ENT Doctor Reveals The Top 3 Causes of Tinnitus
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- Опубліковано 2 жов 2024
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Dr. Michael Golenhofen, an ENT physician from Germany, shares his expertise on the most successful tinnitus treatments. Dr. Golenhofen and Dr. Ben explain how targeting the cause of tinnitus can be more effective than just targeting the symptoms.
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Good to see that some ENTs are taking this seriously. When I went to an ENT I was very clear about the noise trauma that initiated both the tinnitus and hyperacusis. The ENT, who considered himself to be a world-class expert (in something), completely rejected what I described and insisted that it was just some mysterious random occurrence. He then did some tests that actually made my hyperacusis significantly and permanently worse. He also seemed to be clueless about noise sensitivity when I describe it. In the end he said I didn't have tinnitus and needed to get counseling. That was my experience, so if I don't have much respect for most ENTs, you can guess why.
T is such a horrible and awful condition, that can badly impacts one's quality of life. It is very serious. We might all give our time to raise awareness to this condition, and for those who can, give money to researchers and institutions in order to find a cure.
Sorry to ask so long after you made this comment but what tests were they?
@@Bunny-ft9dy They ran a few tests. One used white noise of increasing loudness. I was instructed to indicate when I could no longer hear my tinnitus. Well, my tinnitus has a unique signature that I could pick out even when they increased the volume of their white noise. They did not ask me to tell them when the white noise was as loud as my tinnitus but rather when I could no longer hear it. The fact that I was never at the point where I couldn't detect my tinnitus apparently led them to think that it wasn't real.
They also did a test where a series of clicks was pumped in through headphones. They didn't tell me what the test was for or why they were doing it, and I was too naive with the medical establishment at the time to ask. The clicks were actually loud impact sounds. Immediately afterwards, my hyperacusis worsened and I was no long able to tolerate many environments that I previously could. It was a permanent change that I have never recovered from. Decades later when talking with an audiologist I learned that it was a test to determine if there was a tumor in the nerve tracks, a ridiculous test given the noise trauma connection and a test I would have refused if I had known.
These ENTs were idiots who were practicing beyond their knowledge base, caused further damage and made my entire life even more difficult as a result.
If your tinnitus or hyperacusis mysteriously appeared without a clear cause, then go ahead and go to an ENT. They can rule out medical causes. If it occurred due to a noise trauma and you can clearly pinpoint the cause, then STAY AWAY FROM ALL ENTS!!! Or go at your own risk. They can't help you, but they will want to run tests that have the potential of making your life permanently worse. I have heard from others who also had bad experiences with ENTs. If you do go to an ENT, ask them about any tests that will be done, what it entails, why they are doing it and what it will show. If the test involves pumping sounds into your ears (and your condition is clearly due to a noise trauma) then you should strongly consider refusing the test. They will tell you that it won't cause harm, and if it does, they will tell you that their test just could have been at fault.
Helpful :). Thank you both very much for addressing these important issues. I have had tinnitus for a long time and was told "to just learn to live with it" back when I first asked my GP and then an ENT about its causes. My original diagnosis included a hearing test and I was told that my hearing then was actually very very good. Now, years later, I feel I may have some hearing loss too, and maybe worse tinnitus. I feel better prepared for my next visit to the ENT now that I know that tinnitus is much more complicated than I was lead to believe in the beginning. Hopefully, the ENT will be up to date on this research. How can we as patients encourage our doctors to seek this information? I will likely get a referral to an ENT doctor easily and free of charge as I live in Canada but we are usually not allowed to direct who we actually get to see. It is very disheartening to have someone tell you to toughen up and just live with it.
I did not hear anything about causes of tinnitus, only more gobbledegok about "counseling", etc. in other words, get used to it.
You weren't listening. Pun intended.
There's only one cure for tinnitus.
This is more geared towards ENT's & audiologists who have no clue how to assist tinnitus sufferers. Not hearing anything new that I haven't heard many many times already over past year & half since my severe reactive tinnitus & hyperacusis onset. Wish you could do a video specifically on more severe cases like reactive tinnitus caused by acoustic trauma instead of these generic video's trying to mostly deal with stress induced tinnitus.
When you say think of your tinnitus as just another sound like your breathing that tells me you don't understand how loud & disturbing tinnitus can be. That may work in very mild cases like you have Dr. Thompson, but not in more severe cases such as mine. I wake up every day to loud tinnitus throughout my head & ears whether I listen to relaxing music or pink noise or nothing at all. No matter how much I try to tell myself it's not an important sound & not pay attention to it, it still very disrupting & getting back to sleep when I haven't had a full nights sleep is very difficult.
