1.How do you know you are experiencing a spike?
Trust me, you'll know. The sound of your tinnitus will be noticeably louder. Although, some minor fluctuations are normal for some members, especially towards the beginning. So it's better not to scrutinize your volume constantly. You'll know when you get a spike, bottom line.
2. Are spikes usually permanent or do they take a while to level down depending on the situation?
They are usually temporary. They can last hours minimum, days, or potentially even weeks. Permanent spikes can happen and it's hard to say for sure what makes something permanent. Generally speaking though, ear damage is accumulative. Avoid going to concerts, clubs, using power tools, riding motorcycles, etc without earplugs. (Or preferably at all) Don't use headphones.
3. Give an example of how you experienced a spike and how you handled it?
An example would be exposure to fire alarm. I always keep ear muffs in arm's reach, slip those on, and run out the door. In the aftermath, I spent more quality time with my life partner. Having people in your life who understand your condition and are supportive of it is very helpful, emotionally. Physically there's not much that can be done.
I don't know if to call the doctor or keep taking them? What do you think?
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