Tinnitus from Banging on a Pan for the NHS — Desperate for Help

Individually wrapped 3M ear disposable ear plugs are available by the box, at the world's most popular online store site.

For hearing protection when taking the subway, I use various commercially available silicon plugs, and an inexpensive pair of noise-cancelling headphones, in addition. I don't listen to music through the noise canelling headphones. They (N/C headphones) reduce the low frequency sound waves that enter your ears, while the plugs guard against other damage, due to excessive levels of middle and high frequencies.
Thank you, I'll take a look at noise cancelling headphones. I'd never thought about any of this stuff til now, I've never abused my ears, I don't listen to loud music, haven't been to a club in years, and now suddenly my ears are all I can think about. Constantly:(. I realise now I never should have taken my ears for granted!
 
@Bill Bauer
@Greg Sacramento
@Julien87
@jjflyman
@hans799
And anyone who can help.........I'm struggling.
I'm trying to protect my ears from most things now, maybe over protecting, I don't know.
There's just so much noise, traffic, airplanes, lawn mowers etc etc. Most of it doesn't actually cause me pain at the time, should I be protecting from all this noise?
Yesterday I felt like I'd really protected my ears, no pain, but by the evening they were really hurting. So I'm experiencing pain way after hearing the noises and despite protection. Or is it stress related?
The tinnitus is fluctuating, loud, quiet, different sounds, sometimes like a steady tone like a tuning fork, sometimes screechy, sometimes like the jingle of Xmas bells. It's never not there, it's just that I can't hear it sometimes above the noise of the fridge, or the birds or whatever. Sometimes I can hear it whilst having a conversation. In the evenings I can hear it over the tv. It gets louder by the evening. I go to bed with it loud and wake up with it loud.
I know it's early days, I know it'll take time. But I just find it all so hard to handle. How can I enjoy anything with all this pounding my head. I'm terrified it won't go, I'm terrified it won't even subside. How do I function with this, I am exhausted by the stress of it all. Feeling better in a few years (or even months) is just so unbearably long.
 
Please help! I've been suffering with tinnitus and noise sensitivity for 6 weeks. It happened after I was banging on a pan during our weekly clapping for the NHS during lockdown (I live in the UK). I felt it hurt my ears but stupidly didn't stop.

The ENT has said I have acoustic shock, my hearing tests etc came back normal. He's given me Clonazepam and Serc 16, and obviously can't say how things will turn out.

HI @Ealing-girl

I know how you feel but try not to panic and calm down. Please click on the links below and read my articles on tinnitus. They are particularly written for anyone that has Noise induced tinnitus/acoustic shock. Please do not use headphones even at low volume. Try and avoid quiet rooms and surroundings especially at night by using Sound Enrichment. More about this is explained in my articles. Please take your time and read them thoroughly without skimming.

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/acquiring-a-positive-mindset.23969/
https://www.tinnitustalk.com/threads/tinnitus-and-the-negative-mindset.23705/
https://www.tinnitustalk.com/threads/the-habituation-process.20767/
https://www.tinnitustalk.com/threads/is-positivity-important.23150/
 
@Michael Leigh
Thank you so much for all that info, it's much appreciated. I've read through it but will take me a couple of days to properly digest it.

I'm taking clonazepam which is helping me sleep at night. It gets me through about 7hours (which isn't enough for me but it's a relief to sleep). Should I still use noise enrichment? I have the Beltone app on my phone, is it ok to just put that under my pillow? So as not to wake my husband. As I'm sleeping anyway do I need it? (Altho I only have a week's worth of clonezapam left.)

With regards to noise protection. From your links it sounds like I'm over protecting? But if I'm out for a walk, a motorbike will suddenly race past, lots of cars, there'll be someone trimming a hedge, etc, and as I live under a flight path there are days when planes are loud overhead every couple of minutes. It's never quiet here. Well I used to think it was but I've realised there are loud noises everywhere. Tbh most of these noises don't hurt, it's only later that my ears hurt. So should I protect all the time? It's more cutlery/crockery/highpitched noises that hurt instantly. I've woken up today with my ears hurting, but it's been a quiet night!

Any thoughts on mirtazapine? My gp prescribed it to me as I'm such a mess. She and the ent say it won't make my symptoms worse but I'm reading conflicting opinions. In fact every drug I look up has conflicting opinions.

Sorry for all the rambling. I've had lots of positivity on here, but I'm so stressed all the time. I want to be hopeful but there are days I think it's all just getting worse.
 
@Bill Bauer
@Greg Sacramento
@Julien87
@jjflyman
@hans799
And anyone who can help.........I'm struggling.
I'm trying to protect my ears from most things now, maybe over protecting, I don't know.
There's just so much noise, traffic, airplanes, lawn mowers etc etc. Most of it doesn't actually cause me pain at the time, should I be protecting from all this noise?
Yesterday I felt like I'd really protected my ears, no pain, but by the evening they were really hurting. So I'm experiencing pain way after hearing the noises and despite protection. Or is it stress related?
The tinnitus is fluctuating, loud, quiet, different sounds, sometimes like a steady tone like a tuning fork, sometimes screechy, sometimes like the jingle of Xmas bells. It's never not there, it's just that I can't hear it sometimes above the noise of the fridge, or the birds or whatever. Sometimes I can hear it whilst having a conversation. In the evenings I can hear it over the tv. It gets louder by the evening. I go to bed with it loud and wake up with it loud.

