Tinnitus and Hyperacusis for 3 Months Now, Progress So Far

Timothy 87

Member
Author
Oct 9, 2018
26
Tinnitus Since
07/2018
Cause of Tinnitus
Unknown
Hi all,

I finally decided to make an introductory post after having been eyeing this forum soon after onset. First let me say that really helped.

My tinnitus started in July this year (2018). At first I started noticing it at work in my left ear mainly - it wouldn't be there all the time but a fairly nasty beep would materialize which around lunchtime would become insufferable. In my right ear I had a more constant tonal beep developing which never bother me that much. Left side seemed to be triggered by sound and thus I now suspect an hyperacusis component.

At some point I asked my colleagues if they could hear beeping too but this wasn't the case so I knew it was me. For that first week after a full workday I could not enjoy my usual Netflix as the beeping was too loud and distracting.

In this first week I wasn't worried yet as I thought it would pass. Nevertheless I started having panic attacks at night which would hit me every time I was about to fall asleep. This was hard as it was depriving me of sleep. Note that I wasn't panicking yet, it's as if my limbic system was doing this on its own.

I was in Stockholm at the time where I was working on a project at our head office. My usual office is in London. The tinnitus and hyperacusis started in my last week there. The 5 weeks I was there my neck had become a wreck from a bad pillow/bed and I was sleeping far too little. I also listen to headphones for long periods of time, not at high volumes, but long enough, usually in the office. I think this combination may have triggered it.

My mom was coming for a visit that last weekend as I wanted to show her around the city and as a little thank you for always being an awesome mom. Unfortunately that weekend was ruined by me being in a total state of panic. I couldn't eat (I had to force myself) or enjoy myself and was just very gloomy all day.

I noticed my mom could really calm my tinnitus by massaging my neck and back, and in this first week I also managed to get my right ear tinnitus to stop my turning my neck a certain way. It would then come back slowly. My left ear wasn't so responsive and would react to sound more than anything else.

This first week of tinnitus and hyperacusis I was also waking up in normal quiet. Not T or H present at wake up. I could go about my morning routine and it would pick up on my way to work in my left ear.

After the weekend I went back to London and she went back home to Amsterdam. I had taken the first two days back off as I wanted to see a chiropractor and an ENT.

I had on and off tinnitus this second week. Seemingly also helped by the chiropractor's magic hands. The NHS ENT said I had inflamed eartubes, but the private ENT I saw said he could see nothing and I would have to live with it. Not what you want to hear then. A Dutch ENT confirmed this.

I spoke to an old teacher of mine over the phone who had tinnitus from a burn out years ago and she said she recognized a lot of that in me. I had developed IBS (irritable bowel syndrome) three months prior to tinnitus onset and this had me really worried as I was losing blood in my stool (which now turns out to be a hemorrhoid). I also had testicular pain which I now know (had it checked) was radiating out from elsewhere, so nothing fishy there.

This had me worried a lot those couple of months and I can imagine it built up tension.

So she said "you developed IBS, have panic attacks and you've had a tough couple of years prior, you might be near a burn out". She told me to take time off.

Around this time I also started noticing my tinnitus would subside a bit in quiet rooms, while in my office it would beep like mad.

As I couldn't focus on work at all and was distressed, I spoke to my employer and they let me go on sick leave. I then made my way back to Amsterdam to be with supportive family and get my panic attacks under control.

I now know my tinnitus was highly reactive to sounds like a fan, supermarket coolers, aircon, traffic noise, wind, or driving my car. This prompted me to stay indoors mainly and avoid those sounds. I scarcely exposed myself to them to not be a total recluse and go shopping for groceries.

I played my Wii U for about four hours a day or so, but the fan would cause this evil head buzz that would only die down once I would move to a quiet place and lay down for 30-60 minutes. The actual T alone wasn't too bothersome being a gentle tone in my right ear.

I spent these first few weeks turning off devices which would make a humming or buzzing sound and this helped to keep the head buzz away.

Then in early august I joined my parents, aunt and uncle on a camping trip for two weeks, sleeping in a tent. My tinnitus and hyperacusis had become a bit less reactive already and I knew to protect my ears from high pitched whooshing if I wanted to keep the head buzz away, so I sort of managed and the feeling of dread was slipping away as I got a sense of control.

I noticed how my tinnitus would spike during the day but would be quieter in the mornings when I woke up in my tent and when outside at the camping table I couldn't hear my tinnitus much. I had by this time also read lots of posts here about not protecting too much so at night I would sometimes take my plugs out.

I then went home in the middle of August, and I had an appointment at the University Hospital of Antwerp on the 29th at their tinnitus clinic, a two week wait.

