Suicidal

[linearb]

So some of the pain is from grinding your teeth at night....(?) Like me...dammit
Have you tried cbd/thc oil ? Meant to be superb for pain relief...some peeps use it as a more effective alternative to opiates... And it'd probably knock you out and give you a better nights sleep I hear it's legal in Canada now.

i just wanted to mention that I have TMJ, use a night guard and also a lot of thc/cbd and I think cannabinoids make me more likely to clench and grind at night. They do make sleep come very very easily, though

 

[Jazzer]

Where?

In the search line just put in:
"How to cure Bruxism."

I had TMJ pain for years, until I saw a therapist who recognised and diagnosed it.
She got me to understand how a clenched jaw was causing the pain in my temples.
She essentially cured me in one session.
If you read the post I have pointed out, you will understand that the teeth should never be closed except around food when eating.
Become a - "soft mouth jaw hangar."

If you can adopt this discipline throughout the day you will almost certainly adopt the same position subconsciously in your sleep.

Please let me know if it works for you.

Dave x
Jazzer

 

[Jazzer]

My ex husband told me I was "acting like a child" and he would have handled it so much better. Oh and this gem too: people don't 'wallow in self pity' for months no matter what the circumstance unless they have mental illness. They attempt to rise above.

Honestly, I don't know if people who say these things really believe them or if they want to excuse their callous and even cruel behaviour to loved ones that suddenly need them.

FGH - ignorant - callous - appalling!!
Thank goodness he is your Ex.
This awful syndrome you are coping with would likely have destroyed him.

Great big hugs to you,

Dave x
Jazzer

 

[PeteJ]

So some of the pain is from grinding your teeth at night....(?) Like me...dammit
Have you tried cbd/thc oil ? Meant to be superb for pain relief...some peeps use it as a more effective alternative to opiates... And it'd probably knock you out and give you a better nights sleep I hear it's legal in Canada now.

I don't know. Maybe? Even if it is, unless it is the only cause of my ear pain, I don't know if I can treat it or prevent the ear pain from reoccurring.

It's in a lot of pain recently. I am really miserable today. My right ear pain subsided but the left ear has been in pain what seems like more than 30 days of various severity.

I would like to try CBD oil but I recall it was fairly expensive. I hate my life and I think about how to end it every day.

 

[arctic loon]

@PeteJ have you considered if you have pain hyperacusis? Since you live in a noisy area, your ears can't rest and therefore the pain is chronic. Just my hypothesis... Does you ear pain react to sounds?

With hyperacusis it's possible for the pain to irradiate on your facial nerves too. I've experienced it multiple times. Pain hyperacusis often gets misdiagnosed as TMJD - while it's of course possible you have both conditions simultaneously or only other one.

 

[Star64]

My ex husband told me I was "acting like a child" and he would have handled it so much better. Oh and this gem too: people don't 'wallow in self pity' for months no matter what the circumstance unless they have mental illness. They attempt to rise above.

Honestly, I don't know if people who say these things really believe them or if they want to excuse their callous and even cruel behaviour to loved ones that suddenly need them.

Glad you stated ex husband in the opening of your post.

Good riddance I say

 

[PeteJ]

Besides ear pain and the pain around the cheek bone right under my ear, I have ear fullness. I mentioned that before? I can't take this much longer. What does ear fullness indicate? Does ear fullness heal? Sorry to keep posting this but this is agony.

Something is abnormally wrong with my left ear. What is so disconcerting is how long this has persisted for.

So no doctor can do anything about it, right? I don't understand why an ear would get fullness for this long.

 

[Star64]

i just wanted to mention that I have TMJ, use a night guard and also a lot of thc/cbd and I think cannabinoids make me more likely to clench and grind at night. They do make sleep come very very easily, though

The correlation between tinnitus and TMJ is a given, but has anyone ever undertaken a poll to see who had TMJ say prior to tinnitus or after the onset of tinnitus by Tinnitus Talk members?

I had TMJ prior and it probably played a part in my tinnitus but the major player was noise.

I know you are currently taking Clonazepam, has this not helped your clenching? The benzo certainly relaxed me and induced sleep easy, plus it also stopped me from clenching and grinding. Now I am back to hot and cold compresses I cannot stand to wear my guard as I do not sleep well when using it. Insomnia is pretty bad at the moment due to withdrawal I am sure you can relate to that

 

[linearb]

Besides ear pain and the pain around the cheek bone right under my ear, I have ear fullness. I mentioned that before? I can't take this much longer. What does ear fullness indicate? Does ear fullness heal? Sorry to keep posting this but this is agony.