I know it's early days, I know it'll take time. But I just find it all so hard to handle. How can I enjoy anything with all this pounding my head. I'm terrified it won't go, I'm terrified it won't even subside. How do I function with this, I am exhausted by the stress of it all. Feeling better in a few years (or even months) is just so unbearably long.
All of us here know the struggle you are in and the fear you are feeling.
I can speak from my own experience, other peoples opinions my differ.
IMO:
You will get better, most likely make a full recovery in time (6-24 months). My tinnitus would get much louder in the evening and nighttime, and be at it's quietest in the morning after a good sleep. There were time it would wake me up in the middle of the night, that was terrifying.

I had ear pain too, and loud sounds would cause physical pain. This eventually went away. I had fullness in my ears for a long time, this also eventually went away.

I don't think you can "over protect" your ears, especially in the short time, 6 months or so. Others my disagree with that.
The fact that your tinnitus does fluctuate, and it is very new, I think is a good sign that there is healing going on, and ears take a very long time to heal.
Be careful with any medications for depression, because some may make your ringing worse. (cruel joke on us)
I know how had this is, (going thru tinnitus twice is he hardest thing I ever done in my life), but what you hear today is not what you will hear is 6 months. Give it time, protect your ears, and no earbuds. You will get through this.
 
Thank you so much for all that info, it's much appreciated. I've read through it but will take me a couple of days to properly digest it.

HI @Ealing-girl if you have a printer then I suggest you print my articles as you will digest the information better. Please take as much time as you need to read them. When you finish please refer to them again especially the positivity articles as they are a form of counselling. This needs to be reinforced and therefore it's best to read them more than once. I will place some more in the links below. Again, please take as much time as you need to read them.

I'm taking clonazepam which is helping me sleep at night. It gets me through about 7hours (which isn't enough for me but it's a relief to sleep). Should I still use noise enrichment? I have the Beltone app on my phone, is it ok to just put that under my pillow? So as not to wake my husband. As I'm sleeping anyway do I need it? (Altho I only have a week's worth of clonezapam left.)

Clonazepam can help reduce tinnitus for some people and it works for me. However, I advise you to be cautious with this medication as it shouldn't be taken to regular as one can become too dependant on it. For a short duration to get you through a difficult patch I believe it is fine. Please discuss this with your doctor.

With regards to noise protection. From your links it sounds like I'm over protecting? But if I'm out for a walk, a motorbike will suddenly race past, lots of cars, there'll be someone trimming a hedge, etc, and as I live under a flight path there are days when planes are loud overhead every couple of minutes. It's never quiet here. Well I used to think it was but I've realised there are loud noises everywhere. Tbh most of these noises don't hurt, it's only later that my ears hurt. So should I protect all the time? It's more cutlery/crockery/highpitched noises that hurt instantly. I've woken up today with my ears hurting, but it's been a quiet night!

My post: Hyperacusis, As I see it, in the link I have given you explains all about using ear protection. It is something that shouldn't be used too often. Use Noise reducing earplugs and not the foam type. Please refer to the post.

Any thoughts on mirtazapine? My gp prescribed it to me as I'm such a mess. She and the ent say it won't make my symptoms worse but I'm reading conflicting opinions. In fact every drug I look up has conflicting opinions.

I strongly advise you not look up information about medication and tinnnitus but follow the advice of your doctor. There are many people in forums that are quick to advise don't take this medication because it will make your tinnitus worse. This is not necessarily the case as each person is different. The purpose of an antidepressant is to help prevent a person from becoming too down about their tinnitus, this is especially important in the early stages as you are in. I will paste a link below regarding medication and tinnitus.

Sound enrichment takes time to get used to and I advise you to use it. Its purpose is not to help make you sleep but to help treat your oversensitivity to sound and the tinnitus. In addition to this help to prevent your brain from increasing it's internal activity. In my articles I explain in more depth the benefits of sound enrichment. Although using a mobile phone under your pillow is okay it is not the best sound source. Much better to use a dedicated sound machine and attach a pillow speaker to it which can be placed under your pillow. You can also purchase a "sound pillow" This has speakers within the pillow with a cable attached that can be plugged into the sound machine for privacy. I recommend Sound Oasis sound machines. They make various models. S-650 is popular. You can google sound oasis. Their machines can be bought from the British Tinnitus association or from Amazon.

Take care
Michael

https://www.tinnitustalk.com/threads/tinnitus-and-mental-health.21978/
https://www.tinnitustalk.com/threads/from-darkness-into-light.22234/
https://www.tinnitustalk.com/threads/tinnitus-the-half-that-is-not-often-told.21353/
https://www.tinnitustalk.com/threads/what-is-severe-debilitating-tinnitus.35032/
https://www.tinnitustalk.com/threads/habituation-and-tinnitus-treatments.38091/
https://www.tinnitustalk.com/threads/sound-machines-and-tinnitus.12072/
https://www.tinnitustalk.com/threads/the-art-of-tinnitus.12066/
https://www.tinnitustalk.com/threads/tinnitus-as-i-see-it.12073/
 
There's just so much noise, traffic, airplanes, lawn mowers etc etc. Most of it doesn't actually cause me pain at the time, should I be protecting from all this noise?
If I were you, I would give this policy of protecting your ears from all of the moderate noises a chance and try it for at least 2-3 months. If you don't notice improvement/fading after that time is over, then you can gradually relax this policy. If your tinnitus doesn't get worse, then perhaps it might be ok to not protect your ears.

Ears take months to heal. They won't get better overnight - the day after you begin protecting your ears. But many people (myself included) swear by this protection and are convinced that this is the reason their tinnitus had improved (in my case, at one point a lot of the progress got undone when I inadvertently hurt my ears again).