My fright was over and I started having better days. I would sleep in a quiet room and still used earplugs at time and within a few days I would wake up a lot quieter again as compared to the camping as my tinnitus had toned down a lot.

I was now also sometimes able to sit in the living room or garden and not hear my tinnitus, although my hyperacusis would still often trigger a head buzz.

When I went to Antwerp I had a bunch of tests done. This also revealed I have mild hearing loss in the outer ranges beyond 10-12k, but not significantly less than my age average (I am 31).

I explained them about my tinnitus and hyperacusis and how it would trigger in the car, in airconditioned places, etc. They told me there to go back to normal life as much as possible and not to protect my ears in the car or anywhere else I could not damage my hearing further. Only to use them in excessively loud places. I also mentioned the fan of my Wii or computer would cause a spike but they said not to make any adjustments for the tinnitus.

They explained tinnitus and hyperacusis should get better over time. Encouraged I went back home and started playing some games on my computer too to get my mind off things. This would trigger my head buzz and my normal tinnitus would spike a bit but every morning it would be gone again. I would drive my car without plugs now to my appointments and other errands.

I fairly quickly noticed less reactivity from my car, supermarket or anything else for that matter. Even watching TV became easier. Previously it too would trigger my tinnitus fairly quickly if not immediately.

This continued for a good two weeks or three and I really perked up. I even went on some lunches with my aunt and I could sit in a place or outside without my tinnitus triggering. It would build up much more slowly.

This is when I decides to plan a trip to Bruges with a friend. I drove up to his place, a good 1.10 hours and didn't trigger my tinnitus much. We then drove his car for the remaining 2 hours. The first day my tinnitus didn't bother my much. It would trigger but not to the same loud extent it had. Even eating in a restaurant went well, and that nigh there I felt like my tinnitus quieter than usual. Not so the next day. It had come back a bit louder, but not too much and I managed to happily spend the day there, knowing I was on a path of recovery. This was 15 September.

The week after I visited a friend in her new house and realised my tinnitus was fairly quiet even after a 1.5 hour drive and while at her place. It seemed to have improved further.

I think ever since, my reactivity has further reduced, but the character of my tinnitus has been changing every since onset, pretty much every 1 to 2 weeks.

I noticed how the tinnitus that would trigger due to my hyperacusis would migrate from my left ear into the middle of my head, where it has stayed for a while. While there the maximum screaming it would do has reduced in loudness, but now it is more high pitched (not louder).

I am confused about this as I feel my head tinnitus (I distinguish between that and my ear tinnitus) has become more unbearable. It's almost as if I have peeled off a layer of the lower pitched sounds and am left with only the high pitch ones. It now also sets much farther back in my head, and when it goes bad it seems to be back in my left ear too, although mainly in my head. This is really difficult for me to deal with as I am not sure if I screwed something up or if I simply am left with desensitizing the high pitch bits.

Since my Bruges trip I went to a political discourse in Amsterdam, in a theater, went for dinner twice and spent a full day in Utrecht and did some more trips out for lunch. I also joined the local gym 3 weeks ago, which was one week after I started noticing the higher pitch sounds. None of the things I did had dangerous dB levels, max 70 DB.

I also went to the cinema last week and when I got back home I noticed my tinnitus had not really spiked, and for a TMJ treatment I drove an hour to Utrecht on Monday which also hadn't spiked it much. Only after the drive back did I notice it quite heavily.

It's weird, as what is triggered now is much higher freq than what I am used to yet it is not as loud. The problem with the head tinnitus is that it sits on all other sound which makes it especially annoying, and it's like a buzz or chirping sound, it sounds nerve like or electrical even, and that makes it hard to ignore.

I am now left wondering, did I push too far and am I having a setback, or is this a normal reaction of H retreating, with the highest frequencies going last? I still wake up very quiet and if I avoid sound it does not trigger, or is very lately in the back of my head. I can move about the house and not hear any tinnitus at that point so I know my baseline tinnitus is still very low. I only hear it in my bedroom at this stage.

You may see how I think I have an anxiety angle to my tinnitus onset from previous buildup of stress, but also somatic and from hearing loss. I am pursuing all angles still but it makes it hard to pinpoint a cause.

What I have been doing:

Taking supplements, all high end;
-multivitamin complex.
-magnesium.
-ginkgo biloba.
-vitamin D3 (5000 iu/day).
-ashwagandha (to calm down a bit).

