Should I See an ENT? Share Your Thoughts on ENTs and Tinnitus!

PeteJ

Member
Author
Feb 24, 2019
2,966
Tinnitus Since
02/2019
Cause of Tinnitus
acoustic trauma?
I'll try to summarize this because it includes my (possibly controversial) opinion and some questions.

To be brief, I have a history of ear pain alongside my tinnitus. This pain has come and gone over the years, sometimes lasting for days or even months. I'm not sure why or how it started. It feels different from my usual hyperacusis and noxacusis, and it's hard to explain.

Typically, I get ear pain from noise, and my ears are extremely sensitive. If something touches my ear, like a tree branch, I'll have severe pain afterward. I also experience pain from wearing earplugs too often or even after using my earmuffs, which fit tightly despite being adjustable. Recently, though, I noticed a different kind of pain.

Last summer, I took off my earmuffs, and I felt a popping sensation, like trapped air escaping. Around the same time, I also took my earplugs out too quickly and ended up hurting my ears. I even had pain near the joint just below my ears. This pain persisted daily for a while, and I eventually realized I was clenching and grinding my teeth. I've since started using a mouthguard, which I hope will help, as I also get frequent headaches.

With the pain flaring up a few months ago (it has only recently subsided), I went to my family physician. Because I'm on disability, I'm supposed to inform him of any physical or mental health changes, and worsening symptoms count as a change, right? He set me up with an ENT appointment. I told him I appreciated his help, but I felt that an ENT wouldn't be able to fix this. I have a severe condition, and I doubt they can do much. However, I agreed to go because refusing might look like I'm resisting treatment, which is not ideal when you're on disability.

The ear pain has improved since then, and I'm not sure if it's because I've become aware of the clenching and grinding or if the mouthguard is helping. I'm uncertain, but I do have the ENT appointment scheduled. I've considered canceling because it's in another city, and my car needs suspension work. Plus, I'm skeptical about ENTs. Based on online reviews, they seem ineffective for cases like mine. Most of them see patients for general nose and throat issues, and I've read horror stories of people who ended up worse off after certain tests or surgeries.

I've thought about rescheduling with a local ENT just to get a hearing test. I doubt they can help, but it might at least show my doctor that I'm following through with treatment. I know there are tests like tympanometry and suction tests, which some people say made their conditions worse, so I'd likely avoid those. That's part of my issue with ENTs; I feel like they could actually make things worse. Am I being too critical? Do you think I'm exaggerating how ineffective they are? I've just heard so many stories about people not finding relief through ENTs, and I'm skeptical based on typical experiences.

What do you think?
 
That's part of my issue with ENTs; I feel like they could actually make things worse. Am I being too critical? Do you think I'm exaggerating how ineffective they are? I've just heard so many stories about people not finding relief through ENTs, and I'm skeptical based on typical experiences.
I am sorry to hear that you are experiencing so much difficulty with ear pain, @PeteJ.

ENT doctors are highly skilled physicians who treat medical conditions affecting the ear, nose, and throat. I think you should see an ENT so that your ears and auditory system can be examined. Accept whatever tests you are advised to have and "stop" reading negative comments from people who do not give these health professionals the respect they deserve.

ENT doctors do not treat tinnitus, but they can often treat underlying medical conditions within the auditory system that cause tinnitus, and there are many. However, when tinnitus is noise-induced, as I believe yours is, then a referral to an audiologist who specializes in tinnitus and hyperacusis management may also be required.

Please read my thread: Keeping Things Simple with Tinnitus.

I wish you well,
Michael

 
they can often treat underlying medical conditions within the auditory system that cause tinnitus, and there are many.
It might be helpful to start a thread listing some treatable medical conditions that can cause tinnitus. The only one I've heard of so far is otosclerosis.

Beyond that, I've struggled to find examples of anyone receiving successful treatment from an ENT. In fact, there are plenty of cases where people have had their tinnitus worsened by MRIs, microsuction, and acoustic reflex tests.
 
Beyond that, I've struggled to find examples of anyone receiving successful treatment from an ENT. In fact, there are plenty of cases where people have had their tinnitus worsened by MRIs, microsuction, and acoustic reflex tests.
If by "successful treatment" you mean addressing tinnitus, please note that ENT doctors do not directly treat tinnitus itself. Instead, they often treat underlying medical conditions within the auditory system that may cause tinnitus. This does not mean they can "cure" tinnitus. However, if it's possible to address the underlying cause, whether through medication or surgery, then tinnitus symptoms could potentially be reduced.

Anyone who develops tinnitus should consult an ENT doctor. However, if the patient is not experiencing symptoms like deafness, balance problems, acute ear pain, or dizziness, they don't need to see an ENT doctor immediately. It's often recommended to wait 4 to 6 months before seeking an ENT consultation. There's a good reason for this, which I explain in my thread: Tinnitus, A Personal View.

It's possible for tinnitus to worsen after microsuction. This is usually because olive oil ear drops were not applied adequately, typically three times a day in each ear for ten days, to loosen the wax before the procedure. Personally, I've had microsuction three times without issues, despite my tinnitus sometimes reaching severe levels.

Some causes of tinnitus that require examination by an ENT specialist and audiologist include:
  • Hearing loss
  • Impacted earwax
  • Ear or head injury
  • Ear infection
  • Ear diseases (e.g., otosclerosis)
  • Side effects of certain medications
  • Emotional stress
  • Temporomandibular joint (TMJ) disorder
  • Meniere's disease
  • Acoustic neuroma
  • Pulsatile tinnitus
  • Exposure to loud noise
  • Age-related tinnitus
  • Eustachian Tube Dysfunction (ETD)
 

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