Hey there
@Sherif Said, I am not a doctor, but from what I understand steroids are most effective within a few days of tinnitus caused by a loud-noise incident. If that is the case, then it's either kind of late or not applicable to your case, as your doctor.
Regardless of all of that - what you should do is go back to the ENT (or another if you prefer) and do not leave the office until you get you questions answered. You are paying for their time. If they leave, get a nurse to have them come back and say you were not finished. If your T came from nowhere (i.e. no noise induced incident) have the ENT do tests to make sure it's not caused by something more serious. It is difficult, but you have to stand up for yourself and ask for what you need.
As for the rest, your doctor is going to know what is best for you to do based on your medical history, cause of tinnitus etc. But the basic list of what to do (at least for me) is:
- Remain calm, get lots of sleep! You are still very, very early on. The tinnitus could go away. If you're having trouble sleeping or being calm, go talk to a psychiatrist and see if they think you would benefit from some medical help on that front.
- Protect your ears! You do not have to, and should not, wear ear plugs everywhere, but stay away from very loud noise and let your ears heal. Masking can help calm you a little, so soft sounds that blend with your T are good in the early days. Completely silence will probably make you nutty, so avoid that.
- Try not to focus on the T! This one is the hardest, but focusing on it is telling your brain to panic every time it hears it and putting you in a viscous cycle of panic and fear. It is phyically and mentally solidifying that signal, so the more you can tear your focus away, the better. Try video games - something that you need to focus on in order to do it.
- Know that whether you T goes away or not, you will be okay. It will go away or your will habituate, but either way you can be okay.
To answer your other questions:
Do you guys think that what he saying is correct that it must be nerve damage for sure?
We can't know that for sure, no one here can answer that, and really, your doctor can't either. T is a bit of a mystery to most people and is a symptom caused by many, many things. If you got your T from a specific loud noise incident like I did, then it's likely it's caused by nerve damage, but make sure your doctor checks out all avenues if there is no obvious cause!
can it be a mild case or is it always serious? how do i know if it is? can it ever go away?
I don't know that there's ever anything mild about hearing loss/tinnitus in my opinion as unless it's truly fleeting (a few seconds). Tinnitus is usually a sign of damage. However, if by serious you mean it will last forever, only time will tell - there is no way to know. You have had T such a very, very short amount of time, it is impossible to tell, it could still easily go away. You should do your best to rule out a serious cause with your doctor and from there, just live one day at a time. I've heard of T going away after years, so you never know.
what are the side effects of removing this huge amount of wax from my ear?
I don't know that there are any side effects to removing a lot of wax when it is done
properly by a doctor. The build up can cause T if there is really a ton, so I think your doc did the right thing in taking out a big chunk. That said, never try to do what your doctor did by yourself. That can be very dangerous.
is there something i should do after the wax cleaning to prevent my "good ear" from getting problems too?
Just protect your ears from loud noise, take care of your body and get sleep.
Last tip, keep talking to all of us! We're here for you and hope you feel better soon - we've all been scared and where you are, but so many of us are so much better now. You will be okay