Meds/treatments:
-psychology (not anymore)
-haptonomy (1x per 2 weeks)
-taking Dymista nasal spray twice daily
-orthomolecular diet, basically clean eating, for IBS too.
-chiropractor (initially weekly, now monthly)
-had my neck cracked (manual therapy) end of August.
-TMJ therapy (weekly since two weeks).
-exposing myself to sound, going out, trying to live my life.
-I go to the gym again, twice a week, weight training and some cardio.

My ear tinnitus is certainly quieter than in week 1 but has changed. At first I did not have it left, but now that side is also involved. Left and right now sometimes shift in which side is worse, but never too loud. I can mask my ear tinnitus by rubbing two fingers softly together next to my ear or in near there and when my head tinnitus isn't present I don't hear it except for in very quiet rooms.

My head tinnitus has become much less reactive at first but now seems back from the dead. It's not as loud anymore but the high pitch makes me extremely uncomfortable. Getting rid of that component is key to my recovery.

My ear tinnitus has become higher pitched over time, and mildly louder I think, but when I wake up it is very quiet and I would be happy if it stayed that way.

I would apologize for the long post but I feel this way gives the best insight into my particular case which I have a hunch is somewhat complex.

@Michael Leigh, @glynis, @coffee_girl, I want to thank you all and everyone else here for your support and wisdom which have helped me get through the initial phase while I was trying to make sense of things.

@Michael Leigh, might you have an idea as to what is going on with my hyperacusis triggered head buzz? Do you reckon I made a fallback here or does it seem like a normal step on my path to recovery? How should I move from here? Your insights have been most helpful so your two cents on this are worth a lot to me.

And what would you suggest about sound enrichment? Do I need a specific speaker to get into that 12k+ range?

Thanks all!
 
Glad you could get all that out, but definitely a bit too long :p
I don't say that to be rude but in general a lot of people will not be able to or will not bother reading such a tremendously long post.

In any event, I am glad to hear you are making progress. Our stories are fairly similar. I too developed my T in July of this year, though it was a spike of non existent T. What would follow would be on and off bouts of H that would eventually get better like yours did. I truly believe that anxiety is a HUGE factor in the early onset of this horrible condition and makes things that much worse.

As far as the actual Tinnitus goes, it has been around three months for you now. Would you say the ringing has gone down noticeably or are you just able to cope better with it now as opposed to onset?
 
tinnitus and hyperacusis with pain give a very strong suggestion that the inner ear is damaged and most likely you have more hearing damage then the test suspects.(they don't test speech in background noise)

http://hyperacusisfocus.org/innerear/#hiddenloss

research hidden hearing loss.
 
@Michael Leigh, might you have an idea as to what is going on with my H triggered head buzz? Do you reckon I made a fallback here or does it seem like a normal step on my path to recovery? How should I move from here? Your insights have been most helpful so your two cents on this are worth a lot to me.

HI @Timothy 87

Thank you for your kind compliments.

I agree with @Smartone202 that your post is too long. I am also prone to writing long posts and articles just go to my started threads! When I'm in full flow almost nothing can stop me so I know how you feel..:D

Since you have hyperacusis this is usually (but not always) caused by exposure to loud sounds. If you have been a regular user of headphones or going to places where loud music is played, this is a strong indication "sound" has caused your tinnitus. Tinnitus and hyperacusis can be complex especially in the early stages which you are in. The healing process takes time and cannot be rushed. If you experience fluctuations in the tinnitus and hyperacusis severity, try not to be too alarmed as this is quite common.

I suggest you use a sound machine by your bedside at night for sound enrichment. Sound Oasis sound machines I believe to be the best. I suggest you click on the links below and read my articles on tinnitus. Take your time reading and to absorb all the information, so that you fully understand about tinnitus, hyperacusis, the habituation process; and what it means to acquire a positive mindset.

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/

https://www.tinnitustalk.com/threads/the-ent-doctor-and-hearing-therapist.24047/

https://www.tinnitustalk.com/threads/inspiration.22894/

https://www.tinnitustalk.com/threads/can-tinnitus-counselling-help.22366/
 
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tinnitus and hyperacusis with pain give a very strong suggestion that the inner ear is damaged and most likely you have more hearing damage then the test suspects.(they don't test speech in background noise)

http://hyperacusisfocus.org/innerear/#hiddenloss

research hidden hearing loss.

Hey Contrast,

They actually did a speech test and it came back good. I also don't experience pain at all with my Hyperacusis, so that's at least a positive.
 
@Smartone202 yes I wasn't sure how to condense it for fear of leaving out something important.

My base level T is definitely quieter in volume, although I no longer wake up in complete silence. It's the "Head T" which seems triggered, I think from sound, that drives me mad.
 
