Dr. Charlie — ENT Specialist With Tinnitus

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Bless you,

Dr Charlie
Charles Smithdeal, MD, FACS

 

Thank You Dr. Charlie I will give it a try and let you know my results

 

@Dr. Charlie

Could you offer us please some sayings that may be used for Tinnitus when using EMT.
Many thanks for your help

 

There are many setup statements, depending upon each individual's dominant issue. I provide numerous examples within my online course, Tinnitus: Taking Control. Understandably, forum guidelines do not permit me to share a link to this course.

Bless you,

Dr Charlie
Charles Smithdeal MD, FACS

 

You mention; Tinitus clinician ?
Thats a first for me hearing that.
What does a Tinnitus clinician do ?

 

@Dr. Charlie

All you have to do please is write one or two short sentences to give any or all of us an idea what to say when practising these techniques. This would not in any way compromise you or this forum. It in fact would give you much more credibility. Please could you provide a couple of examples. I am sure that all of us would appreciate this.
Thank you.

 

@Dr. Charlie,
they say my hearing loss is mild, less than 20%, one ENT told me around 5-10%, mine looks more than that... I don't know how to read them, but it doesn't look good to me.. they didn't seem real interested in my tinnitus or my results.. any opinions?

 

If my issue were one of frustration because my noise kept me awake last night, I might use a setup statement such as: "Even though I feel so totally frustrated right now because the noise in my head kept me from falling asleep last night, I deeply and completely accept myself."

If my issue were that I'm afraid that my noise will never go away, I might say: "Even though I feel terrified right now that this noise in my head may never go completely away, I deeply and completely accept myself."

Your setup statement must reflect how you feel RIGHT NOW about the issue of concern. Your goal must be to remove the fear from the noise, not to remove the noise itself. Your brain will habituate the noise once your fear goes away.

Hope this helps.

Dr Charlie
Charles Smithdeal MD, FACS

 

@jeannie, It's not possible to diagnose accurately without more information, including an examination. The hearing loss indicated on the audiogram above is mild, and would likely not interfere with normal conversation. I can't say more than this. Additional questions should be directed to your personal ENT doctor.

Bless you,

Dr Charlie
Charles Smithdeal MD, FACS

 

I believe it was Dr Nagler who used this term. I did not.

Dr Charlie
Charles Smithdeal MD, FACS

 

Hi I have had a pulsing tinnitus in my r ear for few weeks - louder in evenings - always had a ringing tinnitus on and off / but this is different / nurse checked my ears said no infection and I had a mini hearing test and no hearing loss - blood pressure was ok - unsure on next move / its like someone's put my heart in my head???

 

@Kimbob, it's not possible to identify the cause without more detailed examination and testing.

A thorough ENT exam is required.

Bless you,

Dr Charlie
Charles Smithdeal MD FACS

 

@Dr. Charlie ,
Has there ever been a relationship established with the heart drugs and tinnitus intensity? Since June 2014 and the implant of 2 stents (piggy backed) I have been on 1/2 25mg Metoprolol, 20mg Lipitor (Atorvastatin), small asprin, and 75mg Plavix (Clopidogrel) daily. I had T long before this event but the T has doubled in intensity the last few months. Many readings point to a possible relationship between the two. Any comment?

dennis

 

@Dennis MacDonald, I am not aware of a relationship. High doses of aspirin are known to generate tinnitus, but typical small doses should not. I would personally suspect Lipitor, but am not a fan of this drug in any case. Many problems have been reported from its use - or overuse, in my opinion. I hasten to add that I am not a cardiologist.

Bless you,

Dr Charlie
Charles Smithdeal MD, FACS

 

Hi Dr Charlie,

Would really appreciate your thoughts on the following questions:
- i have started (3 months ago) using Travatan eye drops for high eyeball pressure and have recently begun experiencing ear pain (left hand side) and tinnitus

Thanks and regards,
Simon

 

@simon garnes,

I doubt there is any connection between the eye drops and ear symptoms. For ear pain and/or tinnitus, always begin with an examination by an ENT specialist. Be aware that an imbalance of your bite can lead to TMJ imbalance and ear pain. Sometimes, tinnitus is related to TMJ problems as well.
Your ENT doc should be able to narrow this down for you.

