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Not sure what happened to you but during weightlifting and many other strenuous activities, more cerebrospinal fluid goes from your spinal area to the area around your brain and puts more explosive pressure on your inner ear. Whatever happened, avoid all kinds of Valsalva maneuvers for some...

Is the drone/low hum/vibration you are feeling these days (I am assuming you feel it more than hear it) pulsing or not? If not, especially if not in sync with your heartbeat, I don't think it's pulsatile tinnitus. Is it pulsing in any way or is it vibrating in the same way if you sit and do...

Bilateral perilymph fistula all of a sudden would be rare, but if someone has it in one ear it is not uncommon for the symptoms to spread to the other ear within months. And your ear issues started in RIGHT ear, not bilaterally. So it is not excluded. Yes, orthostatic headache is definitely a...

Did you ever go to a perilymph fistula specialist to rule out a perilymph fistula?

What happened to your ears when you had reflux?

People with severe perilymph fistula can't remember or enjoy a lot of things either, but it's curable, especially at the beginning, and it has nothing to do with your brain. It just disturbs your peripheral vestibular system (inner ear) so the central (brain) has to try harder to compensate. So...

Pete, did your digestion issues stop?

By finding a hobby that does not involve abdominal valsava maneuver/increasing abdominal pressure/ increasing intracranial pressure, and letting your ears heal as much as possible.

When you had an ear infection before, was the tinnitus in your right ear or not? And did you get any hearing loss when you had the ear infection? And about the flight, did you feel any vestibular symptoms like disorientation, fatigue/headache, nausea after you landed?

Nico, would you try pranotherapy?

From what I have googled there is Ellen, a certified practitioner level 3, trained by Hochstatter. You can Google her, she's in your city.

Honestly, if it's been a while, and if you are not dizzy, if I were you I would just do the internet research in order to understand what to avoid. The doctors that know about PLF are rare, usually Neurotologists (but if they are not already known for PLF online I wouldn't bother) but they...

Is there any way you would try any alternative therapy? That has nothing to do with the actual Western medicine? Like bioenergy/pranotherapy? You have nothing to lose. People improve sometimes and it can't make you worse.

Bro, before this goes any further I'm going to have to correct you. By the way, was it one of those "clear MRI/CT means no PLF" ENTs? Depending on the surgeon, the person and the symptoms, the person might get away without any additional issues and improve the pre existing, but if additional...

As the website you linked to a while ago says, if the PLF is suspected after an implosive or explosive trauma, the surgery is not recommended for anyone unless their vestibular symptoms are unbearable, unless they have progressive hearing loss, or unless their Tulio is so bad they fall from...

If you have Pranotherapy in your area, you can try it yourself.

This is not contradictory. I am not saying anything about the whole protocol or the other things he is suggesting. I am just saying people with inner ear injuries often get told they should avoid salt and drink at least 2 liters of water per day (like 9 glasses slowly spread throughout the day...

If the gym means so much to you, you can ride a gym bike (in a way any average person would ride it, not pushing the limits) and walk on the treadmill (not run, because bouncing/jarring movements are not good for you if you have PLF symptoms) and still not interrupt the healing. These are the...

Why do you keep straining and bending over? Then stop straining. And about the sneezing, if you feel you absolutely have to sneeze, do it with your mouth wide open (preferably standing or sitting) and do not pinch your nose while sneezing.

OK, read this again. You already complained: and noticed: and again: Whatever caused your tinnitus in the first place, if you noticed one type of Valsalva hurt you, how can you be sure the other Valsalva is not gonna hurt you too? Valsalva is not only what you do with your nose, google it...

Why? Why would you want to increase your intracranial pressure so much? More cerebrospinal fluid in your head means too much explosive pressure on your inner ear via cochlear aqueduct.

Have you tried a diuretic to lower your intracranial pressure a little bit for a couple of weeks? Not necessarily a prescription. You can try herbal tea like Dandelion root tea. Also, don't bend over, and avoid any strenuous activity. And if you can find a way to keep your head elevated (30-45...

Just reminding you Dandelion root tea is one of the best herbal diuretics.

Do you have to travel by plane?

I explained everything to you one month ago. You said you would try. Obviously you didn't. I told you to avoid bending over (to avoid increase in intracranial pressure) and I told you to sleep on two pillows during the night so your head would stay elevated during the night, too. The point is to...

What do you mean you don't know? You said you had no prior history of headache/ head pressure. You said it all started due to excessive straining and you "felt the pressure in your head" due to excessive straining. You avoided straining for a month or two and got better. You went to the gym and...

She had a gym injury, excessive straining while lifting, and she started having head pressure/headache immediately and tinnitus a few days later, so it is not clear if it started because of the diuretic she was put on or because of the actual injury. But: After a month she felt better and she...

Are you trying a herbal diuretic? Or your inner ear maybe. How about trying the full PLF protocol since you are saying your headache, feeling off, mild dizziness, tinnitus and hyperacusis started after excessive straining (in the gym)?

Can you tell us where you are from?

...sometimes a lot of doctors don't know how to interpret scans or symptoms until a specific doctor does. And he is not an average doctor. If there is *any* chance you might have any type of third window syndrome or anything similar (PLF or SCCD) I want you to know he helped many people who had...

OK, and also don't bend over during the day, your head should to be above your heart level all the time, at least for a month. Dandelion root tea, 2-3 times a day. Avoid any kind of straining.

OK, I don't know anything about him. Question, just in case: What would be easier for you to visit, Chicago, Illinois or New Brunswick, New Jersey?

