Q. Kindly see the MRI images, and tell me the reason for the sudden development of tinnitus.
Hello doctor,
I developed tinnitus all of a sudden last year. I am attaching the last year MRI (Magnetic Resonance Imaging) images for your evaluation. Of late, I have some muscle pull in my calves. I am waiting for your evaluation.
Hi, Welcome to icliniq.com.
I have analyzed your MRI images (attachment removed to protect patient identity). There are age-related minor changes in the scan. But nothing is alarming in the scan. The tinnitus which you have can be because of isolated eighth nerve or inner ear involvement.Do you have imbalance, vomiting or dizziness? Do you have any hearing difficulty? Has it ever happened before? Does it happen only in the evening and later? Or is it present all the time? Do you have any back pain? Please let me know the answers to all of the questions, so that we can discuss further. Regarding the muscle pull in the calves, I would like to know further.
Hello doctor,
Thanks for your reply. I do not have an imbalance, but in the initial months after tinnitus, I had mild dizziness while walking and sleep disturbances. Now I am fine, and do not have vomiting. Tinnitus emerged all of a sudden early morning soon after my exercise session. It is the sound of the insect cricket. Whenever I hear sounds like pressure cooker whistle, it increases and slows down after a while. Sometimes, It is very low volume as if it has gone. I have no hearing problems as such. However, the hearing test which was taken after tinnitus started showed a mild hearing loss at high frequency in the left ear. There is no hearing loss in the right ear. Regarding calf muscle problem, I get icy shooting sensation for a second or two in any place of the leg. It is on the front side leg bone, near the ankle, on upper foot near big toe sometimes at the sides of the calf muscle. Sometimes, I feel a pulling sensation in the calves during sleep. Moreover, I feel pressure at the back of my thigh just above the knee area when I sit for more than one hour. That is exactly the place where the back of my thighs touches the edge of the chair. I have no back pain. However, while I apply pressure like emptying bowels or while coughing, I feel mild pressure or pain just above my left eye below the left extreme of the forehead, but it goes immediately. I do not have headaches. When I bend forward, I feel the same pressure in the same area coupled with nose blockage. The sinus x-rays taken are clear.
Hello, Welcome back to icliniq.com.
Regarding the ringing sound (tinnitus) and hearing problem, I feel it is an early stage of a condition called as Meniere's disease. It is nothing serious, and it is just an imbalance of the electrolyte within the internal ear fluid. I suggest you try following the list of instructions, to prevent further deterioration. Distribute your food and fluid intake evenly throughout the day. Eat approximately the same amount of food at each meal and do not skip meals. If you eat snacks, have them at regular intervals. Avoid eating foods or fluids that have a high salt content. High salt intake results in fluctuations in the inner ear fluid pressure and may increase your symptoms. Aim for a diet high in fresh fruits, vegetables, whole grains, and low in canned, frozen, or processed foods. A 1,000 mg sodium intake diet is usually what we recommend. Drink adequate amounts of fluid daily. This should include water, milk, and low-sugar fruit juices. Try to anticipate fluid loss which will occur with exercise or heat, and replace these fluids before they are lost. Be cautious about the milk intake, as some individuals have food allergies and get symptoms from milk products. Avoid caffeine-containing fluids and foods such as coffee, tea, and chocolate. Caffeine has stimulant properties that may make your symptoms worse. Limit your alcohol intake to one glass of beer or wine each day. Avoid foods containing MSG (monosodium glutamate). This is often present in prepackaged food products. It may increase symptoms in some patients. Regarding tightness of calf and thigh muscles, that maybe the early nerve compression at the back. Please do spinal extention exercises twice daily. Eventually, these symptoms will improve. Regarding headaches in a particular area, as your brain scan is normal, you can ignore that set of symptoms. Nothing to worry about. If that pain is really causing disturbances in your daily life, then only you need to take medicines for that, otherwise not.
Hi doctor,
I do not know how to thank you. I seldom see a sincere doctor like you. I am a communication specialist and the way in which you evaluated my medical issues is par excellence. Your suggestions are quite appropriate and practical. My worry was any DAVF (Dural Arteriovenous fistulas) in the MRI (Magnetic Resonance Imaging) scan, but now it is ruled out. You indeed have a bright future, and your service is quite valuable to the community. May god give you success and prosperity. I remain grateful to you sir.
Hi, Welcome back to icliniq.com.
Thank you so much for your kind words.
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