To ensure that you don't give yourself hyperacusis, you will want to expose your ears daily to the loudest sound it can handle (e.g., TV at moderate volume, that is quiet enough to not feel too loud to you).
I'm experiencing pain way after hearing the noises and despite protection
If when you try stopping protection you experience an increase in the intensity of the pain or the time you spend being in pain, I would recommend that you go back to protecting.

If the noise is loud enough, it is possible that your protection isn't enough. The best thing you can do is to get away from the noise...
The tinnitus is fluctuating, loud, quiet
That's actually a wonderful sign! The worst kind of tinnitus is the one that's relentlessly at the same level. Also, what's important isn't the daily or weekly trend. What's important are the monthly trend and the global lows. When your tinnitus is quiet, it means that your global low is already low, and this shows that it Can be quiet, and will hopefully keep getting quieter and the quiet periods will gradually get longer and longer.
I just find it all so hard to handle.
The first 3-6 months are the hardest. It ought to get better afterwards. And after 2.5-3 years there is a high chance that you will have your life back (both because your tinnitus will hopefully fade, and because you will be able to get used to (and stop being aware of it, most of the time) quiet tinnitus that you can hear only in quiet rooms).
Feeling better in a few years (or even months) is just so unbearably long.
Put things into perspective: Few years/months is shorter than "many decades"...
 
All of us here know the struggle you are in and the fear you are feeling.
I can speak from my own experience, other peoples opinions my differ.
IMO:
You will get better, most likely make a full recovery in time (6-24 months). My tinnitus would get much louder in the evening and nighttime, and be at it's quietest in the morning after a good sleep. There were time it would wake me up in the middle of the night, that was terrifying.

I had ear pain too, and loud sounds would cause physical pain. This eventually went away. I had fullness in my ears for a long time, this also eventually went away.

I don't think you can "over protect" your ears, especially in the short time, 6 months or so. Others my disagree with that.
The fact that your tinnitus does fluctuate, and it is very new, I think is a good sign that there is healing going on, and ears take a very long time to heal.
Be careful with any medications for depression, because some may make your ringing worse. (cruel joke on us)
I know how had this is, (going thru tinnitus twice is he hardest thing I ever done in my life), but what you hear today is not what you will hear is 6 months. Give it time, protect your ears, and no earbuds. You will get through this.
Thank you. Did you use noise enrichment at night? If so did that aggravate or worsen your noise sensitivity?
 
HI @Ealing-girl if you have a printer then I suggest you print my articles as you will digest the information better. Please take as much time as you need to read them. When you finish please refer to them again especially the positivity articles as they are a form of counselling. This needs to be reinforced and therefore it's best to read them more than once. I will place some more in the links below. Again, please take as much time as you need to read them.



Clonazepam can help reduce tinnitus for some people and it works for me. However, I advise you to be cautious with this medication as it shouldn't be taken to regular as one can become too dependant on it. For a short duration to get you through a difficult patch I believe it is fine. Please discuss this with your doctor.



My post: Hyperacusis, As I see it, in the link I have given you explains all about using ear protection. It is something that shouldn't be used too often. Use Noise reducing earplugs and not the foam type. Please refer to the post.



I strongly advise you not look up information about medication and tinnnitus but follow the advice of your doctor. There are many people in forums that are quick to advise don't take this medication because it will make your tinnitus worse. This is not necessarily the case as each person is different. The purpose of an antidepressant is to help prevent a person from becoming too down about their tinnitus, this is especially important in the early stages as you are in. I will paste a link below regarding medication and tinnitus.

Sound enrichment takes time to get used to and I advise you to use it. Its purpose is not to help make you sleep but to help treat your oversensitivity to sound and the tinnitus. In addition to this help to prevent your brain from increasing it's internal activity. In my articles I explain in more depth the benefits of sound enrichment. Although using a mobile phone under your pillow is okay it is not the best sound source. Much better to use a dedicated sound machine and attach a pillow speaker to it which can be placed under your pillow. You can also purchase a "sound pillow" This has speakers within the pillow with a cable attached that can be plugged into the sound machine for privacy. I recommend Sound Oasis sound machines. They make various models. S-650 is popular. You can google sound oasis. Their machines can be bought from the British Tinnitus association or from Amazon.

Take care
Michael

https://www.tinnitustalk.com/threads/tinnitus-and-mental-health.21978/
https://www.tinnitustalk.com/threads/from-darkness-into-light.22234/
https://www.tinnitustalk.com/threads/tinnitus-the-half-that-is-not-often-told.21353/
https://www.tinnitustalk.com/threads/what-is-severe-debilitating-tinnitus.35032/
https://www.tinnitustalk.com/threads/habituation-and-tinnitus-treatments.38091/
https://www.tinnitustalk.com/threads/sound-machines-and-tinnitus.12072/
https://www.tinnitustalk.com/threads/the-art-of-tinnitus.12066/
https://www.tinnitustalk.com/threads/tinnitus-as-i-see-it.12073/
Thank you so much for all the info. I'm going to print everything off as you suggested. I feel like I need lots of counselling and support, it'll be good to have everything at hand to keep referring to. I've never been very good at dealing with health issues, I know my suffering is no worse and indeed less than many others but I am finding it extremely difficult. I do feel like I really need the anti depressants now but am so scared to try. Will read through your links thank you.
 
If I were you, I would give this policy of protecting your ears from all of the moderate noises a chance and try it for at least 2-3 months. If you don't notice improvement/fading after that time is over, then you can gradually relax this policy. If your tinnitus doesn't get worse, then perhaps it might be ok to not protect your ears.