2022 ; we need a cure !
People will still be saying that in 2030, 2040 and probably 2050. Best to stop hoping for a cure and learn to live with it.
This is incredibly helpful. I could listen to Dr. Golenhofen all day. Being educated on the causes from this video and the previous podcast with Dr. Golenhofen, as well as both of your calm and helpful demeaners, has reduced the anxiety from my tinnitus massively. Looking forward to the next video on the somatic subtype!
Thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other UA-cam videos, as well as blog articles on treblehealth.com
If it helps, I've had tinnitus [high pitch noise] for over 20 years that I can remember, maybe longer. I don't have a problem with hearing. I would love to know what caused the high-pitched noise. When I've been in a loud situation like a party or loud music the tinnitus will be louder in my ears for many hours later. I remember as a kid, it would come and go, but now as an adult, it is constant. Believe it or not, I forget about it sometimes, but not for long. It is stressful to have it constantly and I believe it makes me tired. I've been to ENT specialist, and they did all the test that took many months, but it was no help. I've been offered noise boxes, but to me that is just adding more annoying sound. It sounds like static noise. I've come to the realization that this is something I will have to live with the rest of my life.
Thanks for your deep interest for trying to help people with this awful condition.
Check for TMJ and Neck/muscle issues. Thats what im being treated for right now as a likely cause for my Tinnitus
This is becoming more studied. They will follow the money. Breath work is amazing ❤️
@The Georges Habib Podcast
How can a Neck muscle issue cause a tinnitus?
I have been having the same for 20 years now. try to get in contact with me and see how we can be of a support and find help.
Will you please do an episode on COVID-19 infection and new onset of tinnitus?
This is a great suggestion for future topic! Thanks, Debbie.
hi I follow him since my tinnitus came out about 20 days ago, I found it in a moment of sadness because I found a lot of information on UA-cam varied and false, I still do not know the cause of tinnitus, but I want to tell you not to give up my tinnitus was a 10/10 with neuroplasticity and managed to lower the intensity to 4/10 in just 20 days and I want to tell you that I will continue to fight until I put my brain your original filter for my tinnitus.... sorry my English.
@addiel alcalde what did you do to lower the intensity of tinnitus? Did you get better? I had been tinnitus for 21 days
Muito bom o conteúdo. Certamente um alento para quem vive este drama do zumbido somático-sensorial. Grato
My tinnitus began in 1 ear in 2009 when I got the swine flu , then a few years later I got it both ears after being subject to noise, but I always had ear congestion when I got a lot of colds . over the past 13 years it has been up & down from a 1 & don't even think about it , except for my left ear which came with the flu, to a 10 on spike days that just runs it's course like a cold. The Lord helps me get through it , but I also like my what I call my tinnitus room, the basement it's where I regroup , totally private . I would recommend magnesium to help with sleep.
What is the dosage for magnesium? and what kind? I heard there is different ones. Thank you
Treatment should be covered by health insurance and Medicare.
ABSOLUTELY
This was a very interesting conversation however it didn't seem to leave a conclusion that the everyday patient can walk away with. Wouldn't it be nice if there were other doctors like the one who spoke here. But he lives in Germany and is not available to us in the US. I developed tinnitus several years ago and struggled for a long time and then it seemed to calm down to a very low pitch that was not bothersome . Recently I had outpatient surgery and the day after the tinnitus has got very loud and has continued to stay that way . I'm not saying that the surgery caused this to happen but it was unusual because it happened the next day after the surgery. This prompted me to make an appointment with an ENT to see what might be happening . I went to an ENT today who works at a renowned Clinic and he checked me out and said that I could speak with the Audiology department and get hearing aids to help with tinnitus. It's like so many conditions like neuropathy. Everyone says to find the cause but it really doesn't matter because they only treat one way and that is with medication because there is nothing else available. I am very sensitive to medication and have difficulty with a lot of different medications . I don't really want to take gabapentin as it can be addictive and hard to withdraw from. The other thing is autoimmune illnesses that doctors throw everything under the umbrella and leave you with no solution at all . Often times we have to resort to watching UA-cam videos to find out if there is any possible way to find a solution to what we are dealing with . Dr.ben thank you for all the information that you provide on this subject. I can see that you work tirelessly to help people. But my ENT did absolutely nothing. He was not even compassionate about the fact that is a very bothersome condition. However he wants me to come back in 2 months for a checkup. It is very discouraging.
