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HomeAnswersOtolaryngology (E.N.T)tinnitusHow to help and treat my long-term tinnitus?

I have tinnitus in my right ear for a few years. Please help.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Asiya Zaidi

Medically reviewed by

Dr. Vinodhini J.

Published At February 5, 2021
Reviewed AtAugust 24, 2023

Patient's Query

Hello doctor,

I am a 33-year-old female. I have tinnitus for a few years in my right ear. Please help.

Answered by Dr. Asiya Zaidi

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.

Patient's Query

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.

Answered by Dr. Asiya Zaidi

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Asiya Zaidi
Dr. Asiya Zaidi

Otolaryngology (E.N.T)

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