Ears take months to heal. They won't get better overnight - the day after you begin protecting your ears. But many people (myself included) swear by this protection and are convinced that this is the reason their tinnitus had improved (in my case, at one point a lot of the progress got undone when I inadvertently hurt my ears again).

To ensure that you don't give yourself hyperacusis, you will want to expose your ears daily to the loudest sound it can handle (e.g., TV at moderate volume, that is quiet enough to not feel too loud to you).

If when you try stopping protection you experience an increase in the intensity of the pain or the time you spend being in pain, I would recommend that you go back to protecting.

If the noise is loud enough, it is possible that your protection isn't enough. The best thing you can do is to get away from the noise...

That's actually a wonderful sign! The worst kind of tinnitus is the one that's relentlessly at the same level. Also, what's important isn't the daily or weekly trend. What's important are the monthly trend and the global lows. When your tinnitus is quiet, it means that your global low is already low, and this shows that it Can be quiet, and will hopefully keep getting quieter and the quiet periods will gradually get longer and longer.

The first 3-6 months are the hardest. It ought to get better afterwards. And after 2.5-3 years there is a high chance that you will have your life back (both because your tinnitus will hopefully fade, and because you will be able to get used to (and stop being aware of it, most of the time) quiet tinnitus that you can hear only in quiet rooms).

Put things into perspective: Few years/months is shorter than "many decades"...
So do you mean wear noise protection most of the time with periods of short exposure? You don't think I already have hyperacusis, I sort of thought I already have it. Can some of it be psychological? A week or so ago I spent a day in the park with no protection, I acted as tho there was nothing wrong with my ears and wasn't irritated by most of the noise except the odd slam of a car door. I felt fine altho obviously it was still on my mind. I had no pain then the next day back to the usual pain again. That's what I don't understand, it's that I often don't get pain til way after. Are my ears tolerating the sounds then reacting later?
What are your feelings on noise enrichment at night (or at any time)? Will it worsen the noise sensitivity or decrease it and the tinnitus over time? I'm lost as to what my ears can tolerate.
Thank you for all the info. I know I keep repeating, I'm just really really struggling to live normally. I want to be able to make adjustments and just keep going but I can't seem to switch off from it for a second. Whatever I do to distract myself, my usual enjoyment has disappeared, the tinnitus and pain are always still at the forefront of my mind. Sorry to be so needy, I know there are people much worse off than me.
 
So do you mean wear noise protection most of the time with periods of short exposure?
Is it always noisy (or there is always a high chance of noise) at your home? What noise are we talking about?

If it isn't noisy at home, then just wear protection when you are in noisy environments.
You don't think I already have hyperacusis
Hyperacusis means that sounds that you wouldn't notice in the past, feel bad now. Is that your case?
wasn't irritated by most of the noise except the odd slam of a car door.
It sounds like you should have worn hearing protection when the doors were being closed after you got into the car, and from then on there was no need to wear hearing protection.
That's what I don't understand, it's that I often don't get pain til way after.
I know tinnitus can spike the next day. Sorry, I haven't been paying attention to the stories about pain, so I am not sure about what to do about the pain.
What are your feelings on noise enrichment at night (or at any time)?
I used to do it during the acute stage of my tinnitus. So experiment with it, and if it works for you (and doesn't cause a spike), by all means do it. The idea is not to make it so loud that you stop hearing your tinnitus, the idea is to give yourself something else to listen to.
Will it worsen the noise sensitivity or decrease it and the tinnitus over time?
It should never be loud, and if it isn't loud, it shouldn't have an impact on noise sensitivity. It could make it easier to fall asleep. Sleeping more and improving the quality of one's sleep normally has a positive impact on T.
I'm lost as to what my ears can tolerate.
It's ok to experiment. Something like that won't cause a permanent spike.
I'm just really really struggling to live normally
Most of the people here know exactly what you are going through. You need to live one day at a time.
Whatever I do to distract myself, my usual enjoyment has disappeared, the tinnitus and pain are always still at the forefront of my mind.
The first six months of tinnitus felt like the worst thing that had ever happened to me, and I had been watching my dad dying of brain cancer for five years beginning when I was 15 and he was 42. (I am in my forties now.) For most people it gets better...
 
Did you use noise enrichment at night? If so did that aggravate or worsen your noise sensitivity?
I use an old iPhone with a rain app on my nightstand for sleeping (still do because I like the sound)
You can use any $20 sound machine or get fancy and buy a nice one. It won't hurt your ears and it helps you sleep.
 
Is it always noisy (or there is always a high chance of noise) at your home? What noise are we talking about
It's usually pretty noisy with 2 kids. My youngest is a 9 year old boy, he's loud and boisterous. I've explained he needs to be quieter and he does try but it's hard. And it's very open plan downstairs. I wouldn't say it's a quiet environment, altho I used to think it was. Cars, planes, tv, washing machine, the thumping steps of kids running around. My family are trying to be mindful of me but it's hard as we're all stuck at home now and to me it feels miserable that I'm curtailing their normal lives.
I'm trying to keep the ear defenders handy and put them on only when it's too much.

Hyperacusis means that sounds that you wouldn't notice in the past, feel bad now. Is that your case?

Yes I'd say so. Especially high pitched sounds like cutlery and plates, metallic sounds like pots and pans. Loud voices. I have the tv on low volume with cotton wool in my ears to soften it a bit. It'sa bit less irritating outside but some loud noises worry me, like the sound of traffic or wind in my ears. I have so much random pain I don't know what's causing what. I tend to wear ear plugs now whenever I'm out. I feel like the sensitivity is getting worse but maybe I'm just getting more scared.