You don't have to explain tinnitus, the ones that have it know all about it.What I need is someone to find a cure, you want to make us happy do that. I don't want to hear any mumbo jumbo.
Helpful. I have had tinnitus for many years. ENT said there is no cure. I do have some hearing loss in the high frequency range. The past few weeks i discovered masking. I find it very helpful especially when the tinnitus is very loud.
hey all ,I appreciate the podcast as too 161 pod but like so many other comments ive heard most of this before ...id like to hear of positive out comes and their histories .ive got tinnitus since 1993 with no let up and since covid its now affecting my stress response in that im constantly in tense mode and am unable to relax my body with cramping and pain in neck and shoulders i have both ears hissing at the high end of hearing but i can still hear .i want to hear some good results on Treble Health Thanks
This ENT doctor is GOLD. Thank you so much. He’s so amazing.
Hi Rosemarie, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other UA-cam videos, as well as blog articles on our Treble Health website.
Yes, helpful! I am just beginning my journey to get treated for tinnitus, vertigo, and distorted voices/music. I recently had an MRI, and today I get a CT scan. I'll be checking back here often.
I've had distortion in one ear for over 2 years, it sounds like a broken speaker when I hear certain frequencies. I was told it was hyperacusis by an NHS audiologist but I know it isn't that.
Hey Greg, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other UA-cam videos, as well as blog articles on treblehealth.com
Which country are you from? Just amazed that you had an MRI and CT scan for your tinnitus and vertigo. Here in Canada, you would not get those easily. Even just waiting for an appointment with ENT takes forever. It's very distressing.
@@Andrea11240 I’m in the uk - our current waiting list for the ENT is 14months and it’s shooting up !
@@Andrea11240 I'm in Pennsylvania/US. I only waited 2 days for the MRI, and 2 weeks for the CT. By the way, my CT results came back today - it's great because they send you the radiologist's report, and all of the CT images to your online account with the health network. The doctor ordered the MRI after I had dramatic hearing loss within the one-month time frame that I was seeing him - so there was a sense of urgency. The CT shows that I have dehiscence in the right ear, and also (possibly) in the left ear. Dehiscence is a lack of bone in the superior semicircular canal - either very thin bone or actually missing bone (a hole). But the report said it was missing bone in my right ear. So I have an appointment to see my ENT tomorrow to discuss the results. From my research, this condition was first identified in 1998 - that is really very recent in medical terms. But the repair surgery has advanced quite a lot since then. I don't know yet if I am even a good candidate for surgery, and I don't know if there's any meds that can address the condition.
The problem is not in the ear, nose, or throat. It's in the brain.
My mom had same problem too. She was complaining about how she can't sleep every night. a few months she didn't take this seriously but eventually she was seen by her doctor and the doctor advised a supplement. But first days didn't show any effects SO she had to patient and after a few weeks she became better. This thing started to happen to me as well. It's genetics i guess and was here to find out actually. Anyway ill get this supplement too probably. because that worked out for my mom. if you're interested, I put the supplement link on my channel "about" section to help youu
@@starboy-ft6bx I take some supplements. What one helped your mom and you. Please share. Many thanks!
Just for clarification please, are the 'central subtypes', which make up 30-40% of patients, people with no significant hearing loss or other medical conditions? Thank you!
Good question
The central subtype is thought to be generated through neuroplasticity by the auditory system, autonomic nervous system, and limbic system. Patients may or may not have hearing loss.
If any of this was worth anything there would be a cure and no one has the answer for that 🤔
HELPFUL! lots of great info for my condition
today is 2023. where is the cure?
hi i am from Africa small country called Eswatini, mine is new and my hearing is fine just the noises, and keeps me awake. Thank you for you explaining to us , mine was stressed induced.
You're welcome, Thandi. Enjoy exploring our other UA-cam videos, as well as blog articles on treblehealth.com
If you need help with your tinnitus, feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
Why do people keep writing "helpful "? The reasons are not important to me now, how to help or stop it is all I'm interested in now! "Helpful" is no different than a parent of a sexual abused child being told by the police that the abuser (peadophile) was also abused as a child! "Thank you office, now I have a better understanding of why my child was abused, very helpful information " 🤦♂️
Great video thank you both
I will not give up
Martin Begley
Hi Margaret, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other UA-cam videos, as well as blog articles on our Treble Health website.
Thanks. I think I’m going to reach out to you for a consultation. I’m in the process of getting another opinion. I wrote you on another video and mentioned Cigna hearing aids (notch technology). Just subscribed to your channel also. I really appreciate your work.
