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

MrRing

Member
Author
Jan 23, 2025
22
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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Try taking 400 mg of Magnesium Oxide twice a day, along with vitamin B12. I prefer Klonopin over Lorazepam. The anxiety and panic attacks are likely worsening your tinnitus. Once you address those issues and improve your sleep, things should start to get better.

Additionally, drink chamomile tea during the day and at night to help calm you. Remember, tinnitus cannot harm you. Meditation is important—consider using a meditation app that suits your needs.

Avoid taking Ambien or Melatonin, as they do not promote natural sleep. Instead, consider asking for Remeron rather than Trazodone.
 
Okay, I'll look into Magnesium. I'm just scared of making things worse. I already take a multivitamin. I wish I knew why my tinnitus gets worse throughout the day.

Sometimes I wake up and can't even tell it's there, but as the day goes on, I start noticing it. Within 10 to 30 minutes, it gets louder and drives me insane.

I haven't been taking Trazodone lately, and I've been trying to manage without Lorazepam. The Klonopin I tried didn't seem to help much with my anxiety—it's a really low dose, just 0.25mg. I'm not even sure if the Lorazepam helps; I don't feel much of anything when I take it.

I wish I could hold onto the calm feeling I have when I wake up and carry it with me throughout the day. Instead, the tinnitus starts screeching louder as time goes on.

Do you think using a sound therapy app could make things worse? I've tried some, but I found a lot of the sounds to be just as annoying as the tinnitus itself, if not more uncomfortable.

I just got my hearing test results emailed to me:

1000000213.jpg
 
Today was interesting. I managed to "play keep-away" with the tinnitus for a good portion of the day by constantly focusing on other things. Unfortunately, it came back in full force about an hour or two ago.

I feel a bit sad that I was able to distract myself from it for a few hours but can't seem to make it go away now. It's almost like the tinnitus is always on the verge of returning unless I immediately shift my focus.

What's strange is that it seems to reset after I sleep. I don't understand it at all, and it's really confusing and frustrating.

On one hand, I'm grateful for the moments of relief during the day. On the other hand, I'm exhausted from having to keep busy all day long, unable to truly relax. I keep wondering if it's something I did to trigger it. I've been so consumed by this for almost a month now, and it's wearing me out.

To be fair, I wasn't able to "play keep-away" with the tinnitus just four days ago, so this feels like a new development. Maybe it's a sign that things are improving, though it also feels like one step forward and two steps back.

Hopefully, tomorrow will be a good day.
 
It's not going well so far. I woke up with an intense spike after trying some masking sounds to help me sleep—biggest regret. I even played them at a very low volume, but I still woke up with my tinnitus at a 7 out of 10. I only managed to sleep for 4 or 5 hours. I really don't understand what's going on.
 
Welcome to the forum. Your tinnitus is still relatively new, so it is unstable and may bring many symptoms and setbacks. This can be frightening for a new sufferer and cause worry about the future. Right now, your limbic nervous system is activated, putting you in a fight-or-flight mode, which can make your tinnitus sound louder and more severe.

I went through those nightmarish early days of tinnitus, along with severe hyperacusis, when panic attacks overwhelmed me daily. I truly empathize with what you're experiencing. Back then, I never thought I would recover, but today, I live a normal and enjoyable life. I often travel on cruises, go fishing, and spend time gardening.

So, never say never. I've shared my success story, "From Darkness to Light…", along with some helpful strategies. Please check it out—you may find them beneficial.

Take good care, and God bless.
 
Welcome to the forum. Your tinnitus is still relatively new, so it is unstable and may bring many symptoms and setbacks. This can be frightening for a new sufferer and cause worry about the future. Right now, your limbic nervous system is activated, putting you in a fight-or-flight mode, which can make your tinnitus sound louder and more severe.

I went through those nightmarish early days of tinnitus, along with severe hyperacusis, when panic attacks overwhelmed me daily. I truly empathize with what you're experiencing. Back then, I never thought I would recover, but today, I live a normal and enjoyable life. I often travel on cruises, go fishing, and spend time gardening.

So, never say never. I've shared my success story, "From Darkness to Light…", along with some helpful strategies. Please check it out—you may find them beneficial.

Take good care, and God bless.
I really appreciate it. It's definitely early, but it's so disheartening when setbacks happen. I'll check out your post—thank you for reaching out.

Tonight has been rough. I've only gotten about four hours of sleep. I had to take a Tylenol for a migraine, and it's been hard to keep food down. Starting sertraline has helped me feel a little calmer, but I'm still struggling with feeling really depressed about all of this. I'm scared of making things worse, and treatment feels so far away.

Sorry for the rant—I'm just going through a tough time right now. Thanks again for reaching out.
 
It seems that much of your suffering right now is mental, which is definitely impacting you physically, such as by causing trouble sleeping. My success story includes helpful strategies for addressing the mental challenges of living with tinnitus. I hope you'll find something useful in it.
 
It seems that much of your suffering right now is mental, which is definitely impacting you physically, such as by causing trouble sleeping. My success story includes helpful strategies for addressing the mental challenges of living with tinnitus. I hope you'll find something useful in it.
Thank you. I slept with Zopiclone last night and woke up to much less noise. I'm still anxious that it will come back. The ringing distorts other sounds today, but I don't mind too much—I can get used to this for now.