Something is abnormally wrong with my left ear. What is so disconcerting is how long this has persisted for.

So no doctor can do anything about it, right? I don't understand why an ear would get fullness for this long.

Pete, ear fullness is a commonplace sign of TMJ.

https://www.emedicinehealth.com/temporomandibular_joint_tmj_syndrome/article_em.htm

• Pain in the facial muscles and jaw joints may radiate to the neck or shoulders. Joints may be overstretched and muscle spasms can occur. The pain may occur with talking, chewing, or yawning. Pain usually appears in the joint itself, in front of the ear, or it may move elsewhere on the, face, scalp or jaw and lead to headaches, dizziness, and even symptoms of migraines.
• TMJ syndrome may cause ear pain, ringing in the ears (tinnitus), and hearing loss. Sometimes people mistake TMJ pain for an ear problem, such as an ear infection, when the ear is not the problem at all.

http://www.tinnitusjournal.com/articles/relationship-between-otological-symptoms-and-tmd-10364.html

Background: Patients with any type of temporomandibular disorder (TMD) may have several symptoms in their temporomandibular joints, masticatory muscles and associated structures, and may have otological symptoms such as tinnitus, ear fullness, ear pain, hearing loss, hyperacusis, and vertigo, which may be due to the anatomical proximity between the temporomandibular joint, muscles innervated by the trigeminal nerve, and ear structures.

Emphasis mine.

From all your posts and symptoms, you are a walking TMJ machine.

Bite guards that work well are hit or miss and are very expensive.

This book is NOT very expensive, and has enough self-management tips that many never go on to need a bite guard: http://amazon.com/gp/product/1572241268/

@PeteJ I really, really think you should read the first few chapters of this book and do all the exercises suggested for 2-3 weeks and see where that gets you. If $19.99 is a financial burden for you (and there is no shame in that, at all!) I would be happy to buy a copy of this book off Amazon and send it to you. If you are not comfortable giving me your mailing address, which I would completely understand, I would be happy to use a middleman like @Markku if they were willing.

I really think that your symptom complex is some mess of tinnitus -> anxiety -> stress -> tmj -> other symptoms like ear fullness -> more stress -> more anxiety -> more noticing of other symptoms -> more stress...


.... you have to break the chain. No one can do it for you, but we're rooting for you.

 

[PeteJ]

But, the ear pain is not from stress or anxiety. It would lessen if the ear pain would stop and stay away.

I perceive the tinnitus as a separate issue even if there is actually a relationship between the two. Although it is a physical problem, I don't 'feel the tinnitus' as the sensation of ear fullness and ear pain is physical pain that I can't do anything about.

NSAIDs and Tylenol don't help and I am afraid to take too many as it is due to potential ototoxic affect.

Constant and persistent ear pain at a severe level is worrisome and the suffering is too much. I pray that it will heal or heal with a proper mouthguard and/or treating TMJ if that's what is going on.

You are correct: it's sad and pitiful but even $20 is a lot of money.

 

[Greg Sacramento]

I was able to solve my ear pain completely that relates to TMJ.
Also solved burning mouth, over production of salvia, hyperacusis, high thyroid levels (now back to normal) and some neck problems.

I still have problems with C spine including C1 and C2, TMJ / oral and carotid artery. TMJ and oral will take more time.

My vision in left eye is now going. Seeing large spiders. This seems to be intercranial hypertension - pseudotumor cerebri causing PT. This probably was caused from too much CT radiation and too much vitamin A, glucose and sodium - and not enough Vitamin D. My sodium levels are within range, but for me they need to be in low range.

Most problems can be solved, but my new vision problems may be permanent.

 

[PeteJ]

I just want to commit suicide so this ear pain will end.

 

[PeteJ]

My dog barked while sitting on the couch. I can't do this anymore.

If the pain would stop by ripping my ear off I would. The only way to stop the pain is to kill myself.

No one believes me that the pain is that bad.

I bet no one believed that lady in the Netherlands.

 

[MattS]

But, the ear pain is not from stress or anxiety. It would lessen if the ear pain would stop and stay away.

