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16.08.2014

Pharmacological treatments for tinnitus new and old, tinnitus treatment toolbox - For Begninners

Author: admin
Tinnitus is the perception of sound within the ear or head, without a corresponding external stimulus for that sound. Tinnitus may be described as a buzzing, ringing, roaring, clicking, booming, hissing, whistling or cicada-like noise. Objective tinnitus is generated by musculoskeletal and vascular structures that are in close proximity to the cochlea.
A live insect in the ear canal may produce noises that are described in a similar way to tinnitus.
Hit the tuning fork lightly on your knee, elbow or firm surface and hold the base on the patient's forehead.
If the cause of tinnitus is found to be an underlying condition that is treatable in primary care, e.g. Tinnitus often disturbs sleep and the tiredness that results may then compound the problem. Many people with tinnitus seek quietness in an attempt to gain relief from the noise of their tinnitus. Distraction with day to day activities (leisure or work) and regular exercise can be effective.
The evidence to support the use of pharmacological treatments for tinnitus is inconclusive.


Thank you to Dr Ron Goodey, Otolaryngologist, Auckland for expert guidance in developing this article. Many of us suffer temporary tinnitus that lasts no more than a few hours, often from a cold or after going to a loud concert. Another option is sound therapy, where patients listen to background noise, such as gentle music, to distract their attention from the tinnitus.
The views expressed in the contents above are those of our users and do not necessarily reflect the views of MailOnline. This also accounts for the apparently miraculous cure for tinnitus sufferers who made the pilgrimage to the Brecon town of Stival. It is a common, but frustrating problem for both patients and clinicians, as in many cases the cause cannot be identified and there is no single effective treatment. In some cases, referral for further investigations such as MRI is required to make a specific diagnosis. But as it is likely to work only in the early stages of the condition - while there is still a chance to repair some of the damage to the inner ear - the gel is being tested only on patients who have had tinnitus for under a year. There the hand bell of the Celtic saint Meriadoc (murdered by his two sons, who disliked his fervent Christianity) was rung loudly in the suppliant’s ears and then placed over his head. By blocking this receptor, it can stop glutamate from binding to the nerve cell and causing damage.


It is important to identify people who are hearing genuine sounds generated within the body (objective tinnitus) or have some other underlying treatable condition. This then gives the damaged nerve cells a chance to regrow before tinnitus can set in for good. Those in this situation should request that their doctors provide evidence from the relevant clinical trials that their proposed treatment is of value. In a small study last year at Antwerp University Hospital in Belgium, published in the journal Otology and Neurotology, 248 patients aged 16 to 65 years were given the real gel or a placebo. Forty-two per cent reported their tinnitus was half as quiet as before, compared with 14 per cent in the placebo group. They had hearing loss, tinnitus or normal hearing.Those with tinnitus and hearing loss showed less activity - measured by blood flow - in the amygdala, the part of the brain linked to emotion, compared with those with normal hearing. But the tinnitus patients did have more activity in two other parts of the brain often associated with emotion - the parahippocampus and the insula.
The researchers suggest this is because their brains have adjusted to process the phantom and regular sounds.



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