Accounting for tinnitus in hearing test and client guessing

Thanks for these explanations, Neville. It really helps to understand the anatomy and physiology behind the vocab to understand what people are talking about and to understand what they’re going through.

Your explanations of audiology testing have really cleared things up for me too.

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Yeah @tina333, Meniers Disease is quite rare, and isn’t usually hereditary, around 0.2% of the population or 1 person in 1,000, strangely enough my brother was diagnosed last year with MD, which stunned me! MD tends to start off gradually, with the odd episode of vertigo, it builds up in intensity as other symptoms kick in, lots of folk vomit, I just got the nausea, fullness of ear, distortion both visual & audio, chronic fatigue post vertigo, each attack left me completely drained, my balance became problematic, for me especially in the dark, MD with each attack, is destroying your residual hearing, or what hearing you have left… Tinnitus is at the extreme level, it goes off the scale when an attack is imminent! This is in conjunction with stress levels, they go through the roof, eventually depression kicks in, and you wallow in self pity for a few years, you pray or I did, for to be completely “Deaf”, profoundly so, foolishly thinking this will eliminate the vertigo attacks! But, eventually (around year 5 for me) respite comes, MD gradually starts to dissipate, over the next couple of years, the attacks become less sporadic, the intensity is less severe, and just when you think it’s over, “Wham”another bad attack! And that floors you mentally, it leaves you always worried the vertigo will return, even now some 18 years of being vertigo free, I still occasionally worry… Nowadays, I am fairly content with my lot, it’s amazing how adaptable we “All” are, I regard myself as fortunate to have survived the worst aspects of MD, and some folks had this a lot worse than me, I was surrounded by a loving & caring family, living with MD isn’t easy, and for my sins, I was probably a complete PITA… But, they stuck bye me, and we survived… :smile:
Edit; Apologies @tina333, I forgot to say thank you for the best wishes, much appreciated… :smile:

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I’m a new heart patient. I got beta-blocker…Thanks for your suggestions. Means a lot.

I found the trigger for my migraines and that’s why they’re better now.

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You are very fortunate you were able to avoid the trigger. My wife has chronic migraines. One trigger appears to be changing atmospheric pressure, especially if rapid. You cannot escape changing weather.

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It is not uncommon for patients to report this as a possible tinnitus trigger as well.

Mine has been really loud this past week, and honestly I’m kind of blaming this thread. :laughing:

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I seldom notice mine unless I’m reading about it. :slight_smile:

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Me too! I never knew that I had this tinnitus condition until someone told me that people with a hearing loss are likely to also suffer from tinnitus. Dang, there it is again because I’m reading and writing about it!

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Your tinnitus sounds like mine. I never knew why they call it “ringing” in the ear. Mine is every pitch known to mankind all at once. And, yes, it masks sounds and speech. I figure if I did not have tinnitus, I would have perfect hearing. But who’s to know. Do not push the button unless you are sure it is the beep. Think of the beep as speech. If you are not sure you hear a voice then you didn’t hear the word so if you press the button, the audiologist will assume you can hear speech at that decibel and your hearing aid will reflect that. I have never been to an audiologist that got cranky because I did or did not push the button enough. Only push when you KNOW it was the beep. It is frustrating, I know.

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I think that speech has to be louder than my tinnitus for me to understand what’s said…

My *T is like yours. It’s both ears. It’s like two orchestras with every musician tuning up separately, one orchestra in each ear.

DaveL

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I had to change the way I think. Until then I had about 3 a week from '95 to 3 years ago. I used dowsing to figure out the reason why…and meditation. And many other pursuits. I’m 76; they started when I was about 17. I still get migraines. Maybe every month…or longer They’re much more intense, and last about 5 days when the hit.
A question about pressure…if it’s pressure, does she get migraines in flight when an aircraft takes off or lands?

DaveL

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Aye Dave, I practice Reiki for myself, and others, tis used a lot nowadays in hospitals for pain management… I am severely effected by cabin pressure in planes, especially smaller planes, the 50/60 seater jobs, wreaks havoc with my balance! With the larger aircraft, then I am usually fine… You would think, I had just downed a bottle of Whiskey, when I come off one of those smaller planes, I am staggering all over the place… Cheers Kev :wink:

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She has not flown since H1N1 triggered chronic migraines. A good day is a headache. Lately it takes around 4 days to recover from a migraine and then the barometric pressure triggers another one.

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Your wife has my extreme empathy Bruce… Nothing worse than a recurring chronic illness, with no respite…

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Reiki is fascinating.

Thanks Kev!

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Hi, They have a prescription pill to calm tinnitus? I’ve never heard of it before. Do you mind telling me what it is? My tinnitus has gotten louder since I started using HAs. It’s driving me nuts!

Thanks, Linda

Errrr…

It’s not an prescription used to treat Tinnitus. I found it it helps calm my brain nerves while sleeping and working. lt might not work for everyone. I take a low dosage pill of Clonazepam. I have been taking it at bedtime for years and l am not addicted to the drug.

There is another alternative for Tinnitus treatments. FDA approved a new treatment for Tinnitus that use two devices. It’s the Lenire treatment that use non-invasive bimodal neuromodulation, which means it targets two sensory pathways to modulate or suppress tinnitus symptoms.
It uses a headphone for auditory stimulus and an tonguetip device on the tip of your tongue.
Mild and safe electrical pulses are delivered to activate nerves to the brain on the tip of your tongue.

Yes, the speech must be louder that is why it is imperative that you only press the button when you hear the beep. This way the audiologist knows to program your hearing aid accordingly. If you push just because maybe you thought you heard a beep, then your hearing aid will be based on these responses and you will not be pleased and say it doesn’t work. I don’t know how old you are, but the tinnitus gradually diminishes your hearing. I started at 30 and I was told then that because of the noise I hear that I would be deaf by the time I was 60. They were pretty close. I am 69 and just got a CI. So glad I did. Good luck to you. Time is good as technology gets better and better!

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Thanks!
I shall do better next time I have a test. :grinning:

I find that my hearing gets worse every year. My loss is due to exposure to loud noise at work.

DaveL

First: a hearing test isn’t the sort of test that one can pass or fail. Cheating on this sort of test jsut harms the test taker.–although I admit tbat I always want to “do well” on this test and others.

I have mild tinnitus and also eustachian tube dysfunction. This last means that at any given day or hour, my hearing becomes muffled. And then it will open up again. So…what do I test for? Muffled or unmuffled?
I don’t know.

As for tinnitus: I always mention this before testing. Every single audi has nodded and said they understand. And they will re-test for the same tone several times, and not always in sequence, if they suspect tinnitus ringing or imagination, etc. Tinnitus is common and audis know, or should know, how to set up a test that takes it into account in order to get as accurate a picture as they can. The fact that I have a long history of tests available to these audis as comparison also helps. If something seems off, given this long history, they doubtless do a double and triple check to see if tinnitus is playing a role in my response to the prompts.

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