitus for a few years in my right ear. Please help.
Hello,
Welcome to icliniq.com.
There are a variety of things we need to discuss. Firstly, I would advice you to get a hearing test (pure tone audiometry) done so that we understand if this tinnitus is associated with hearing loss.
What is the nature of tinnitus? Is it continuous with the heart beat, or occasional, or during stressful times? Do you suffer from any other diseases? Are you taking any medications?
The Probable causes:
Anxiety , hearing loss, migraine, eustachian tube dysfunction.
Investigations to be done:Pure tone audiometry.
Differential diagnosis:Anxiety, hearing loss, migraine, eustachian tube dysfunction.
Probable diagnosis:Hearing loss (early-onset). Anxiety issues. Eustachian tube dysfunction. Migraine.
Treatment plan:Depends on the cause.
Preventive measures:Meditation. Breathing exercises. Avoid loud noises.
Regarding follow up:Kindly answer the questions asked so we can proceed further.
Thank you doctor,
I suffer from anemia, mainly due to a fibroid issue. Other than that, I have no other health issues. I have had an MRI and CT scan. They only showed an enlarged jugular bulb but did not get a follow-up appointment with a doctor. The tinnitus sound is like the wind. I am guessing it is blood rushing as I can hear my heartbeat.
Hello,
Welcome back to icliniq.com.
Yes, anemia can be a reason too. I would advice you to have diet rich in iron (beetroots, kale, spinach). An enlarged jugular bulb is not a cause of worry unless there is something abnormal arising from it. I could have a look at the reports for advice.
Also, is the tinnitus occasional or continuous? If occasional, and with activity, it is completely normal. If continous, please get a hearing test done.
The Probable causes:
Anxiety, migraine, hearing loss, anemia.
Investigations to be done:Pure tone audiometry.
Differential diagnosis:Anxiety, migraine, hearing loss, anemia.
Probable diagnosis:Anxiety, migraine, hearing loss, anemia.
Treatment plan:Hematinics to increase hemoglobin. N-acetyl cysteine (antioxidant). Becadexamin (B-complex) for nerve.
Preventive measures:Avoid loud noises.
Regarding follow up:Follow up after five days.
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