Dear Dr Nagler,
I am unfortunately still in the "trying to figure my tinnitus out" stage. As you have likely gathered from my past thread (and I hope it is okay to make a separate one), I am quite a neurotic individual, and that certainly does not help matters. But new problems are starting to surface, asides from just the tinnitus, and I would like to get your thoughts.
It is becoming harder and harder for me to tolerate noise. I get a flutter (mostly in my right ear, which is also the ear the tinnitus is worse in), from certain sounds. It is very similar to the flutter I can voluntarily produce by tensing my ear muscles. This flutter now happens in the shower, or really near any running water (I don't know if it is the change in air pressure or the sound itself). Now even people's voices sometimes produce this effect, and there is intermittent pain in my ears. The tinnitus also seems to be getting worse. My ears feel more and more stuffed, and I try to relieve that pressure by crackling them, or performing the valsalva maneuver, but it doesn't get rid of that stuffed feeling.
Perhaps this is all anxiety and muscle tension based, since I keep tensing my jaw and ear muscles and popping my ears, and I am just very focused on this all the time, but I just don't know what is happening to me. I have chronic congestion, and one ENT said there was no sign in infection and that she thinks it's allergies (based on my CAT scan), and that
that's causing all of this, but then the allergist did the skin test and said I don't have any allergies, and that it's a chronic sinus infection, and prescribed me an antibiotic that I'd already been on, so that left me scratching my head. Another ENT said I might have a patulous eustachian tube, and that I need to go in for another audiology exam to rule that out. In the interim I have been worrying intensely about that, since from what I understand there is no effective treatment for a patulous eustachian tube. The doctor said he didn't see any signs of it (eardrum was not moving on respiration), but that there might be "micro-vibrations" of the eardrum that can't be seen with the naked eye, and based on what I was describing it was worth checking out. But I don't know how much of any of the above conditions could cause the symptoms I'm having in the first place!
I really just don't know what to make of all this. Is it likely that this worsened hypersensitivity to sound and muscle spasms are all just anxiety/muscle tension driven? What do you recommend I do? I mean, the tinnitus in itself is troubling, but if I can't tolerate noise anymore, that's even worse, right?
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