It should never be loud, and if it isn't loud, it shouldn't have an impact on noise sensitivity.
I've been waking very early the last couple of mornings despite the clonazepam. I've then put my noise app on but I can't get back to sleep and it seems to make the T worse but maybe because I'm not used to it? Not sure about the effect on sensitivity as the pain can be so random.

The first six months of tinnitus felt like the worst thing that had ever happened to me
I'm so very sorry to hear what you went through. Yes it highlights how bad this is.
Yesterday I felt a bit better, the T had faded a bit, I had a little hope. Used my ear protection a lot. By evening there it was raging loudly again, and woke up to the same early this morning.
Sometimes I think I just can't go on like this. I can't even get any help, the nhs isn't taking referrals right now. I saw the one ent that I could find open privately but that's so expensive. It was useful having the audiology tests there but I'm not sure he'd be of much more use to me now anyway.

Thank you so much for your help and kindness (and to everyone), it means a lot to me.
I don't think I can get through this, I really really don't. Other people on the forum seem to be able to handle it better than me, I guess I need to somehow change my mindset.
 
I'm trying to keep the ear defenders handy and put them on only when it's too much.
Sounds like a good plan. You might want to let your son know every time he inadvertently hurts you, and hopefully eventually it will be easier for him to remember to change.
Especially high pitched sounds like cutlery and plates
I've been there myself.

I did what I could to minimize my exposure to all of the noises that felt uncomfortable to me, and it ended up working out well. I know many others have had the same experience. The setbacks are inevitable - everyone had had them. So don't worry too much when they happen, and just try to learn from your mistakes and to change accordingly.
I have the tv on low volume with cotton wool in my ears to soften it a bit.
Cotton wool probably provides minimal protection. You will really want to get those 3M 1100 plugs.

The low-pressure plugs
https://www.amazon.com/Howard-Leight-Disposable-Earplugs-without/dp/B00O9QV7NK
provide less reduction, last only about 5 times (3M plugs last longer), but are very comfortable.

It sucks that even low volume feels bad now. In a couple of months you will want to begin gradually increasing the volume, but of course now it is a good idea to set the volume low enough for it to not feel too loud.
Not sure about the effect on sensitivity as the pain can be so random.
Normally it is the short, intense, and loud sounds that are bad for H, but of course everyone is different...
Yesterday I felt a bit better, the T had faded a bit, I had a little hope. Used my ear protection a lot. By evening there it was raging loudly again, and woke up to the same early this morning.
Daily and weekly fluctuations are normal (I never heard of anyone who hasn't had them). The fact that there was a period when it was quieter, is a very positive and encouraging sign. If it were relentlessly at the same level, THAT would have been horrible and a sign that there is a low chance that it would improve.

By the way, one thing to keep in mind is that the more it fades, the slower it begins to fade.
I can't even get any help, the nhs isn't taking referrals right now. I saw the one ent that I could find open privately but that's so expensive. It was useful having the audiology tests there but I'm not sure he'd be of much more use to me now anyway.
Don't feel Too bad. Normally ENTs don't help with tinnitus and hyperacusis. We have no idea whether or not they will be able to help with the pain... Luckily time Can lead to healing.
Used my ear protection a lot.
Make sure to only insert the earplugs when your ear canals are dry. One time I had a shower before bed and then I wore earplugs to bed (I began doing that years before I got T, that way I am not waken up if a neighbour happens to slam the door of a car). The next day I had an ear infection(!) But as long as your ears are dry, it ought to be ok (I never had any issues before or after that event).
Thank you so much for your help and kindness (and to everyone), it means a lot to me.
You are most welcome.

Other people on the forum seem to be able to handle it better than me
The majority of people here have always disliked noise. All of us handle noise worse than the average person out there.

It is understandable to be upset about the noise when one thinks the noise will be there for the rest of one's life. However, it ought to be easier to bear this noise if you know that you will only have to deal with it for X months... Those months will be a complete write-off. You need to focus on surviving one day at a time. Keep in mind that stress can cause other diseases, so keep telling yourself that chances are that it won't last and that you just need to give it time and then you will have your life back.

Of course I realize that it is easier said than done...
 
@Bill Bauer
@Michael Leigh

So the last couple of days I was experiencing a slight reduction in the noises in my ears.
Then yesterday I went out wearing new earplugs (EarPeace musicians plugs), they have little sound filters in them. As I walked down the street I could hear my footsteps really loudly, it was very weird. After a very short time I took them out and replaced with my usual foam ones, things still felt a little strange.
When I met with my friend I took out the foam and replaced with the Earpeace plugs whilst I sat chatting for about an hour. They seemed ok, but I was still feeling something wasn't quite right. I took them out on the way home. The ringing then increased again, I'm sooooo frustrated.
Will the new earplugs have caused a spike? Will it go away? Aaaaaargh I feel like it's one step forward, two steps back. Have i set myself back just from experimenting with new plugs???? Please tell me this is a minor blip....
It's torture, it feels like a minefield, trying to do the right thing, ending up doing the wrong thing, on and on it goes......:(
 
With acoustic shock, muscle membranes within the ear can be inflamed and sometimes a slight muscle tear exists that should heal quickly. Placing and pulling out ear plugs may irritate muscle membranes.