Yes, I remember responding to your Signia hearing aids comment! We're glad you're interested in reaching out for a consultation. We're here to help! Use this link to schedule a complimentary telehealth consultation with one of our tinnitus experts. treble.health/free-consultation
@@treblehealth thanks! I’ll do that after I meet with an ENT next week to get another opinion.
I am currently trying to match my tinnitus pitch with the same frequency on u tube videos and i have had some success. Also interesting to note that with different positions with moving my neck, it can increase the sound or decrease it with the 10000Hz in the background.
I’m from Australia. Very useful podcaster. Both were excellent. I’ve had short spells of diagnosed tinnitus for about 10 yrs. From last week it’s now constant. However no difficulty in sleeping. I’m having hearing loss too and hearing aids have been recommended. I’m still working so I need them. Wonder how I can reduce the ringing noise. Also the cause was not given.
Have very bad tinnitus that drives my vertigo, dizziness and anxiety. Had CT scan MRI, all normal. Been to several ENT doctors, no good news. Complete physical all good. Doctor put me on lorazepam and that really helps. So maybe it's psychological? High to have high stress. And the crazy thing is this just started 4 years ago now I'm 61. No idea what happened to me.
I did have a panic attack four years ago that now lingers and drives my anxiety and tinnitus.
@@americafirst9699 , 8 Months Of Tinnitus , Then Same Here , 5 months Non Stop , Head To Toe , Electric Shocks . Very high Anxiety , Stress And Trembling Reactions. Insomnia and Numbness . Tried Dieting , Vitamins. Different Meds , Xanax For Sleep , It Works ,Hit Or Miss . Now Hearing Aids For left Ear 85 %High Pitch Hearing loss . Hearing Aids Help 20% About . Can't Ignore Jet Engine High Pitch Sound ! Rovastratin 20mg 11Weeks Triggered my Tinnitus ! I've Nevet Heared Of Tinnitus Until I Affected Me ! Audiologist Was The Biggest Help , Can't Relax , Next CBT Therapy .Never Give Up ! D. Ben Can Help ! He Cares !
I was also informed that I will just have too live with it! I worked it a loud factory for 28 years! I am now retired and now a carer for my wife. I feel stress can bring my tinnitus too another level! I have the sound of 50 budgies ringing in my ears every day and yes I have just got on with my life, many times in tears knowing there is no cure! I will be 73 next year and yes I HAD to just live with it! Hearing loss - yes - I am at the stage that I need those who talk to me facing me, maybe I am lip reading? It is a disability no one can see, so you do not get any sympathy or understanding - It would be great to swap ears with those who do not understand what Tinnitus suffers have to live with each day and say - Here - you wear these ears for a day! But once in a while I have a day of silence in my ears and I am a new person for only a day! I am sure technology and the expertise of you Doctors will find a cure one day! Good luck!
That was my experience: You have tinnitus, there is no cure.
I'm sorry to hear about your experience with tinnitus. We understand how challenging it can be, but we're here to support you. Please use this link to schedule a complimentary telehealth consultation with one of our tinnitus specialists. Link: treble.health/consultation
I developed hearing loss in the high frequencies as I got older (I'm 68) at the same time under investigations for this I was told I have eustachian tube dysfunction. So is that contributing to the tinnitus,, I've not been given any treatment for the eustachian tube. I also feel some dizziness but not spinning dizziness.
Don't give me thirty minutes o f what I've heard over and over again you don't have to live with mounfull music for two and a half years twenty four seven just give me someone that will do something about the millennion of people suffering this condition
Mine is related to the other situations.
Regarding my previous message,, have you any thoughts on this I would be very grateful
Hi Ben, I hear a lot about tinnitus causes coming from loud sound, chemo, etc. but how does anesthesia toxicity cause it? Meaning, how did the brain develop tinnitus from this toxicity? Thank you in advance!
Very very helpful. This seems to highlight my entire problem. The lack of causal aspects and what to address and in what order. I am one of those patients described in this video as “overwhelmed” and in need of guidance
GREAT INFO.
THANK YOU FOR SHARING BOTH OF YOU GENTELMEN.
Our pleasure! We are glad to know that our videos have helped you. Enjoy exploring our other UA-cam videos, as well as blog articles on treblehealth.com
Is removing earwax (professionally) not recommended if not needed? The same week my Dr removed some earwax I also had a flare up with my jaw popping. Tinnitus started that week! Not sure if it is my jaw or my earwax being removed? I also am getting thru GBS so my nerve sheaths have been renewing. My neck has been sore too so maybe it is my neck/jaw vs the earwax removal?
Jeff, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team at Treble Health and we can do our best to help you.
