ENT Appointment... What to Do? What Tests NOT to Do?

Discussion in 'Support' started by Michelle Hopkins, Feb 22, 2018.

    1. Michelle Hopkins

      Michelle Hopkins Member

      Tinnitus Since:
      01/2004
      Cause of Tinnitus:
      Unknown
      So I have an ENT Appointment on Monday and I'm kinda freaking out!!

      I've read on this forum that people say DO NOT have the "Acoustic Reflex Test" or "Tympanometry" tests as these will make your tinnitus much worse! The hearing test seems to be ok. I certainly don't want to do anything to make my tinnitus worse as it's unbearable as it is already....

      What exactly are these tests and should I have them or not?

      Thanks,
      Michelle
       
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    2. Adrianfox
      Paranoid

      Adrianfox Member

      Tinnitus Since:
      10/2019
      Cause of Tinnitus:
      Accute, not fully diagnosed
      Hey again Tinnitus Talk!

      I have my first appointment tomorrow to try and discover where my tinnitus comes from (it's intermittent and unilateral tinnitus, some hours its a 9/10 on the tinnitus scale and some hours it's a 0/10, my root cause diagnosis is muscular/neck tension/TMJ related since adding pressure to the head or stretching my neck temporarily stops the tinnitus).

      I know a lot of you have more experience than an ENT specialist has so my question to you is this;

      What is your advice for me while I'm there?

      I appreciate all the knowledge you have!

      I'll start;

      I should avoid Tympanometry tests.
       
    3. Selah1281

      Selah1281 Member Benefactor

      Tinnitus Since:
      06/2019
      Cause of Tinnitus:
      Unknown
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    4. JohnAdams
      Bugridden

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Nasty Swamp
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      DO NOT LET THEM DO A TYMPANOGRAM. IT IS LOUD.
      ALSO DO NOT LET THEM DO MICROSUCTION IF YOU HAVE WAX.
       
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    5. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      Any tests that the ENT doctor suggests you have then I advise you to have them. I had very severe tinnitus and hyperacusis, and had all the tests including Tympanometry and had no problems. I have had these same tests a few times over the years and never had a problem.

      Listen to the advice that your ENT doctor suggests that is all you need to do. He/she is the professional this is their field, not the fireside quacks in this forum that advise you to tell doctor what you will and not have. This is the wrong approach and you will end-up making life harder for yourself believe me!

      Michael
       
    6. just1morething
      Benevolent

      just1morething Member Benefactor

      Location:
      U.S.
      Tinnitus Since:
      2008
      Cause of Tinnitus:
      barotrauma, noise exposure, TMJ, neck?
      Ask the ENT if he/she is any smarter than a box of rocks in regards to tinnitus advice.
       
    7. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      @Adrianfox

      If it is suggested to you at any time to have microsuction or ear irrigation to remove earwax, before having the procedure, apply eardrops 3x a day to each ear for 10 days then have the wax removed. I have had both procedures 3 times and never had a problem. I used eardrops 3x a day for 10 days.
       
    8. JohnAdams
      Bugridden

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Nasty Swamp
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      Even a tympanogram? An extremely loud in ear device? What in the world is your malfunction?

      Do NOT take this person's advice.

      Nothing a tympanogram could tell you outweighs the risk of further damage. It is a loud noise they play on your eardrum that measures the pressure in your middle ear vs your outer ear. It is very loud.

      One thing you as one of us needs to understand is that ENTs are basically in the dark ages regarding understanding yet equipped with modern technology. You don't need a tympanogram. If anything it will help them diagnose you with ETD, which is where your Eustachian tubes dont equalize efficiently or drain fluids. Unless you have glue ear chances are your tinnitus is from that, and if it is, then you have every chance to heal eventually because ETD could transiently be a symptom of allergies, which will easily head over time. If you have cochlear damage, and get a tympanogram, it could permanently make your situation much worse. The benefits are nothing compared to the risks.
       
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    9. JohnAdams
      Bugridden

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Nasty Swamp
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      @Adrianfox

      Do not take microsuction no matter what. They can manually remove your earwax.