I perceive the tinnitus as a separate issue even if there is actually a relationship between the two. Although it is a physical problem, I don't 'feel the tinnitus' as the sensation of ear fullness and ear pain is physical pain that I can't do anything about.

NSAIDs and Tylenol don't help and I am afraid to take too many as it is due to potential ototoxic affect.

Constant and persistent ear pain at a severe level is worrisome and the suffering is too much. I pray that it will heal or heal with a proper mouthguard and/or treating TMJ if that's what is going on.

You are correct: it's sad and pitiful but even $20 is a lot of money.

Pete, take @linearb up on his offer.

 

[arctic loon]

Besides ear pain and the pain around the cheek bone right under my ear, I have ear fullness. I mentioned that before? I can't take this much longer. What does ear fullness indicate? Does ear fullness heal? Sorry to keep posting this but this is agony.

Something is abnormally wrong with my left ear. What is so disconcerting is how long this has persisted for.

So no doctor can do anything about it, right? I don't understand why an ear would get fullness for this long.

Read this article:
https://hearinghealthfoundation.org/blogs/ears-on-fire

This man was misdiagnosed with TMJ first. Just saying, don't ignore the possibility of having pain hyperacusis because if u do, you have to change your lifestyle fast to stop it from progressing.

 

[linearb]

If the pain would stop by ripping my ear off I would. The only way to stop the pain is to kill myself.

No one believes me that the pain is that bad.

dude, we believe you, but you seem to be unwilling or incapable of actually following literally any of the advice anyone has given you.

I think that if you address your TMJ issues, your ear pain and fullness will, to some extent, get better. Also, since much of TMJ self-management boils down to "anxiety and distress management", I think that if you followed the protocols outlined in that book I linked for about 3-4 weeks, you will feel better to some extent.

So, you can keep doing what you're doing and going around in circles, but I've outlined a pretty clear path (as have others) towards some relief, and instead of taking any of this advice you just make the same "I am in pain, I want to die" posts over and over.

We believe you're in pain. We believe you feel like you want to die. Since you're still here, your "not die" instinct, so far, is stronger.

Please follow literally any of the advice people have given you here for managing your distress and TMJ. If you really did the protocols in that book for even just 3-4 weeks, which will take you like 60 mins reading and then ~10 mins a day, I would be shocked if you didn't see improvement in your ear pain and and fullness.

All that said, I am a broken record @PeteJ -- this is in your hands now. If you start trying to work a TMJ program and have problems or questions about it, I'll be very happy to discuss my own experience.

If, after all this, you continue to just basically do nothing to help yourself and just make the same feedback loop posts -- I am sorry, I cannot provide any more comfort or help, I believe strongly that TMJ is contributing to your problems and I have "led the horse to water", so to speak.

"This is the water and this is the well. Drink full and descend. The horse is the white of the eyes, dark within,"

 

[PeteJ]

dude, we believe you, but you seem to be unwilling or incapable of actually following literally any of the advice anyone has given you.

I think that if you address your TMJ issues, your ear pain and fullness will, to some extent, get better. Also, since much of TMJ self-management boils down to "anxiety and distress management", I think that if you followed the protocols outlined in that book I linked for about 3-4 weeks, you will feel better to some extent.

So, you can keep doing what you're doing and going around in circles, but I've outlined a pretty clear path (as have others) towards some relief, and instead of taking any of this advice you just make the same "I am in pain, I want to die" posts over and over.

We believe you're in pain. We believe you feel like you want to die. Since you're still here, your "not die" instinct, so far, is stronger.

Please follow literally any of the advice people have given you here for managing your distress and TMJ. If you really did the protocols in that book for even just 3-4 weeks, which will take you like 60 mins reading and then ~10 mins a day, I would be shocked if you didn't see improvement in your ear pain and and fullness.

All that said, I am a broken record @PeteJ -- this is in your hands now. If you start trying to work a TMJ program and have problems or questions about it, I'll be very happy to discuss my own experience.

If, after all this, you continue to just basically do nothing to help yourself and just make the same feedback loop posts -- I am sorry, I cannot provide any more comfort or help, I believe strongly that TMJ is contributing to your problems and I have "led the horse to water", so to speak.

You can't know what is wrong. I don't know what is wrong and doctors I have seen don't know what is wrong.