So the last couple of days I was experiencing a slight reduction in the noises in my ears.
Then yesterday I went out wearing new earplugs (EarPeace musicians plugs), they have little sound filters in them. As I walked down the street I could hear my footsteps really loudly, it was very weird. After a very short time I took them out and replaced with my usual foam ones, things still felt a little strange.
When I met with my friend I took out the foam and replaced with the Earpeace plugs whilst I sat chatting for about an hour. They seemed ok, but I was still feeling something wasn't quite right. I took them out on the way home. The ringing then increased again, I'm sooooo frustrated.
Will the new earplugs have caused a spike? Will it go away? Aaaaaargh I feel like it's one step forward, two steps back. Have i set myself back just from experimenting with new plugs???? Please tell me this is a minor blip....
It's torture, it feels like a minefield, trying to do the right thing, ending up doing the wrong thing, on and on it goes

@Ealing-girl Your spike should go away and your ears will heal, but I would start using
Sound defender headphones
 
@Greg Sacramento
Thanks so much for your response. I was so excited about the musicians earplugs as they're so discreet and have great reviews! And they were comfortable to wear. But it was so weird hearing my footsteps amplified. Have you heard of that phenomenon?

I do wear sound defenders but mostly at home or in the garden. I hate wearing them out as they're so big!!
I know I shouldn't care but it's like another added misery. I looked at purchasing the 3M Peltor X4, they have a slimmer profile but some reviews say they feel tight on the head.
So do you think I'm experiencing a spike? I feel like I've undone any good work I might have done:(
 
Probably due to the occlusion effect. It happens with most plugs. What plugs did you choose by the way?
I bought EarPeace plugs mainly because they have 3 different filters you can insert that have different levels of db reduction. And they have great reviews. Am so disappointed they made things worse as they were actually quite comfy.
Is the occlusion effect really bad??? Have I caused myself a serious setback??? I never had this issue with the foam plugs.
 
Will the new earplugs have caused a spike? Will it go away? Aaaaaargh I feel like it's one step forward, two steps back. Have i set myself back just from experimenting with new plugs???? Please tell me this is a minor blip....
It's torture, it feels like a minefield, trying to do the right thing, ending up doing the wrong thing, on and on it goes.

HI @Ealing-girl

I understand everything that you are going through having been there myself. Many people in this forum have endured a similar experience having developed tinnitus and hyperacusis due to noise trauma or acoustic shock to the auditory system.

You are going through a process and unfortunately this is how tinnitus and hyperacusis behaves especially in the early stages which you are in, having recently acquired tinnitus. I trust you have printed my articles as you said you would? They will help reinforce positivity and make you realize that it's nothing you're doing is wrong or that your symptoms will get worse. They wont but they will fluctuate a lot perhaps daily. I cannot stipulate enough how important it is not to overuse hearing protection or to go down the road of wearing Noise cancelling headphones or earmuffs. You can do this if you wish but I advise you to refrain from doing so. Use your Noise reducing earplugs judiciously and in accordance with my advice in the post: Hyperacusis, As I see it.

Give it time and please be patient. Above all don't be tempted to go private for any help with what you're experiencing. You will get the best help and long term aftercare under the NHS for tinnitus and hyperacusis, that no private practice can match in the UK, that I assure you.

If you are feeling overly stressed this is quite understandable, so have talk with your GP. Please refer to my articles.

Take care
Michael
 
I bought EarPeace plugs mainly because they have 3 different filters you can insert that have different levels of db reduction. And they have great reviews. Am so disappointed they made things worse as they were actually quite comfy.
Is the occlusion effect really bad??? Have I caused myself a serious setback??? I never had this issue with the foam plugs.

EarPeace seems to be a good choice. Regarding the occlusion effect, I do not think it is "bad". It is just surprising because everything that comes in contact with our body seems louder.
I do not think it is more dangerous for the inner ear. However, it is not recommended to speak loudly or to scream (obviously) while wearing earplugs because this internal noise will actually be louder, due to that effect.

I am not a specialist in the matter, I suggest you to have a look the following threads, they contain interesting information about the occlusion effect:
https://www.tinnitustalk.com/threads/occlusion-effect-dangerous.27388/
https://www.tinnitustalk.com/threads/occlusion-effect-from-earmuffs-—-dangerous.31688/
 
HI @Ealing-girl

I understand everything that you are going through having been there myself. Many people in this forum have endured a similar experience having developed tinnitus and hyperacusis due to noise trauma or acoustic shock to the auditory system.

You are going through a process and unfortunately this is how tinnitus and hyperacusis behaves especially in the early stages which you are in, having recently acquired tinnitus. I trust you have printed my articles as you said you would? They will help reinforce positivity and make you realize that it's nothing you're doing is wrong or that your symptoms will get worse. They wont but they will fluctuate a lot perhaps daily. I cannot stipulate enough how important it is not to overuse hearing protection or to go down the road of wearing Noise cancelling headphones or earmuffs. You can do this if you wish but I advise you to refrain from doing so. Use your Noise reducing earplugs judiciously and in accordance with my advice in the post: Hyperacusis, As I see it.

Give it time and please be patient. Above all don't be tempted to go private for any help with what you're experiencing. You will get the best help and long term aftercare under the NHS for tinnitus and hyperacusis, that no private practice can match in the UK, that I assure you.

If you are feeling overly stressed this is quite understandable, so have talk with your GP. Please refer to my articles.

Take care
Michael

Thank you so much.
Yes I've printed off a lot of your articles. I'm trying to be positive, I find the days when there seems to be improvement I can be so much more hopeful, other days are still such a huge struggle. I've tried some meditation and body scan mindfulness, breathing etc. I can't make myself stick with it because I'm so stressed out but I know I should.
Maybe I've made a few improvements, I can read in bed now (something I love doing!), I couldnt do that for weeks. I sort of make myself ignore the sounds in my head whilst reading. My appetite has increased a bit too, I could barely eat anything for weeks. I'm still crying loads and in despair but I guess I should think of these tiny things as successes.