I think the noise reduction from getting good sleep is accumulative, but who knows. Maybe a few nice nights in a row, and I'll be in a better place.

My main concern is becoming dependent on something like zopiclone, but so far, I'm being very careful with the benzodiazepine prescriptions.

Thanks again! I hope you're having a good day.
 
I didn't take anything last night, and now I'm having a horrible spike. I'm starting to doubt myself and overthink everything. Thoughts like this is permanent or I caused this myself by not taking sleep medication keep running through my head. I avoided it because I was afraid of becoming dependent, but now I'm questioning my decision.

I'm also having doubts about Sertraline. I've been on it for a few weeks now, and while my tinnitus started before I began taking it, I can't shake the anxiety after everything I've read. This morning has been especially rough; I had barely any sleep, and it's been miserable.

Zopiclone isn't an option every night, and I need something else to help me sleep. The same goes for Lorazepam.

This spike is brutal. I don't know what to do to make it stop. It's a new tone, and it's so loud that it feels like it's filling my head with pressure.

I'm trying to stay calm and push through without tensing up, but that hasn't been sustainable so far.

I'm really struggling with this. I thought I was getting used to it, but I guess I was just getting used to being able to sleep despite this awful condition.
 
This spike is brutal. I don't know what to do to make it stop. It's a new tone, and it's so loud that it feels like it's filling my head with pressure.

I'm trying to stay calm and push through without tensing up, but that hasn't been sustainable so far.
Sorry about your spike. Setbacks are very common with new tinnitus, especially when you're still feeling a lot of stress about it. Try to stay as calm as you can because too much anxiety will cause your limbic system to treat the ringing as a serious threat. This can activate the fight-or-flight response, making your brain amplify the ringing to alert you to what it perceives as danger.

Try masking it with sounds that help you relax. Before I habituated, I carried an iPod with me and played high-pitched nature sounds to mask the loud ringing whenever I needed to. It helped to know I had something to counteract the noise.

You might also find calming supplements like chamomile tea or lemon balm helpful. If needed, sublingual Ativan can take the sharp edge off anxiety, but it should only be used temporarily.

I hope your spike settles back to baseline, which often happens. Best wishes, and may your recovery go well.
 
Sorry about your spike. Setbacks are very common with new tinnitus, especially when you're still feeling a lot of stress about it. Try to stay as calm as you can because too much anxiety will cause your limbic system to treat the ringing as a serious threat. This can activate the fight-or-flight response, making your brain amplify the ringing to alert you to what it perceives as danger.

Try masking it with sounds that help you relax. Before I habituated, I carried an iPod with me and played high-pitched nature sounds to mask the loud ringing whenever I needed to. It helped to know I had something to counteract the noise.

You might also find calming supplements like chamomile tea or lemon balm helpful. If needed, sublingual Ativan can take the sharp edge off anxiety, but it should only be used temporarily.

I hope your spike settles back to baseline, which often happens. Best wishes, and may your recovery go well.
Thanks for the reply.

I have actually been thinking about trying magnesium. It has been suggested a few times around the web. I do not think I would enjoy tea too much. I am a staunch Tetley Bold kind of guy, haha. I have never heard of lemon balm, but I will look into it.

Things have still been changing quite a bit. It has been about one month and ten days since this all started.

I have become less emotional about it, but I still do not have much, if any, control over it. One day I woke up and barely noticed it for a few hours while I was running errands. Then it came back, or my brain focused on the noise, and it got amplified. I do not really know the exact mechanism. I have tried constant distraction, but it was not sustainable. I have stopped trying to actively intervene, and now I just tolerate it when my mind fixates on it.

At this point, I am just trying to deal with the issue where the noise becomes so loud and dominant in my mind that I have trouble focusing on what my fiancee is saying. I feel bad when I am sitting there overwhelmed, but there is not much I can do. Sometimes it feels like the noise distorts her voice, though I am not sure if that is the right way to describe it. It just makes it harder to process auditory information, especially since I already have attention issues.

I have been doing better, though. I am trying to feign some positivity for my fiancee's sake. We just celebrated our ten year anniversary a couple of days ago, so I need to keep going for her. We went out to a nice dinner together.

At first, I did not think it would be possible, but it is getting easier to deal with. I am not happy about it. It still annoys me. But I am not crying over it anymore, which I guess is a step in the right direction. I will attribute some of that to the Sertraline (Zoloft) and Lorazepam when I feel overwhelmed, plus Zopiclone for sleep. But I have been able to sleep without it, so I am trying to stay off it if I can.

I want to get back to using my computer, but I am struggling with motivation. It sucks because I do not have much left to distract me on my phone, and doom scrolling is not a good tinnitus distraction.

I am having an end of night spike right now, but today was an okay day, maybe a five instead of a seven.

Right now, it is a seven.

Hopefully, in a few more weeks, I will be able to consistently do things instead of only rarely. Maybe it will settle at a four or something, and I can reclaim my life. I am still in the acute stage, so only time will tell. Trying to stay positive. Hopefully, not too many setbacks.
 

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