Saying I haven't 'taken advice " is false. I haven't been able to take all advice. It's still unknown what is wrong. If it's TMJ and treatment alleviates or eliminates the pain, that would be good.

From the replies, I still say no one believes my pain is that bad or you wouldn't say things like that.

From what I read, TMJ affects or can affect the entire face or cheek area and even the shoulder. I don't have that. Just the cheek bone right under the ear is affected but most of the pain in around and in the ear (canal) - the tragus area. I don't what's wrong - TMJ, hyperacusis, muscle problem, nerve problem???? It scares me since I don't know if it can be treated and now it seems to persist for much longer than before.

I was up til 3am or later since the left ear pain was excruciating and the tinnitus was so damn loud. The reason I haven't committed suicide yet is because the pain and tinnitus makes it difficult to concentrate. You have to do everything correct or the attempt fails. Ironically, you need money for the supplies.

 

[linearb]

I was up til 3am or later since the left ear pain was excruciating and the tinnitus was so damn loud.

This is a symptom I 100% experience when my TMJ is flaring -- in fact, I'd say that's the hallmark symptom: usually unilateral ear pain and fullness, and worse tinnitus. Sometimes my jaw dislocates, sometimes not.

The exercises in that book will, generally, help with this kind of pain. When I was in your situation, doing those exercises, over a period of time, alleviated my fullness and pain.

I have offered to buy you this book if you can't afford it. I would even be willing to take pictures of the pages most relevant to "what should I do NOW to feel better ASAP", if that's helpful.

You can't know what is wrong. I don't know what is wrong and doctors I have seen don't know what is wrong.

I didn't, I don't think. I said that your symptom complex is clearly a subset of TMJ symptoms, and the fact that you haven't yet attempted serious, regular TMJ treatment just confuses the hell out of me because it's easy, free and will only take you like 15 minutes a day.

Do whatever you want, dude. I tell you that I fully believe how much pain you're in and you say that I am lying -- well, there's really no rational way for me to engage with that, is there? You are putting up a brick wall here.

I think TMJ treatment would help you. I don't know that, but I'm sure enough that I have offered you $100 if you try it and I am wrong, and I have offered to make it free for you to get the book/diagrams so you know what "TMJ self treatment" exactly I am talking about.

I think that's a pretty generous offer; if you don't want to take me up on that, fine, but then it's like "oh hey, this guy @PeteJ is inside a house that pretty clearly appears to me to be on fire, but when I make suggestions about where the fire is or maybe how to start dumping water on it he just screams HOW DO YOU KNOW THERE'S A FIRE?! at me".

It's pretty frustrating for us, man. I know you're in hell. We all do. We get it. That doesn't change the calculus on any of this other stuff.

 

[Lane]

If my time comes, I'm hoping it will be a quick impuls of sorts, where I have no time to think and analyze in too much depth, what it is I'm about to do.

@Harley -- This is a FWIW account: I watched a man talking about his decision to commit suicide by jumping of the Golden State Bridge (about a 99%+ chance of success). He talked about he had been absolutely certain this was what he wanted and needed to do. However... as soon as his body left the bridge, he said he knew with even more certainty that he had made a huge mistake, and deeply regretted his decision. -- Obviously, he survived.

You could also ask your doctor about muscle relaxants.

@MattS -- Aren't all "muscle relaxants" benzodiazapines?

And not being a kid anymore doesn't mean we're immune to fear. You shouldn't feel ashamed for reverting back to childlike state

@Lurius -- Good point. One night, my hyperacusis was so bad, I couldn't even listen to my wife read outloud like we usually do (she has a very soft voice). So I was just laying next to her while she read. She then turned the page on the book she was reading, and the sound of it hit my ear (about 2' away) just right, and I literally went into no-man's land. I felt so "injured", I ended up straggling into another room and rolling up into a fetal position for a couple hours before I felt I could move again. -- No shame in ending up in a fetal position at times either. It is what it is. -- Though still quite problematic, my hyperacusis has improved since then.

So no doctor can do anything about it, right?