Hey Contrast,

They actually did a speech test and it came back good. I also don't experience pain at all with my Hyperacusis, so that's at least a positive.
speech + background noise, what do you experience with "hyperacusis" since you stated no pain?
 
speech + background noise, what do you experience with "hyperacusis" since you stated no pain?

Yeah it was speech+background noise.
Early after onset I noticed some sounds would reverberate in my ears, such as a fan or a passing car. If I'd stay in a place like a supermarket or road for too long, it would trigger this buzzing sound in my head that would become louder and more tonal over time. As soon as I would move to a quiet place without such sounds the tonal sound would first become less loud, then more fractal rather than tonal and dissipate fully or to a very low level over the course of hours.
Currently I still get that from high pitched sounds like wind, but the max volume doesn't get as high, the pitch of the head buzz is a higher frequency, and the settling down is faster, sometimes near immediate.
 
@Michael Leigh thanks, I will try not too worry too much about the fluctuation. I was actually coping better a few weeks ago as my T and H were more predictable. The high tones I get in my head now from H are really uncomfortable and it worries me I'm getting worse rather than better. Just earlier I sat in my garden just fine and it settled down a bit giving me some calm but now the wind picked up and so does my H buzz. Its awful. I have been uncomfortable for the past few weeks too though from this shift to higher pitch sounds which maybe indicates my newfound anxiety isn't helping. I don't sleep well either, I wake up shortly after my REM sleep and won't really doze off again. This was better in the weeks before.

What would you advice about my H reacting to sound enrichment? Can I play sounds that don't relate to the trigger frequency instead?
 
What would you advice about my H reacting to sound enrichment? Can I play sounds that don't relate to the trigger frequency instead?

Hyperacusis does react to certain sounds and this happens a lot in the early stages which I've said that you are in. It is important that you do not overuse hearing protection like some members of this forum do. If you do not follow the advice I am giving you regarding this, then you risk making your ears and auditory system more sensitive to sound. You are going through a process which I and many others have gone through with hyperacusis caused by "noise exposure". I know how you feel and but in time things will improve so try and be patient.

I strongly advise you not to use headphones even at low volume - in fact never ever use them again even after you have habituated which you will in time. If you are having difficulty sleeping which is not uncommon and feeling stressed; talk to your GP/doctor. Medication to help you sleep maybe advised and something to help with anxiety and stress in the form of anti-depressant. Please do not be alarmed by people telling you anti-depressants make tinnitus worse. The majority of the time they don't and it will help you to cope better with the fluctuations in the tinnitus and hyperacusis. More about this is explained in my post: The habituation Process: https://www.tinnitustalk.com/threads/the-habituation-process.20767/

You can play whatever sounds that you find comfortable but I advise that you do not play "music" for sound enrichment at night. Music draws attention to itself and so isn't ideal for night time.

Michael
 
Remember that a very small portion of the population has permanent T that won't go away, and an even smaller portion has severe or worsening Tinnitus. The chances are good that your T will go away completely, and if not...it will fade to the point where you can barely hear it.

Don't over worry, take deep breaths, treat every day like a milestone and give yourself credit for making it through each morning. You will find through the months that certain things will trigger minor spikes and irritation/fear...the truth is that those will eventually pass and you will over come them as well.

T is like somebody randomly dropping at 1 day old baby in your lap, at first you are completely confused and nervous, but eventually you will learn to figure out its intricacies and that takes some time and trial & error. You will make mistakes, but don't punish yourself too harshly for them.
 
Please also wear plugs when you go to a public place/outing, your ears were damaged and you need to help it heal. If you keep exposing it to sound, it's like picking at a scab...it can get worse and your T will be more annoyed. Ear plugs are like bandages, you need to use them wisely...and then once your Tinnitus/Hyperaacusis completely subsides, then consider taking risks when going out.

When I first had T, it was slowly going away about a week later. Then i stupidly decided to listen to an Ebook through my headphones (very low volume like 10/100)...and immediately the T came back. I am confident had i never did that my T would have healed by now. I still remember that ebook :ROFL: (Interview with the Vampire)...I'll never forget it.

Edit: Oh and welcome to our humble abode =P
 
... though it was a spike of non existent T. What would follow would be on and off bouts of H that would eventually get better like yours did.

@Smartone202 do you mean you already had some barely audible tinnitus? (How could T that does not exist spike? :p)

In hindsight I also think I might have already had T, I just never recognized it as such. I remember being able to hear very faint sounds in my ears if I really shut myself off in extremely quiet places and pressed my ears shut, but never questioned it and assumed it was normal biology.
 
@coffee_girl thank you for the reassuring words. My evil head T triggers from such things as driving my car. Would you protect in that case? I'm unclear when something would be overprotecting which I try to avoid. I for example don't sleep with earplugs anymore even though I did so for years.