Can you tell me where you are going to visit a neurotologist? Don't get me wrong, I'm not telling you who to see. I just want you to visit a good neurotologist. I don't know in what state the neurotologist you are planning to see is. If you don't mind, can you tell me? I would like you to get...

You got tinnitus, ear pain, hyperacusis, ear fullness/plugged ear etc after an acoustic trauma. You were also mentioning some vestibular issues but you were saying those were caused by other issues so I am not sure if I should ask you more about vestibular symptoms. You are also saying you have...

...everything that doesn't hurt like, for example, herbal diuretic and Meniere's diet (avoiding salt and coffee etc) and to try to find a more knowledgable doctor. Also, I cannot guarantee that all neurotologists are more knowledgable than ENTs. They *might* know more because inner ear is their...

Did you ever look into PLF yourself online and try herbal diuretic, sleeping with your head elevated, avoidance of any kind of bending over and straining etc? I am assuming you are already avoiding salt and coffee. When you describe your "atypical headache" as atypical, what is it exactly, is...

I don't know what country you live in. I still think you should at least try to talk to a neurotologist. No more tests, just a detailed explanation of the symptoms and onset of symptoms and what aggravates the symptoms. You can even try a telehealth consultation if you don't have any good...

Have you ever seen a Neurotologist? You have never had a CT, have you? CT means exposing yourself to radiation so they usually send people to MRI but there are some conditions (several types of third window syndrome) where nothing shows up on MRI and sometimes something shows on a HRCT, long...

You should not do that with or without earplugs, especially not now, but you already know that. You will have to do a lot of internet research before you can choose what you can do in the gym, but not now, and until you understand how all movements affect inner ear you should not do anything...

Did anything happen a day or two, up to a week before? Noise is not the only trauma. Did you have any accident? Did you have any barotrauma? Any kind of excessive straining, at home, at work or at the gym? And did you have any other symptoms when it all started like feeling off balance or...

At least try treatment with herbal diuretics and avoidance of salt and coffee etc (I know you know) and don't forget you should not lift anything *extremely* heavy or do any kind of extreme pressure change activity even later.

Google about Tulio phenomenon and try to stay away from loud noise or pressure on your ear.

Dandelion root tea is a very good natural diuretic.

Diuretics lower your intracranial pressure a little bit, so if you combine keeping your head elevated all the time (you can try sleeping on two pillows, too) with avoidance of straining, you put less explosive pressure on your inner ears (from inside). And if you avoid loud noise you put less...

If it's about any inner ear injury or inner ear condition that intracranial pressure elevation might cause or affect then it's not only about weight-lifting. It's about all kinds of excessive straining. Because for example once you had an implosive trauma (slap on the ear, loud blast, air travel...

You should avoid high-speed elevators or high-speed trains. You should avoid even bending over, let alone lifting. You should avoid any explosive or implosive barotrauma, you are saying yourself you get better when you don't exert yourself or don't expose yourself to very loud noise.

I think you shoud reduce activity as much as you can for a couple of weeks. Do not bend over, do not lift anything heavy, avoid coffee and salt, and take a mild diuretic like Dandellion root tea 2-3 times a day to reduce head pressure. I am not saying you have intracranial hypertension (if you...

Ideally, yes (even people who get better should not push it in future with any pressure - changing activity or extremely loud noise). Some people had it for years before they were diagnosed. I'm just saying. That doesn't mean it can't heal on its own within few months or that I am advising...

How did those three rule it out? What was their explanation? It's neurotology. What did that one say? Neurotologists should know more. And how exactly do they know that acoustic trauma did not cause a PLF, and that the PLF isn't causing your progressive hearing loss and secondary endolymphatic...

Did this stop?

I don't think it's anything you mentioned. And I don't think it's anxiety. How exactly did your symptoms start and did you have any hearing loss or any other feeling in your affected ear (and in case you "just woke up feeling weird", did anything happen to you a day or two before)?

Have you tried sleeping on 2-3 pillows, and if yes, does it happen less often or is it the same?

Did you try drinking some herbal tea diuretic and keeping your head on two or three pillows while you sleep?

Besides loud noise, avoid any kind of straining for a month and a half, just in case, take as much rest as you can. Do not lift, push or pull anything heavy. Do not bend over at all, keep your head elevated all the time. When you are in bed, sleep on two pillows. Do not use high-speed elevators...

Search for threads about low hum/drone/vibration if you want. A lot of people have hum that behaves like yours. I am not sure what it means though and I wouldn't put fingers in my ear too much if I were you. One question. While you move your head left-right, does it stop for a second? And does...

Cerebrospinal fluid.

For the same reason I say not to do any kind of strenuous activities - in order not to cause CSF to rush to the head and put pressure on the inner ear. Just because someone's injury was caused by implosive pressure (slap on the ear, loud blast, barometric pressure-change barotrauma) that...

Keep your head elevated when you lie down (put two pillows) and also when you are up (do not bend over to pick up anything). Avoid any straining for at least a month or more. Also avoid coffee and salt, and if I were you I would drink dandelion root tea three times a day because it is a mild...

So you don't have any hearing loss on your audiogram? Ok. Can you describe your dizziness and headache? And do you have dizziness on and off? And do you feel better while you just sit peacefully comparing to walking around or lying in bed?

I don't know if the amount of perilymph that leaks through a tear on round/oval window into the middle ear can be visible from outside in any way, so I don't know if that's what happened to you. Sometimes even the surgeons don't see the perilymph during the middle ear exploration (round and oval...