@PeteJ -- I always assume that no doctor can do much for me (on a number of fronts), and if they can, it's a bonus. It seems we're kind of on our own when it comes to solving some of life's health riddles. Shouldn't be that way, but unfortunately it is. Which is why I think you should seriously consider taking up @linearb's generous offer.

you seem to be unwilling or incapable of actually following literally any of the advice anyone has given you. ...... So, you can keep doing what you're doing and going around in circles, but I've outlined a pretty clear path (as have others) towards some relief, and instead of taking any of this advice you just make the same "I am in pain, I want to die" posts over and over. ...... just make the same feedback loop posts

Linearb, I've noticed the same thing. I think it demonstrates just how severely tinnitus (and in @PeteJ's case combined with severe ear pain) can affect cognitive function. It really is hard to not get caught up in these kinds of feedback loops. But I think it behooves us to do our best to do so. I think that's where various kinds of very effective calming techniques that some have mentioned might be a vital first step in breaking out of these kinds of loops. -- It's what I rely on all the time. -- @PeteJ, take care!

 

[MattS]

@Lane

Antispasmodic benzodiazepines
alprazolam, bromazepam, chlordiazepoxide,cinolazepam, clonazepam, cloxazolam, clorazepate, diazepam, estazolam, flunitrazepam, flurazepam, flutoprazepam, halazepam, ketazolam, loprazolam, lorazepam, lormetazepam, medazepam, midazolam, nimetazepam, nitrazepam, nordazepam, oxazepam, pinazepam, prazepam, quazepam, temazepam, tetrazepam, triazolam

antispasmodic non-benzodiazepines
cyclobenzaprine, carisoprodol, chlorzoxazone, meprobamate, methocarbamol, metaxalone, orphenadrine, tizanidine and zopiclone

antispasticity drugs
baclofen and dantrolene sodium

 

[Jazzer]

Most problems can be solved, but my new vision problems may be permanent.

I've got everything crossed for you Greg xx
Dave x

 

[PeteJ]

Can someone tell me if hyperacusis is noise induced pain that you can recognize as occurring right after a sound or noise? If there is a delay?

I can't recall any pattern with my left ear.

I am wondering if it is in pain due to TMJ, nerve or muscle pain or something else?

It doesn't seem like anyone else has ear pain like this unless yours sound similar to this?

My left ear pain persists. It is most painful in the ear canal area and occasionally painful on the cheekbone just directly below and behind the ear.
There is ear fullness and I don't know how else to describe it. It's also a sensation as if something too large is stuck in my ear but nothing is there.

The included tinnitus is so loud, 70 dB is my guess, so between the ear pain and tinnitus, I feel tortured every day. I can't work because of this. So people say I am not doing anything or taking advice. It's so frustrating. I was in so much pain today, I missed an appointment.

Am I the only person here who finds it difficult to go anywhere and pretend I am not suffering to other people?

 

[Greg Sacramento]

@PeteJ A tooth infection may also be part of cause as warm treatment isn't helping. I have a long involved study that I wish not to post because it talks about other problems that you have not mentioned such as sinus, eyes or headaches. This article talks about bacterial infections and states 78% of the time when heat does not help with dental associations - it's a tooth infection.

 

[dan]

Can someone tell me if hyperacusis is noise induced pain that you can recognize as occurring right after a sound or noise? If there is a delay?

I can't recall any pattern with my left ear.

I am wondering if it is in pain due to TMJ, nerve or muscle pain or something else?

It doesn't seem like anyone else has ear pain like this unless yours sound similar to this?

My left ear pain persists. It is most painful in the ear canal area and occasionally painful on the cheekbone just directly below and behind the ear.
There is ear fullness and I don't know how else to describe it. It's also a sensation as if something too large is stuck in my ear but nothing is there.

The included tinnitus is so loud, 70 dB is my guess, so between the ear pain and tinnitus, I feel tortured every day. I can't work because of this. So people say I am not doing anything or taking advice. It's so frustrating. I was in so much pain today, I missed an appointment.

Am I the only person here who finds it difficult to go anywhere and pretend I am not suffering to other people?

You don't have TMJ Peter.

What is happening is your loud 70 dB tinnitus is psychosomatically causing nerve pain inside your ear which radiates to surrounding nerves.

Read how many folks on here complain of getting ear pain after tinnitus onset!
These people do not have 'TMJ'. TMJ is just a copout explanation to the consequences and bouquet of ear symptoms after noise trauma.
Your dog barking isn't helping your condition get better! I would suggest getting away from loud noise including barking dogs for at least 6 months to give your ears a chance to heal.

Do you get it? You are trying to take advice from people like Linearb, who's tinnitus does not react to noise as some of ours does. You have ear pain due to a form of hyperacusis. Start treating your hyperacusis - not your bloody jaw.