I tend to only wear the noise protection when things are loud for me. So unloading the dishwasher feels painful, vacuuming, some traffic noises, lawn mowers, airplanes.....I live in London, it's much noisier than I thought. I haven't yet used noise enrichment at night. I've tried in the early mornings, it seems to aggravate my ears. I don't know whether to persevere.

What do you think of the ear plugs I mentioned? They have filters but really troubled me. I notice in some of your other posts you suggest the filter ones are better than foam but maybe for some reason my ears just don't like them. Should I try again?

I did go and see a private ENT initially, it was the only place my gp and I could find open. I won't be persuing private treatment however, it's very costly and I trust the nhs to know what they're doing. The nhs however is not taking referrals yet and I'm so desperate for professional advice and some options on therapies. I will wait til they reopen but it's really adding to my stress that I can't access that help.
 
Thank you so much.
Yes I've printed off a lot of your articles. I'm trying to be positive, I find the days when there seems to be improvement I can be so much more hopeful, other days are still such a huge struggle. I've tried some meditation and body scan mindfulness, breathing etc. I can't make myself stick with it because I'm so stressed out but I know I should.
Maybe I've made a few improvements, I can read in bed now (something I love doing!), I couldnt do that for weeks. I sort of make myself ignore the sounds in my head whilst reading. My appetite has increased a bit too, I could barely eat anything for weeks. I'm still crying loads and in despair but I guess I should think of these tiny things as successes

You are welcome @Ealing-girl

Try not to expect too much of yourself. You are in the very early stages of tinnitus and this adjustment will take time as you go through the habituation process. It is something that cannot be rushed although I fully understand how you feel. You want your life back and it will happen but requires time. It is good that you're able to read and whatever you can manage just accept that's what you can do for now. There maybe times when you're not able to concentrate on reading but try not to make this bother you.

If it helps, after my second noise trauma in 2008 I was unable to read for 2 years. Please read my post:
My experience with tinnitus, in the link below.

I live in London, it's much noisier than I thought. I haven't yet used noise enrichment at night. I've tried in the early mornings, it seems to aggravate my ears. I don't know whether to persevere.

I am from London born and bred but moved to Brighton in 2014 and like it a lot. It is usually better to use sound enrichment at night as I have mentioned in my posts. It will help treat the tinnitus and hyperacusis. Again, it takes time to get used to it at least 4 to 6 weeks. Oasis sound machines are the best and you can use them with pillow speakers.

I suggest using Noise reducing earplugs that have filters in. These will reduce external sound but wont impair it or cause an occlusion effect like foam earplugs. The type you mention seem good but if you find them uncomfortable you may need to try another brand. Foam earplugs are normally used when you want to block-out most external sound- when using noisy power tools or gardening equipment for example.

I did go and see a private ENT initially, it was the only place my gp and I could find open. I won't be persuing private treatment however, it's very costly and I trust the nhs to know what they're doing. The nhs however is not taking referrals yet and I'm so desperate for professional advice and some options on therapies. I will wait til they reopen but it's really adding to my stress that I can't access that help.

My article: Tinnitus, A Personal View, describes what to expect when you are first seen at ENT under the NHS for tinnitus. Stress is commonly associated with tinnitus and hyperacusis. Therefore please have a talk with your GP about how you feel.

From what you describe I believe you have Noise induced tinnitus with hyperacusis. The information in my articles will bring you up to speed on how to help yourself so hopefully, by the time you're seen at ENT you will be in a much better place. Your tinnitus will probably improve by then and hyperacusis too. Try to avoid quiet rooms and surroundings by using low level sound enrichment. The purpose is not to try and mask the tinnitus but to gently desensitize your ears and auditory system so they are not so hypersensitive to sound. As previously mentioned this is a process and takes time, sometimes many months. Please read my post: From darkness into light, in the link I have previously given you.

Michael

https://www.tinnitustalk.com/threads/my-experience-with-tinnitus.12076/
 
Will the new earplugs have caused a spike?
It's likely the case. To make sure this is what has happened, you could wait 2-4 weeks after this spike settles (for now it makes sense to assume that it is temporary), and then try wearing those earplugs again. Another possibility is that the start of this random spike had coincided with the first time you got to wear those earplugs (the probability is low, but it's definitely a possibility).
I feel like it's one step forward, two steps back.
That's normal. Everyone who got better had had a reason to feel this way.
Please tell me this is a minor blip....
Most likely it is.
It's torture, it feels like a minefield, trying to do the right thing, ending up doing the wrong thing, on and on it goes.
As long as you learn from your mistakes (and it this case it's not clear whether it was the earplugs), you ought to be ok.
 
@Ealing-girl As I mentioned and later you found out that wearing ear plugs can cause more problems - at least be careful with placement and removal. Defenders - noise blocking headphones are better to use when being around loud noise with your physical ear situation. Try not to over protect. Hugs - give things a little time.
 
You are welcome @Ealing-girl

Try not to expect too much of yourself. You are in the very early stages of tinnitus and this adjustment will take time as you go through the habituation process. It is something that cannot be rushed although I fully understand how you feel. You want your life back and it will happen but requires time. It is good that you're able to read and whatever you can manage just accept that's what you can do for now. There maybe times when you're not able to concentrate on reading but try not to make this bother you.

If it helps, after my second noise trauma in 2008 I was unable to read for 2 years. Please read my post:
My experience with tinnitus, in the link below.



