Aren't Reactive Tinnitus, Dysacusis, Diplacusis, and Palinacusis Signs of Physical Damage?

[ECP]

Experts on chronic pain and tinnitus have said that emotional stress can make pain feel more intense, and tinnitus seem louder than it truly is. I think there's some truth to that, but in my experience, tinnitus and noxacusis can be much worse on some days than others, no matter what my stress level is. There's clearly a damage component there, even if nobody can prove it.

Now about other disorders of the ear, such as dysacusis, palinacusis, diplacusis, musical tinnitus, and reactive tinnitus. I've experienced all of those, and they seem to operate independently of my stress level. Loud or prolonged noise is usually what triggers them, and there are also times when they'll kick in for no reason at all. It's really not about my mood, I swear.

For example, I used to hear the sound of running water in a normal way, but after a terrible setback I had in 2024, water stopped sounding normal to me. Every time I turn on a faucet, I hear a high-pitched screech like a whistling tea kettle. It doesn't matter if I'm in a good mood or a bad mood. The whistling sound is always there, and it lasts for the entire time the faucet is turned on.

The reason I'm asking this question is that my health has worsened this past year, and I'm forced to reconsider whether to have an MRI. I'm still inclined to say no, as I've already had permanent changes to my hearing that were caused by loud or prolonged noise. Doctors keep offering to sedate me for the procedure, but I don't think there's much value in being sedated. It might make me less anxious during the procedure, but that doesn't mean I'll escape the risk of permanent worsening of my ears.