Extremely helpful and great doctor wish he was in Virginia to teach the ent fixture here a few things
B12 deficiency!!!!!
As usual,once again very helpful video for tinnitus sufferor.thanks to Dr Ben . from Pakistan
Outstanding discussion. It really helped.
Hi, I got tinnitus during ozone ear insufflation therapy. After doctor treatments 1x per week, the ringing occurred for a short time after each treatment, yet lasted longer. After the 4th treatment, the ringing never stopped after the ear crusting. Its been four years and I always have ringing in my ears. How can I make this stop if the cause was ozone therapy?
Valdoria, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team at Treble Health and we can do our best to help you.
Helpful
Helpful! Thanx! I wonder how big the chances are to get silence again with a somatic subtype? What does Dr. Golenhofen think about the lenire device?
My mom had same problem too. She was complaining about how she can't sleep every night. a few months she didn't take this seriously but eventually she was seen by her doctor and the doctor advised a supplement. But first days didn't show any effects SO she had to patient and after a few weeks she became better. This thing started to happen to me as well. It's genetics i guess and was here to find out actually. Anyway ill get this supplement too probably. because that worked out for my mom. if you're interested, I put the supplement link on my channel "about" section to help youu
.v helpful
My mri said that there is a doubt about a neurovascular conflict on the cochlear nerve.I don’t know what ‘s going on and will check it out in a few months with my audiologist.Can this be related to my tinnitus ?
Michael, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
Thank you so much for this pod cast. I belong to a Tinnitus support group in Denver, CO and I will spread the word on this and you many other podcasts. Again, thank you so much.
Sure. Please do!
You're welcome, Wes! Be well. :)
🙏
This is an excellent, informative podcast! thank you.
You're welcome. Glad you enjoyed it. 😊
Great podcast. Yes helpful I am from Canada as well, you are right about the ENT docs.
Ben is right saying there is treatment that does make it better in dealing with it. One on one therapy which they provide is highly receommended, Retraining therapy and CBT APP What app? I got to find out. Any improvement is success.
Thank you
Need to stay away from the drugs if you're strong and able
Hey love your channel btw! Just had a quick question, so basically I was just relaxing sitting down watching UA-cam on my tv and then out of nowhere I felt a little tump like a heart beat in my ear like one single pulse for literally one second, I started panicking very hard, but like it never came back after, it literally just happened once or twice in one minute and just completely went away, just wanted to confirm with you is it normal? I really just started panicking and overthinking about it convincing myself I have a very big issue due to googling.
Jackson, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team at Treble and we can do our best to help you.
@@treblehealth thanks for the reply my brother, I asked two other experts in the field they said it’s completely normal to get it time to time, they said almost everyone gets the feeling.
Helpful
My mom had same problem too. She was complaining about how she can't sleep every night. a few months she didn't take this seriously but eventually she was seen by her doctor and the doctor advised a supplement. But first days didn't show any effects SO she had to patient and after a few weeks she became better. This thing started to happen to me as well. It's genetics i guess and was here to find out actually. Anyway ill get this supplement too probably. because that worked out for my mom. if you're interested, I put the supplement link on my channel "about" section to help youu
Helpful.
Glad to hear!
Helpful
Glad to hear that.
Helpful
Glad to hear that 💜
Helpful in Virginia
Very helpful, thanks :)
Hi tehblizz, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other UA-cam videos, as well as blog articles on our Treble Health website.
A side effect of vaccine.
I've had it since 2009...
Very helpful
Great podcast as usual. Thank you.
Our pleasure! Glad you enjoyed it.
helpful - thankyou
You're welcome, Susan! Enjoy exploring our other UA-cam videos, as well as blog articles on our Treble Health website.
Very helpful thank you
You're welcome. So glad that it helped you. :)
Extremely helpful
Glad it helped, George! Be well. :)
Very informative
Thanks for the comment, Janet. Glad you liked it.
Helpful
Glad it helped., Marsha! Enjoy exploring our other UA-cam videos, as well as blog articles on our Treble Health website.
Very helpful .
Thanks for your comment, Sudabeh.
Helpful
Hey Diana, thank you for the comment. Glad it helped.
I have had tinnitus for 18 years. I learned to habituate with it. Ialso have some hearing loss. But recently its got much worse, which I have put down to a very stressful family situation. But should I wear my hearing aids or try and habituate without wearing these.
Wearing the hearing aids along with using sound therapy will help you habituate to your tinnitus. We would be happy to guide you. Schedule a complimentary telehealth consultation: treble.health/consultation