I am from London born and bred but moved to Brighton in 2014 and like it a lot. It is usually better to use sound enrichment at night as I have mentioned in my posts. It will help treat the tinnitus and hyperacusis. Again, it takes time to get used to it at least 4 to 6 weeks. Oasis sound machines are the best and you can use them with pillow speakers.

I suggest using Noise reducing earplugs that have filters in. These will reduce external sound but wont impair it or cause an occlusion effect like foam earplugs. The type you mention seem good but if you find them uncomfortable you may need to try another brand. Foam earplugs are normally used when you want to block-out most external sound- when using noisy power tools or gardening equipment for example.



My article: Tinnitus, A Personal View, describes what to expect when you are first seen at ENT under the NHS for tinnitus. Stress is commonly associated with tinnitus and hyperacusis. Therefore please have a talk with your GP about how you feel.

From what you describe I believe you have Noise induced tinnitus with hyperacusis. The information in my articles will bring you up to speed on how to help yourself so hopefully, by the time you're seen at ENT you will be in a much better place. Your tinnitus will probably improve by then and hyperacusis too. Try to avoid quiet rooms and surroundings by using low level sound enrichment. The purpose is not to try and mask the tinnitus but to gently desensitize your ears and auditory system so they are not so hypersensitive to sound. As previously mentioned this is a process and takes time, sometimes many months. Please read my post: From darkness into light, in the link I have previously given you.

Michael

https://www.tinnitustalk.com/threads/my-experience-with-tinnitus.12076/
Thank you so much.

So my new earplugs do have filters in but it seems they caused an occlusion effect. Why would that suddenly happen when it hadn't with the foam ones?

I have spoken with my gp about my mental state. She prescribed me mirtazapine (I may have mentioned before) but I see some anecdotal evidence that it can make tinnitus worse. It's made me scared to try it. My levels of anxiety are through the the roof though.

I've lived in London 30 years, Brighton is a great place. It's one of the few places I could imagine ever moving to!
 
@Ealing-girl As I mentioned and later you found out that wearing ear plugs can cause more problems - at least be careful with placement and removal. Defenders - noise blocking headphones are better to use when being around loud noise with your physical ear situation. Try not to over protect. Hugs - give things a little time.

Thank you so much.

I'll try to use the ear plugs less, and the defenders more. Would you have any idea though why the filter plugs would cause the occlusion effect that I didn't experience with the foam ones? These new ones were the silicone type and actually more comfortable to wear and easier to insert and remove.

In a previous post you told me acoustic shock should fade in a few weeks hopefully. (I'm not holding you to that btw!!!). That gives me a lot of hope but it's been 7 or 8 weeks now (I've lost count!), is it looking like this could be permanent? I have a single tone (like a tuning fork) which I find more disturbing than the ringing for some reason. This occasionally fades then returns as before (e.g. had faded a couple of days then returned after the ear plugs incident). I feel calmer when it fades, the ringing then seems quieter too or at least my perception of it changes. Dare I have hope this could all resolve?

Thoughts on antidepressants? I've been prescribed mirtazapine. I'm desperate to improve my mental state but too scared to take them. Mindfulness etc isn't cutting it.
 
It's likely the case. To make sure this is what has happened, you could wait 2-4 weeks after this spike settles (for now it makes sense to assume that it is temporary), and then try wearing those earplugs again. Another possibility is that the start of this random spike had coincided with the first time you got to wear those earplugs (the probability is low, but it's definitely a possibility).

That's normal. Everyone who got better had had a reason to feel this way.

Most likely it is.

As long as you learn from your mistakes (and it this case it's not clear whether it was the earplugs), you ought to be ok.

Thank you so much.

Random spikes???? Could i just spike for no reason?!!
Any idea why these ear plugs would have caused the occlusion effect when the foam ones didn't?

I can't bear the set backs, I know this can be a long journey but a little part of me just hoped my ears would rest and I'd get better soon. Can this be possible???

Sorry to ask the same question....any thoughts on antidepressants? I've been prescribed mirtazapine. I'm losing the plot. I get a bit of hope when things fade a little then I crash back down even lower when it all comes back.

Sorry I know I'm like a broken record:(
 
I'll try to use the ear plugs less, and the defenders more. Would you have any idea though why the filter plugs would cause the occlusion effect that I didn't experience with the foam ones?

@Ealing-girl

It is better to use your "Noise reducing earplugs that have filters" as I have described in my post: Hyperacusis, As I see it. You should use earplugs with prudence and try not to become too dependant on them as you risk lowing the loudness threshold of your auditory system, which can make it more sensitive to sound.

In a previous post you told me acoustic shock should fade in a few weeks hopefully. (I'm not holding you to that btw!!!). That gives me a lot of hope but it's been 7 or 8 weeks now (I've lost count!),

Noise trauma can take as long as 18 months to 2 years for complete recovery. Sometimes this can happen naturally other times it may require specialist treatment, with a Hearing Therapist or Audiologist that specialises in Tinnitus and hyperacusis management. All this in formation is in my articles. Please see my article: The habituation Process. It can be a long process and each person is different. This is the reason I have advised you to use low level "sound enrichment" especially at night and you need to be very patient.

Thoughts on antidepressants? I've been prescribed mirtazapine. I'm desperate to improve my mental state but too scared to take them. Mindfulness etc isn't cutting it.
As I have previously explained, it is best to follow the advice of your GP regarding antidepresants and not follow the advice of some people who say they make tinnitus worse. This is not necessarly the case and it's very important that your mental state is kept in check. Please do not reseach on the Internet or ask in tinnitus forums about medications and tinnitus. You will hear a lot of conflicting stories and this is will not help you. Please follow the advice of your GP on this.

Hope this helps.
Michael



 

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