@Michael Leigh would you protect ears in the car or would you class that as overprotection? Or perhaps depending on duration of the drive?

Thanks guys!
 
@coffee_girl thank you for the reassuring words. My evil head T triggers from such things as driving my car. Would you protect in that case? I'm unclear when something would be overprotecting which I try to avoid. I for example don't sleep with earplugs anymore even though I did so for years.

@Michael Leigh would you protect ears in the car or would you class that as overprotection? Or perhaps depending on duration of the drive?

Thanks guys!
I personally don't wear plugs unless I am: in an unfamiliar city, vacuuming, in a very loud restaurant, flying. I don't wear plugs when I drive, but then again my T is not reactive.

But like i said, it depends on how your ear interacts with the environment. What works for me probably won't work for you. Over the months/years you will learn how the best way to avoid spikes and temper the onslaught of tinnitus. Eventually you will learn how to work around the T to continue your every day life.

Take it one day at a time. =]
 
@Michael Leigh thank you for your advices. I have read most texts of yours in the past months and will have another look.

I often wonder what is overprotecting and what is underprotecting. For example my head T is triggered from fairly mild noises around the house. Also from driving my car. Would you protect in these cases?

I for example don't protect when vacuuming. I felt that would be overprotecting. I also use a blowdryer every morning. I don't feel either of these trigger or spike my T, and I don't think they can damage hearing?

In fact I don't even protect when I am out on the town and in a normal restaurant where the DB's remain below 80 or so. Should I?

I also don't use headphones anymore and I don't intend to again for said reasons.

As for drugs, I try to stay away as much as possible to avoid dependency. I don't think I need it so long as I can keep my gut feeling positive and not sink into dread.
 
Yeah it was speech+background noise.
Early after onset I noticed some sounds would reverberate in my ears, such as a fan or a passing car. If I'd stay in a place like a supermarket or road for too long, it would trigger this buzzing sound in my head that would become louder and more tonal over time. As soon as I would move to a quiet place without such sounds the tonal sound would first become less loud, then more fractal rather than tonal and dissipate fully or to a very low level over the course of hours.
Currently I still get that from high pitched sounds like wind, but the max volume doesn't get as high, the pitch of the head buzz is a higher frequency, and the settling down is faster, sometimes near immediate.
Reactive tinnitus and hyperacusis which vaguely includes (noxacusis, recruitment, conductive hyperacusis, cochlear migraines, misophona, phonophobia) do not have evidence of being the exact same thing as reactive tinnitus like Michael Leigh claims. Michael Leigh says they are the same thing but he hasn't yet given me a convincing reason, he hasn't even acknowledged the actual subtypes of hyperacusis outside of the confirmed psychological conditions like miso/phono phobia.
 
I often wonder what is overprotecting and what is underprotecting. For example my head T is triggered from fairly mild noises around the house. Also from driving my car. Would you protect in these cases?

I for example don't protect when vacuuming. I felt that would be overprotecting. I also use a blowdryer every morning. I don't feel either of these trigger or spike my T, and I don't think they can damage hearing?

HI @Timothy 87

Since you have read most of my posts on my "started threads" then you will know that I am strongly against the overuse of hearing protection using earplugs or earmuffs. Particularly to suppress normal everyday sounds. If your hyperacusis isn't affected while vacuuming this is very good because I do recommend a person use "noise reducing" earplugs if they are affected by the vacuum cleaner or hairdryer.

Please read this thread and my reply to using earplugs while driving a car: https://www.tinnitustalk.com/threads/wearing-ear-plugs-while-driving-a-car.31735/#post-376584

My post is below.
I do not recommend the overuse of any hearing protection including earplugs. In the early stages of tinnitus particularly "noise induced" hyperacusis is often present. This can make the ears and auditory system hypersensitive to sound. This I understand having once had very severe hyperacusis. Therefore, if a person finds themselves in this situation, using earplugs when driving or being exposed to other types of sounds in their environment maybe beneficial. One must be very careful when pursuing this route, because other problems can result from the overuse of hearing protection that I have mentioned in some of my posts and articles.

It can become a big problem, resulting in a person being constantly oversensitive to sound.
 
@Smartone202 do you mean you already had some barely audible tinnitus? (How could T that does not exist spike? :p)

Yes that's correct. a .00005 out of 10 sound level.

14 years of this from a damaged ear in a 2004 noise incident. Had a few minor spikes along the way, but it was rarely ever an issue. The last spike was all the way back in 2010.

It had subsided in 2005 to the point of where I would only be able to hear it in a super quiet room and closing my ear to listen to it.