 

[dan]

Spot on. It's all to do with volume and pitch, I have 80 dB+ screeching brakes tinnitus with hyperacusis for 21 months now. I get 3 hours sleep to no sleep. I was very suicidal in the first 18 months, not so now, slowly I am improving.

You have to keep fighting Pete.

How can you tell it's 80+ dB???? That is insanely loud...

 

[Jazzer]

I was a hopeless 'Bruxist' for over forty years.
When my therapist pointed out the mechanism, and the way to break the cycle I gave up the addiction over night - cold turkey.

I now teach at "Bruxists Anonymous" meetings. (I'm joking!)

You really do not have to grind your teeth.

Your teeth should only close around food - otherwise be a "Soft Mouth Jaw Hanger."
Become aware of where your tongue is.
If it is forced up against your palate you've got it wrong.
Your tongue should always be floating in water.
Just try it - practice it.

I haven't closed my 'gob' for 37 years!

Dave x
Jazzer

 

[jay777]

How can you tell it's 80+ dB???? That is insanely loud...

MML stopped at 70 dB done by audiologist did not touch it, and nothing has masked it, it's disco loud.

 

[Rogi Cetpla]

Stay strong Pete...My tinnitus is at a very high level also...have slept an average of 2 hours a night for the last few weeks...I have had equally negative thoughts but am hanging in there...I distract myself as much as possible...put on maskers all over the place and take sleeping pills for the moment...stay strong.

 

[PeteJ]

You don't have TMJ Peter.

What is happening is your loud 70 dB tinnitus is psychosomatically causing nerve pain inside your ear which radiates to surrounding nerves.

Read how many folks on here complain of getting ear pain after tinnitus onset!
These people do not have 'TMJ'. TMJ is just a copout explanation to the consequences and bouquet of ear symptoms after noise trauma.
Your dog barking isn't helping your condition get better! I would suggest getting away from loud noise including barking dogs for at least 6 months to give your ears a chance to heal.

Do you get it? You are trying to take advice from people like Linearb, who's tinnitus does not react to noise as some of ours does. You have ear pain due to a form of hyperacusis. Start treating your hyperacusis - not your bloody jaw.

I don't agree that it's that simple. There are loud sounds around here but I don't notice ear pain right after. I understand hyperacusis as identifiable connections between noise and subsequent ear pain. Isn't it? I think my right ear might have minor hyperacusis because I do seem to have ear pain after a noise sometimes but there is always a delay so I can't say with certainty unless that is normal with hyperacusis?

My dog rarely barks. She has some anxiety and excitement issues. It was partly my fault. I am telling myself to not talk to her in a voice which might get her excited.

Shouldn't I feel increased pain all throughout the day from the loud noise around here? Instead, it's a constant severity, for e.g. 9/10 or 10/10 and lasts for days or weeks before it subsides at all regardless of what loud noise I get exposed to. However, my right ear might have pain after a particular noise but there's a delay and I don't know what that noise will be. I am not even sure if that is what is happening. The last time, my right ear had significant pain, I had filled up my car tire with air. I thought maybe the whoosh noise did something. But, there was a delay of at least three hours before I felt intense ear pain.

I don't know if it makes sense that it would be that noise.

 

[PeteJ]

Stay strong Pete...My tinnitus is at a very high level also...have slept an average of 2 hours a night for the last few weeks...I have had equally negative thoughts but am hanging in there...I distract myself as much as possible...put on maskers all over the place and take sleeping pills for the moment...stay strong.

How long have you had tinnitus? Does it fluctuate at all? What do you rate the severity as?

I know it doesn't tell us much but how else can we describe it, right?

I think mine is 9/10 and probably at least 70 dB. The only fluctuation I think I have is it's maybe 7/10 in volume after I get up from sleeping, as long as I have enough hours. Quality of sleep is always bad so I don't know if that makes much difference. I think the last time I had good sleep was before I had tinnitus - obviously, right? :-/

You need 6 - 8 hours of sleep! The more, the better. I have had times in which I have been up to 4 am and/or had only 2 hours of sleep. Tinnitus is extremely loud and tones are insane then. It is cruely ironic that t makes it difficult to sleep and lack of sleep seems to cause t to worsen and be louder/crazier - hopefully temporary.