Blessings,

Dr C

 

Dr Charlie,
Have you ever heard of a symptom like this? My T is not the usual. It comes on sporadically out of the blue and lasts up to thirty seconds with minutes of peace between. Today it's been bad though and lasting minutes with seconds of peace between. It's annoying but if it was just a noise alone I would have got used to it by now. My problem is not the noise. Although it can be very loud, loud enough to drown out speech. It's a tinny sounding click or it becomes faster until it sounds like cicadas or buzzing. But my problem is that when the noise starts my vision shakes and bounces around and I can't focus on anything. It makes it difficult for me to walk without banging into things or falling over. I sometimes feel like vomiting. It feels inside my head as though my brain was bouncing around and banging against my skull. It becomes vertigo and I feel I am spinning. I have learned to walk normally usually so that people wouldn't notice too much but the effort is tiring and you can't imagine how it feels to live like this. When the noise in my left ear stops, my head and vision clear and I feel fine until it starts up again. I've had mri of the brain and it was fine. Ct scan of ears is fine and my hearing is great. No one seems to have any clue what's causing this. I feel like something in my ear is doing it. One clue that might mean something is that if I lie on my left side (the side of the T) it's much worse. Lying on my right side settles it down and sometimes stops it almost completely. Do you have any ideas? Please. This has been going on about seven years every day now. I manage. I home school my two girls. But if I could get rid of this I'd sure like to! Thanks for any help.

 

I have a personal question Dr Charlie (you can call me Nurse Paul if you like). Before you came down with T & its evil cousin H, how in your practice did you view, and deal with Tinnitus/hyperacusis referrals? I'm sure you got them. What did you make of it all before you personally experienced it? I understand that this question is loaded somewhat, but its important particularly for those among us just starting who haven't yet been dealt the Medical Joker card. What did you think Tinnitus was all about, and how did you approach someone with a new diagnosis looking for Specialist advice?

 

The fact that your symptoms change with position suggests something akin to benign paroxysmal positional vertigo. For an explanation, visit: http://www.mayoclinic.org/diseases-conditions/vertigo/basics/definition/con-20028216

I suggest a complete ENT evaluation (including a microscope exam) to rule out something within the middle ear that moves with position change. A less likely alternative explanation (not typically related to position changes) is Endolymphatic Hydrops. I have written about EH on several of my websites.

Bless you,

Dr Charlie
Charles Smithdeal, MD, FACS

 

Paul,

Prior to my personal problem and extensive research, I was quite uninformed about all that could be done to help sufferers of T or H. Sadly, ENT training still spends very little time dealing with these issues. General medical doctors have absolutely no clue. ENT specialists are not much better sources of information.

 

Hello dr Charlie , why do my ears crack / sometimes pop when I swallow ?

 

What exactly constitutes a complete examination? I've never gotten more than a hearing test and regular otoscopy, which came back normal.

 

We all seem to come back "normal" don't we. Its a problem known as "looking in the wrong places".

 

Thanks Dr Charlie. It did seem to me that this was exactly my experience. I have the added disadvantage of living in the remote North of Australia where basic services are limited let alone Specialist services of any kind. There would seem to be a need for some sort of crossover of Otology (the whole ear kind) and Neurology to build a whole Specialty that could start understanding and addressing this issue properly. There's certainly room for a brilliant career there as there is more than enough evident need. As a Nurse of many years, I also knew nothing of the impact of ear problems like this on the lives of my patients. It was just this invisible thing they said they had. I now regret for them my own ignorance, and the help that I wasn't.

 

Examination of the ear through an operating microscope often discloses details not visible with an ordinary otoscope. Magnification ranges from 10X to 40X this way.

 

Dr. C. Thank you for your input. It appears I have somatic T. It constantly fluctuates with head and or neck movement.
Im seeing a Neurologist this week. Any good questions I can ask?
Thank you once again.

 

I would simply ask for recommendations for relieving your symptoms and a long-term prognosis.

 

Hi Dr. Charlie,
T was triggered for me in an ENT office nearly 2 years ago. I have always thought that it might have been the lidocaine solution sprayed up my nose which could have reacted with a menstrual migraine at the time to cause a brain chemistry change, or even disturbed middle ear function.
But I am beginning to think it was the actual procedure itself. A scope was placed up my nose to examine the opening of my eustachian tube. This was found to be clear. I had just had a good tymp exam. I have since learned that the second procedure was redundant.
I know tinnitus can result as a combination of a lot of long term factors, so I am not angered by this ENT visit anymore.
I do have a couple of questions however ... In your opinion, can a probe placed up the nose somehow cause tinnitus? Could the probe have accidentally disturbed the eustachian tube itself? Or does the probe not actually touch the ET in a correct procedure, i.e. just get close enough to see it?
There was no video camera to see. I believe the probe was some sort of telescope. What is this procedure actually called?
Thanks so much, Dr. Charlie.
Lisa

 

I have never seen this, nor can I imagine how this procedure (a nasopharyngoscope exam) could cause tinnitus.

 

Dr C. May I ask a quick one, what are the cleaning protocols in between nasal endoscope exams? How does one prevent the transmission of infected fluids from one patient to another? A patient with vertigo could be examined and then immediately afterwards a patient with minor throat pain could be exposed to a serious risk as the clinician is using the same tool.
Thanks in advance.