14 years later after the original incident, the serious July 2018 spike brought back into the world of Tinnitus full force and things have only gotten worse. 1.5 months after my July 2018 spike I went on a flight for 6 hours on September 7th 2018. Ironically the next night I began developing a "Head/static buzz" while trying to sleep. A noise that has yet to go away, though I have experienced a few days in between when it has been gone. Today it's screaming. A nice welcome back for me, right?
 
Reactive tinnitus and hyperacusis which vaguely includes (noxacusis, recruitment, conductive hyperacusis, cochlear migraines, misophona, phonophobia) do not have evidence of being the exact same thing as reactive tinnitus like Michael Leigh claims. Michael Leigh says they are the same thing but he hasn't yet given me a convincing reason, he hasn't even acknowledged the actual subtypes of hyperacusis outside of the confirmed psychological conditions like miso/phono phobia.

@Contrast

You are asking for the near on impossible. No two people experience tinnitus and hyperacusis the same. You are one of these people that rely on reams of medical data and research before you believe in anything concerning tinnitus and hyperacusis and the way they affect a person. That is fine but there is no definitive answer for we are all different. My claims as you put it, are based on personal experience spanning over 20 years and corresponding and counselling people with "noise induced" tinnitus. Ask any veteran to tinnitus and hyperacusis and they will tell you, whilst medical research and books on these conditions can be helpful they are no match for personal experience and corresponding with people with these conditions.

It is for this reason many people in tinnitus forums criticise ENT doctors saying: they are useless and haven't a clue about tinnitus or hyperacusis. In truth ENT doctor are trained physicians and know about the EAR, Nose and Throat. They can usually treat underlying medical problems associated with them, medically or surgically. They are not tinnitus experts or specialists as some people would like to believe. Similarly, medical reports and research into tinnitus can only take you so far. It is by corresponding with people affected by tinnitus and hyperacusis coupled with one's personal experience is the only way to learn about these conditions.

When a person requires help in the form of counselling for tinnitus and hyperacusis, a referral to a Hearing Therapist or Audiologist that specialises in these conditions can beneficial. As I have mentioned many times in this forum. It is not unusual to find Hearing Therapists/Audiologists that work with tinnitus patients, were either born with tinnitus or acquired it at some time in their life. My Hearing Therapist was born with tinnitus. I believe to be able to effectively counsel someone with tinnitus, the Therapist/counsellor has to have the condition otherwise I don't think they can have any understanding of they way it can affect a person.

Michael
 
Ironically the next night I began developing a "Head/static buzz" while trying to sleep. A noise that has yet to go away, though I have experienced a few days in between when it has been gone. Today it's screaming. A nice welcome back for me, right?

See I have exactly that noise. For me it's the most audible one and I am really not happy with it. Up until a month ago it had been pushed into the background for me too yet now it is back.
I notice it becomes more obvious as I am around sounds. When I wake up in the morning it's either very faint or not there but then certain sounds will trigger it.
I also notice I have these millisecond long flare ups of tinnitus since two weeks at insane frequencies if I hear certain sounds.

I'm afraid they might stay at some point hence my worry. Hopefully I can train the sensitivity back down again.

Will try sleeping with sound enrichment tonight.

Very sorry to hear about it coming back for you! But of course thanks for your insights too!
 
I'm afraid they might stay at some point hence my worry. Hopefully I can train the sensitivity back down again.

Will try sleeping with sound enrichment tonight.

Very sorry to hear about it coming back for you! But of course thanks for your insights too!

@Timothy 87

Getting used to sound enrichment takes time at least 6 to 8 weeks. Remember to keep the volume slightly lower than your tinnitus. The idea is to be able to comfortably hear the sound but also be able to ignore it as it shouldn't be too loud so it is drawing your attention. Give yourself 6 to 12 months and longer to habituate to tinnitus and for your hyperacusis to reduce or hopefully be cured. Each person is different but the more you worry and put pressure on yourself to speed up the healing/habituation process the more difficult things tend to be.

Michael
 
@Timothy 87

Getting used to sound enrichment takes time at least 6 to 8 weeks. Remember to keep the volume slightly lower than your tinnitus. The idea is to be able to comfortably hear the sound but also be able to ignore it as it shouldn't be too loud so it is drawing your attention. Give yourself 6 to 12 months and longer to habituate to tinnitus and for your hyperacusis to reduce or hopefully be cured. Each person is different but the more you worry and put pressure on yourself to speed up the healing/habituation process the more difficult things tend to be.

