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Questions About White Noise, GP's and Initial Treatment Options

Strange_Brew

Member
Author
Jan 25, 2018
7
Tinnitus Since
01/2018
Cause of Tinnitus
Loud noise
Hi,
I am new to these forums I briefly described my tinnitus back story in another post I wrote earlier (https://www.tinnitustalk.com/threads/hello-and-thank-you.26534/).

I am suffering from consistent ringing in my left ear predominantly and I feel I have increased sensitivity to sound (hyperacusis). It is difficult to know where to begin but I'm just looking for some direction in terms of management and treatment.

From the information I have garnered from these forums my approach for the last couple of days has been to protect myself from any potential harmful noise levels that may incur more damage to my poor ears. That has meant me staying in my apartment which is unfortunately located fairly centrally in a highly urbanised area. I have ordered both earmuffs and earplugs online and they should arrive in a couple of days. Until then I will protect my ears from more damage by not going outside where there are potentially harmful noise sources I have no control over.

Which brings me to my next issue, how do people balance between protecting their ears from harmful levels of noise without increasing their hyperacusis? From reading posts on these forums I am fully aware of the danger of overprotection which increasing your sensitivity to noise which poses problems in itself. So to counteract this I have been playing videos on YouTube of rainfall and waves at low levels as background noise. I have also attempted to do this at night while sleeping because I read that it can be bad to lie awake in a quiet room as this allows your brain to focus more on the ring.

The problem is that when I play these videos it seems to increase the volume of ringing by a good deal. I try to place the volume of the video to be just below the volume of ringing but it seems my ringing just gets louder. Is this a bad thing? What does it mean? Does an increase in ringing indicate damage to the ears? Or does it mean that the brain is playing tricks and just increasing the volume?

Because of this increased ringing, last night I did not play any sound during the night while going to sleep. But by not having any background noise is it potentially increasing my chances of exacerbating my hyperacusis?

It must be noted that I am using my phone to play these videos. Would I get better results if I used a white noise generator to create background sounds as opposed to using my phone?

I also have a few other random questions but just to be concise and to avoid waffling (as I tend to do :) ) I'll just list them out.

1) I'm going to a GP tomorrow, what questions should I ask what tests should I expect to indicate that the GP is competent with tinnitus.

2) because I am in the initial acute stage of tinnitus I've read here that it is useful to get steroid treatment (predinisone) and possibly HBOT sessions. I can get access to a hyperbaric chambers and I would definitely use them if it would improve my chances of healing. Is it recommended to do these treatments? And should i ask the GP about it tomorrow or should I just wait to see an ENT first? By waiting however I lose valuable time and from what I've read the earlier I use these treatments the better!

Sorry a lot of questions fired out there and I have loads more but that's enough for now. I'll continue to scour these forums for more answers and advice. There is so much to learn here!!!


Cheers,
Mike
 
Hi Mike,
I go by if I need to shout to be heard or the sound makes my ears uncomfortable then its time to plug my ears.
Try white or pink noise at night or relaxing music or sleeping music.
Best played on free standing units of pillow speakers and not headphones or earphones for sleeping.
Make sure your bedroom is dark and not thinking of things about the next day and jot them down on paper if needed.
Let us know how you go on.
Love glynis
 
2) because I am in the initial acute stage of tinnitus I've read here that it is useful to get steroid treatment (predinisone) and possibly HBOT sessions. I can get access to a hyperbaric chambers and I would definitely use them if it would improve my chances of healing. Is it recommended to do these treatments? And should i ask the GP about it tomorrow or should I just wait to see an ENT first? By waiting however I lose valuable time and from what I've read the earlier I use these treatments the better!

@Strange_Brew

Hi Mike,

You are in the early stages of tinnitus and in particular noise induced tinnitus. Therefore, the best treatment at this stage is to do nothing. I advise you not to take prednisone or pursue any HBOT treatment. They are absolutely not necessary in my opinion. The most I advise you to do if you are feeling stressed, is try an antidepressant. Please do not start using earplugs, earmuffs or headphones. Use stand-free units to supply sound as Glynis has recommended. I also advise you to use a sound machine by your bedside at night.

Please click on the links below and read my posts and article on tinnitus.
All the best
Michael

https://www.tinnitustalk.com/threads/new-to-tinnitus-what-to-do.12558/

https://www.tinnitustalk.com/threads/tinnitus-a-personal-view.18668/

https://www.tinnitustalk.com/threads/hyperacusis-as-i-see-it.19174/

https://www.tinnitustalk.com/threads/is-positivity-important.23150/

https://www.tinnitustalk.com/threads/tinnitus-and-the-negative-mindset.23705/

https://www.tinnitustalk.com/threads/acquiring-a-positive-mindset.23969/
 
Hi Mike,
I go by if I need to shout to be heard or the sound makes my ears uncomfortable then its time to plug my ears.
Try white or pink noise at night or relaxing music or sleeping music.
Best played on free standing units of pillow speakers and not headphones or earphones for sleeping.
Make sure your bedroom is dark and not thinking of things about the next day and jot them down on paper if needed.
Let us know how you go on.
Love glynis

Hi Glynis

Thanks for the info. With regards the plugs, it's difficult for me because as soon as I walk out the apartment door I'm confronted with heavy traffic. There's no telling when the next ambulance, motor bike or bus that drives over the loose man-hole outside my apartment (that makes a gigantic bang when driven over) is going to happen. And it seems from my short experience, abrupt sharply loud noises can not only damage your ears but make the tinnitus ringing louder for the short or the long term. Not good! :(

I never heard of pink noise but I am listening to it now on youtube (through laptop speakers). But it seems my tinnitus ringing reacts the same way to the pink noise as it does to the other consistent ambiguous noise (rain, waves, extractor fans) rather than masking the ringing, the ringing actually increases in volume! This is what prompted me last night to turn the audio off and sleep in silence instead. I intuitively feel that increased ringing noise is bad. Does this happen to anyone else?

