My Life Changed After a Panic Attack from Researching Surgery for Eye Floaters — Tinnitus Now Much Worse

MrRing

Member
Author
Jan 23, 2025
2
Tinnitus Since
12/2024
Cause of Tinnitus
Stress
Good Afternoon,

My name is Kenneth.

I do not usually join forums, but I wanted to document where I am for myself and, hopefully, for others going through similar circumstances. I am looking for positivity, but you do not need to sugarcoat anything. I only ask that you please avoid sharing horror stories, as I have already read too many of them.

This journey began on December 28th, just after Christmas. I am 30 years old and live on the East Coast of Canada.

Recently, I developed eye floaters, which have been very distressing, especially after a dismissive optometrist appointment earlier in the month. In my frustration, I began researching surgery for floaters. While doing so, I had a sudden panic attack. Almost at the same time, the tinnitus I have had for years, which I used to only hear in quiet places like the bathroom with the door closed or during power outages, suddenly became much louder as if a switch had been flipped.

I panicked, and that marked the beginning of the past three or so weeks.

Since then, I have read countless posts, treatments, success stories, and setbacks. Unfortunately, this has driven me deeper into despair rather than providing the relief I was hoping for.

My tinnitus has two distinct tones. One is a steady tone that is probably in the 8000 to 9000 Hz range. The other is a pulsing tone that sounds like Morse code, though it is not related to my heart rate, and it is around 12000 Hz.

There is more to the timeline, as I have involved a few doctors and had some better moments amidst the terror. However, I will stop here for now, as this is just an introduction. I will share more details about my experience and what I have been through in a future post.

One thing that has helped me is using an AI chat tool to log my thoughts and calm me during moments of extreme panic. To clarify, the timeline I mentioned is based on those logs. I am not sure if referencing the AI tool is allowed here, but I thought I would mention it in case it helps others understand where I am.
# Initial Period (November-December 2023)
- Developed anxiety about eye floaters
- Using blow dryer for warmth (10-20 min sessions, multiple times daily)
- Underlying depression present
- Frequent blow dryer use near face noted

# December 2023
## December 28
- Reading about eye surgery
- Experienced panic attack
- Sudden tinnitus onset during panic

## December 29
- Contacted online doctor
- Started Lexapro at midnight

## December 30
- Experienced brief relief after 2-hour rest (~2 minutes duration)
- Started Trazodone for sleep at end of day
- Sleep problems becoming evident

## December 31
- Insomnia (awake ~20 hours)
- Brief manic-like relief period (possible medication side effect trazadome)
- Woke after 4 hours with severe panic and increased tinnitus

# January 2024
## January 1-3
- Continued Lexapro
- Significant anxiety
- Increased distress from online research

## January 4
- Urgent Care visit
- Diagnosed with possible mild left ear infection
- Switched from Lexapro to Sertraline
- Started Amoxicillin and Avamys nasal spray
- Brief emotional relief after shower/sleep

## January 5
- Continued antibiotics
- Using TV shows at low volume
- Noticed tinnitus matching environmental sound volumes

## January 6
- 3:00 AM - Woke up
- 9:24 AM - Reported intense tinnitus
- Doctor appointment: prescribed clonazepam 0.25mg
- No signs of infection or wax found
- 7:00 PM - Shower, shave, first clonazepam
- 8:00 PM-11:00 PM - First sleep period (poor quality)
- 11:00 PM-2:00 AM - Second sleep period (poor quality)
- Additional hour of sleep

## January 7
- Woke 3-4 AM
- Stayed in bed most of morning
- Multiple panic attacks, heart palpitations
- Dental appointment: confirmed jaw clicks
- Calmer during dental cleaning
- Third Sertraline tablet at 4:56 PM

## January 8
- Multiple episodes of disrupted sleep
- Night sweats and panic upon waking
- Digestive issues (possibly medication-related)

## January 9
- Doctor appointment at 10:15 AM
- Discussed inpatient care possibility
- Experiencing suicidal thoughts
- Blood work: TSH levels normal
- Switched from Clonazepam to Lorazepam

## January 10
- Morning: Spoke with PCP
- Declined mental health commitment
- Maximum tinnitus intensity
- Physical activity: increased symptoms
- Evening: Social dinner at restaurant with friend to try and get out. Stressful.

## January 11
- Sleep pattern: Woke around 11 AM after taking Lorazepam at 5 AM
- Initially manageable tinnitus levels
- Possible early habituation signs
- Completed functional tasks
- Found quiet room with low TV volume more manageable than fan noise

## January 12-13
- Progress markers noted
- Baseline 4-5/10 in quiet environments
- Shift from panic to annoyance/frustration
- January 13: Relatively mild day (4-5/10 intensity)
- Evening spike to 7/10 after shower

## January 16
- PCP appointment
- Received referrals for CT scan and ENT
- Prescribed sleep medication
- Lorazepam dose unchanged
- 6:25 PM: Sudden spike to 10/10, quickly reduced to 5-6

## January 19
- Started increased Sertraline dose (50mg from 25mg)
- Experiencing medication uncertainty due to nothing working.
- Difficulty with focus and daily activities

## January 22
- Morning: Sudden muffled hearing in right ear
- Ear pressure sensation
- Changed tinnitus tone noted
- Increased anxiety about symptoms has another major depressive episode with catastrophic thoughts.
## January 23
- Audiologist appointment
- Results: No hearing loss, good hearing
- No middle ear issues
- Normal pressure tests
- Recommendation: Stress reduction, consider TRT but not during acute stage might be fine to just do sound therapy discuss after ENT and CT.
# Current Medications (as of most recent update)
- Sertraline (50mg)
- Lorazepam (as needed)
- Avamys nasal spray (reduced to once daily) also zopliclone but scared to take.
# Notable Patterns
- Brief relief periods during:
- Dental visits
- Showers
- Car driving with window down
- After waking
- Tinnitus reactive to different environments
- Strong connection between anxiety levels and tinnitus perception
- Sleep appears to help reset to more manageable state
- Tinnitus often layered over environmental sounds

# Upcoming Appointments
- January 28: Therapy at 3 PM
- February 3: Routine ultrasound
- February 24: PCP follow-up at 9:45 AM
- February 26: Pharmacy appointment at 4:30 PM
I realize this is a lot of information, maybe too much. I just want to be thorough so you all understand what I am going through. In the attached chart, my baseline is around a 6 at all times. Only showers and certain high-pitched noises cover it up. Before the panic attack, it was always at a 1 or a 2. I would notice it, but only in quiet situations like when the power was out.

I have had moments where it drops to a 4 or 5, possibly even lower when I first wake up in the morning.

I have struggled with a lot of guilt, wondering if I caused this myself. I used a blow dryer frequently to keep warm, and I worried that it might have been the cause. However, I clearly remember it becoming louder during the panic attack, almost like I lost my lifelong ability to ignore it.

I just feel so guilty and depressed. It has been hard on my fiancée, and she gets frustrated when I tell her I am really struggling and start to shut down.

The only relief I have found is through distractions like phone games and sleep. I need something to take my mind off it.

Today, I had an audiologist appointment. She was very kind and supportive. She told me that even though tinnitus is all in my head, it is not something I am making up. It is real, and people do not understand how distracting it can be. She also said I have excellent hearing with no issues at all, and my ear pressure is perfect.

She gave me another, faster ENT referral just to ensure my sinuses are fine. She also advised against considering TRT, the therapy they offer at her clinic, at this stage. She said it is too early for that and suggested that sound apps and sound therapy might be just as effective in my case for now.

Thank you for reading. I hope I can find some peace again.
 

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