Michael

Thanks Michael. I understand the principle you're explaining but practice makes it difficult. Even the lowest volume of my phone is enough to drown out the tinnitus. I can not set it lower so as to put it below my tinnitus. That is, my ear tinnitus.
It is the actual sound of said phone that will within 15 minutes make my ear T loud enough to hear and it triggers this head buzz that just keeps getting louder the longer it is exposed to sound. Are you saying I should ignore that as in 6-8 weeks time that should stop happening? Isn't that the sort of spiking I should avoid not to make them permanent?
 
Thanks Michael. I understand the principle you're explaining but practice makes it difficult. Even the lowest volume of my phone is enough to drown out the tinnitus. I can not set it lower so as to put it below my tinnitus. That is, my ear tinnitus.
It is the actual sound of said phone that will within 15 minutes make my ear T loud enough to hear and it triggers this head buzz that just keeps getting louder the longer it is exposed to sound. Are you saying I should ignore that as in 6-8 weeks time that should stop happening? Isn't that the sort of spiking I should avoid not to make them permanent?

If you find it better sleeping without sound enrichment then don't use it.

All the best
Michael
 
@Timothy 87 I appreciated that long introductory post! And I don't know that I can say anything that will exactly help, but I do want to comment on the automobile travel. I would have hesitated on a couple of those trips of 1hour+. I found my own vehicle at highway speeds is 85db! On the otherhand, my wife's car at highway speed is in the mid 70's. Fortunately most of my trips are less than 20 minutes.

Good luck as you adjust!
 
I do not recommend the overuse of any hearing protection including earplugs. In the early stages of tinnitus particularly "noise induced" hyperacusis is often present. This can make the ears and auditory system hypersensitive to sound. This I understand having once had very severe hyperacusis. Therefore, if a person finds themselves in this situation, using earplugs when driving or being exposed to other types of sounds in their environment maybe beneficial. One must be very careful when pursuing this route, because other problems can result from the overuse of hearing protection that I have mentioned in some of my posts and articles.
Hello Michael As always I have found your advice to be very informative and useful, and so with that said I have a question (or 2). I have found my situation to be very similar to Timothy's with regard to recovery. Mine may fluctuate from very quiet in the morning (on the rare occassion), to very loud, it will fluctuate throught out the day in both ears, pitch and volume. I have come to look upon this as the normal fluctuations that can occur in the first several months of t (mine started around mid-July). Actually I try to think of myself as fortuante in that it is fluctuating, so hopefully it will diminish with time, or dare I saw heal.
My concern is about not over protecting, but still protecting, my ears. You have provided me with useful insight into this issue before, and as I have learned more, I was wondering if you could once again share your observations and thoughts. When I drive my car (it comes in at a steady 80db.) I wear my ear plugs (25 db.). I find my right ear always gets louder within 3 min., but then when I stop and get out it usually goes back to what it was before I drove within 5 to 10 min. or so. Am I overprotecting and should I start letting them get used to the noise, or is the only way to find out is to drive withour them? When I am in a coffee shop/restaurant and it starts to get loud (80 db. according to my phone meter) I put in my plugs. I try to avoid loud coffee shops and I prefer to go to quieter ones, smart or overprotecting. If I am going into a place that I feel is loud I put them in, otherwise I don't wear my plugs and allow myself to remain exposed. I am trying to not over protect and I realize that this is about finding a balance. I am planning on going back to work in a couple of weeks (I teach) and I was thinking as the class is loud (10 year olds) of wearing my 15 db. in class and then out for lunch, recess to protect my ears. As time wore on I was planing on lowering the db. levels with the hopes of eventually not wearing them as time, and my t. permits. Any thoughts re. these ideas would be greatly appreciated. Balance is one of the easiest words to say, but not always so easy to acheive. If you feel I am on the right track, just so. I am aware everyone's t. is individual, and one approach does not fit everyone. I do appreciate your time you give to this forum, it does make a difference
John
 
When I am in a coffee shop/restaurant and it starts to get loud (80 db. according to my phone meter) I put in my plugs. I try to avoid loud coffee shops and I prefer to go to quieter ones, smart or overprotecting.

HI @John CC

Thank you for your kind comments. Considering you have had tinnitus for a very short time I believe you are making good progress. Please try not to rush things or expect too much too soon, as you will be putting pressure on yourself which can cause stress and that isn't helpful. A lot of people new to tinnitus do this and if hyperacusis is present it can complicates matters. I was no different twenty two years ago and my recovery was nowhere as quick as yours. I will not go into the details as it may make for uncomfortable reading and scare some people. All I will say, my experience was quite traumatic for a considerable amount of time.