My girlfriend was asking me what's the difference between youtube videos of rain for example being played on a laptop over a more specialised stand alone unit such as a white noise generator (https://www.amazon.com/Sound-Oasis-S-5000-Deluxe-Therapy/dp/B018KUVEOM/?tag=tinntalk-20) I myself didn't have the answer to that one, would you know what the difference/advantage is to justify dropping a few hundred dollars?

Luckily my initial anxiety has subsided since the first few nights with tinnitus and I can sleep okay even when the room is silent and ringing is clear. Now rather than worry I am just more motivated to do the best I can to get better in whatever form that may take (habituation or cure). I have been lucky enough in this instance to have previous health issues that has given me a certain outlook on life that I feel has saved a good deal of anxiety and heart ache for me. I'm very thankful for that! :)
 
White noise generators are best supported with CBT or TRT to help your mind and ears cope better.
You can try lavender on your pillow as the sense of smell is a good distraction for tinnitus and relax you at the same time.
Love glynis
 
@Strange_Brew

Hi Mike,

You are in the early stages of tinnitus and in particular noise induced tinnitus. Therefore, the best treatment at this stage is to do nothing. I advise you not to take prednisone or pursue any HBOT treatment. They are absolutely not necessary in my opinion. The most I advise you to do if you are feeling stressed, is try an antidepressant. Please do not start using earplugs, earmuffs or headphones. Use stand-free units to supply sound as Glynis has recommended. I also advise you to use a sound machine by your bedside at night.

Please click on the links below and read my posts and article on tinnitus.
All the best
Michael

https://www.tinnitustalk.com/threads/new-to-tinnitus-what-to-do.12558/

https://www.tinnitustalk.com/threads/tinnitus-a-personal-view.18668/

https://www.tinnitustalk.com/threads/hyperacusis-as-i-see-it.19174/

https://www.tinnitustalk.com/threads/is-positivity-important.23150/

https://www.tinnitustalk.com/threads/tinnitus-and-the-negative-mindset.23705/

https://www.tinnitustalk.com/threads/acquiring-a-positive-mindset.23969/


Hi Michael,

Thanks for the reply! You advise you not to take prednisone or pursue any HBOT treatment? is that because they are not effective? or that they might be dangerous? I don't know, I just seen some people say good things about here and there is a little bit of research out there supporting it. It is expensive but i'd do anything help my ears improve!


You also recommend not using ear protection? As I explained in response to Glynis, I live in a very noisy environment. If it's true that loud noises (over 85db) can damage ears and it might be the case that noises even lower than 85db can hurt our already 'injured' ears. Wouldn't it be prudent to use ear protection at least sparingly in such noisy environs at the initial stages of recovery from noise induced ear trauma?


Now I read that you advise taking regular walks outside to help combat the Hyperacusis and I'm definitely going to follow that one. I'm luck enough to live near the sea so walks on the beach are definitely on the cards. But unfortunately I need to get through the sirens and trucks to get there! :)


Thanks for the links, I've read some of them already but Ill be sure to read the ones I haven't. Your essays have given me valuable information already. Thanks!

Mike
 
Thanks for the reply! You advise you not to take prednisone or pursue any HBOT treatment? is that because they are not effective? or that they might be dangerous? I don't know, I just seen some people say good things about here and there is a little bit of research out there supporting it. It is expensive but i'd do anything help my ears improve!

Hi @Strange_Brew

I am going to tell you some truths about tinnitus especially when it's caused by loud noise exposure. Try and relax and don't push yourself too hard. Please follow the advice in the links that I have given you. They are based on many years of experience and there are many people in this forum that can help you too. There are some people here that advocate the use of earplugs and earmuffs and believe they should be worn at almost every opportunity and this will not help you. In fact it can make your condition worse. Hearing protection has its place but it must be used properly. More information about this is in my post: Hyperacusis, As I see it.

Please do not try any treatment at this time for you are in the early stages of tinnitus. A lot can happen within the next 6 months to a year. Your tinnitus could reduce to a low level and you habituate to it quite comfortably. So try not to stress yourself out and just take it easy.

You will find a lot of your questions answered in my posts in the links I have given you. Also go to my "started threads", where you will find additional information. As I said, there are many people in this forum that give good advice. A good friend of mine is @fishbone He has many years experience with tinnitus and I encourage you to read his posts as they are full of good advice and positivity. He is an asset to this forum. @glynis you already know and the same applies to her. There are a lot more helpful people and if you stick around they'll be only too happy to help you.

All the best
Michael
 

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