Please do yourself a huge favour and remove the decibel app from your mobile phone as you don't need it. All it does is reinforce the belief in your mind that you have a problem with sound tolerance. Trust your ears and how you feel and this will be quite sufficient. Continue using the "noise reducing" earplugs as and when you feel it's necessary. At the moment I don't think you are overusing them but constantly monitoring the environment that you are in using a sound app can instil stress, anxiety and make you want to use earplugs when it's not really necessary. The ears and auditory system are quite resilient and I think you'll be just fine given time.

Please give yourself at least 12 to 18 months perhaps longer to fully recover. The fact that you are wanting to return to work is a good thing and shows you are on the right path to making a full recovery. If you want to use earplugs when at work that will be ok but experiment and try not to become too dependent on them. Give yourself plenty of time and be patient and try to engage in the things that you like doing as much as possible, to help takeaway your attention from the tinnitus.

I wish you well and all the best.
Michael
 
@Michael Leigh again thank you for sharing your experience and providing some answers. It really helps make sense of things and find ways to cope.

I have one more about headphones. Tomorrow I am travelling to France with my aunt and this will be a long drive. I will be protecting my ears from the noise, but would also like to watch some Netflix on the way. Now I know all you have said about headphones and take it to heart; does that basically mean I had better not watch Netflix with headphones on?
Or, could I use these earphones that I insert rather than cover my ears, so they are open to outside sounds, or is that equally bad as using headphones?

One last question; I have my T spike a lot, I can't avoid it really unless I hole up in a quiet corner somewhere. I had the reactivity down a lot last month but lately it's been very reactive. Should I avoid spikes as much as possible, i.e by wearing noise reducing plugs? Or are spikes harmless so long as I don't really damage my hearing? I am wondering if my T sounds so different now because I have been allowing spikes too much.

Thanks!
 
I have one more about headphones. Tomorrow I am travelling to France with my aunt and this will be a long drive. I will be protecting my ears from the noise, but would also like to watch some Netflix on the way. Now I know all you have said about headphones and take it to heart; does that basically mean I had better not watch Netflix with headphones on?
Or, could I use these earphones that I insert rather than cover my ears, so they are open to outside sounds, or is that equally bad as using headphones?

Hello @Timothy 87

My opinion on headphone use for anyone whose tinnitus was caused by "noise exposure" "noise trauma" or any type of loud sound that caused the tinnitus initially is this: Never ever use any type of headphone even at low volume. Whether they are Open type, in-ear, bone conduction, over-the-ear, ear-buds. I believe anyone that has noise induced tinnitus, it is dangerous for them to use headphones as there is a risk of making the tinnitus permanently worse. Why someone would want to take such a risk, knowing the distress this awful condition called tinnitus can do is beyond me but it is their choice.

It is true some people with noise induced tinnitus use headphones and have no problems. However, the tinnitus only needs to spike once using them and this usually means the spike will not reduce. I have corresponded with many people in this forum and other forums. By email and on the telephone, that regret to using headphones because the tinnitus increased and will not return to its previous level.

Although it says on your profile/Avatar: cause of tinnitus unknown. I suspect your tinnitus was caused by exposure to loud noise, because you are having "spikes" and this usually means hyperacusis but not in every case.

You are new to tinnitus and spikes are common in the early stages especially with "noise induced tinnitus". There's not much you can do about this. One can try to avoid exposure to loud sounds or sounds that they find irritating. They can also use "noise reducing" ear-plugs. However, I advise caution when using earplugs. If they are overused this can cause a lowing of the loudness threshold of the auditory system, making the ears more sensitive to sound. Only you can decide whether or not using earplugs is right for you.

Hope this helps.
Michael
 
Hello @Timothy 87

You are new to tinnitus and spikes are common in the early stages especially with "noise induced tinnitus". There's not much you can do about this. One can try to avoid exposure to loud sounds or sounds that they find irritating. They can also use "noise reducing" ear-plugs. However, I advise caution when using earplugs. If they are overused this can cause a lowing of the loudness threshold of the auditory system, making the ears more sensitive to sound. Only you can decide whether or not using earplugs is right for you.

Hope this helps.
Michael

It does, thanks. I would be careful indeed with using earplugs but I am never in total silence so I guess I am safe to use earplugs here and there. If I'm at home I will often watch some TV or go out for a walk. I do build in plenty of hours of quiet too though, to let my spikes settle.

Can there be another cause for tinnitus increasing other than sound? I find it so odd that I wake up in near silence and my tinnitus tends to perk up as soon as I start moving about. It's as if it has become more reactive, but maybe this is not all due to sounds?

Another thing I noticed the other day is I had this head buzz which was really annoying but I could straighten it out and make it more tonal (less annoying) by listening to some sounds on reSound. Have you come across that before?
 

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