      Microsuction goes like this:

      They have a tube with a vacuum on it that can fit done your ear canal. Sometimes when wax is getting sucked out it can get lodged in the tip and creating a "fluting" effect that makes it way way too loud and can and often times causes permanent damage.

      Please realize that there are many people that can't question reality for themselves and would jump off of a cliff if their doctor recommend it. Just search this website for "microsuction" and read the experiences.

      Research around this site and you will see that many users got here from a medical procedure by an ENT, or some prescribed medication.
       
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    10. Nathan
      Musical

      Nathan Member

      Location:
      Indianapolis, Indiana, USA
      Tinnitus Since:
      06/23/2018
      Cause of Tinnitus:
      Loud Music, Concert, Bad Luck
      I had a tympanometry test done. It wasn't loud. You're probably referring to the acoustic reflex test, which plays a loud tone. The problem with doing a tympanometry test is that it is often combined with the acoustic reflex test.
       
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    11. JohnAdams
      Bugridden

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Nasty Swamp
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      I am talking about tympanograms. There's still no good reason to do that right off the bat if you have hearing damage. They should rule out cochlear damage before playing loud sounds in your ear.
       
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    12. Nathan
      Musical

      Nathan Member

      Location:
      Indianapolis, Indiana, USA
      Tinnitus Since:
      06/23/2018
      Cause of Tinnitus:
      Loud Music, Concert, Bad Luck
      A tympanogram produces the tympanometry test. I agree with ruling out damage first.
       
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    13. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      As I have previously said, you are promoting negativity in this forum and if people follow it, this is how tinnitus can become a long term chronic problem.

      Michael
       
    14. Harley

      Harley Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      unknown
      On the contrary.
      Considering that most ENT's are utterly clueless about Tinnitus and treat it as a minor itch or a sore back, one needs to be extra vigillant and as informed as possible.

      Did you not read any of the numerous TT members stories, about having their lives destroyed by letting the ENT perform some of those procedures in question??

      It sounds to me that @JohnAdams is promoting caution, supported by plenty of evidence from TT members themselves, who's Tinnitus has ironically became the "long time chronic problem" which you seem to caution against, only after their encounter with the ENT.

      Knowledge is power and this knowledge could literally save someone's life here.
      The fact remains, that most ENT's are in the dark ages when it comes to Tinnitus.
      In light of this, we have every reason to be our own advocates, when dealing with these people.
       
      • Agree Agree x 2
    15. JohnAdams
      Bugridden

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Nasty Swamp
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
       
    16. Mister Muso
      Busy

      Mister Muso Member

      Location:
      Scotland
      Tinnitus Since:
      2007 / April 2019
      Cause of Tinnitus:
      Loud music
      I agree with this. I had a tympanometry test without any acoustic reflex test. I asked them first to put it on the lowest possible volume. I did feel a bit of pressure in my bad ear for the next couple of days, but if you don't have ear pain or TTTS (both of which I was experiencing a lot at the time) then it will probably be fine.
       
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    17. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      Indeed, knowledge is power. When I believe you have acquired, a sufficient amount in tinnitus, I may correspond with you at length.

      Good day
      Michael
       
    18. all to gain

      all to gain Member

      Tinnitus Since:
      June 2019
      Cause of Tinnitus:
      Incompetency of GP! Own naivety!
      I'm supposed to see an ENT soon in order to get a referal to an audiologist. I'm based in the UK.
      Is it the audiologist who will give all the tests or will the ENT also give some? Having had a bad experience with an MRI, I don't want anything done that will make things even worse.

      Is an audiogram the only thing I should have done? Does it involve attaching anything to me?
       
    19. Harley

      Harley Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      unknown
      And I will be happy to correspond with you at lenght, once you aquire a sufficient amount of basic common sense.

      There are members on this very forum, who's lives got obliterated by some of these procedures in question.
       
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    20. Nathan
      Musical

      Nathan Member

      Location:
      Indianapolis, Indiana, USA
      Tinnitus Since:
      06/23/2018
      Cause of Tinnitus:
      Loud Music, Concert, Bad Luck
      ENTs usually will check for wax and stuff like that. If you have impacted earwax, get a manual cleaning.

      As far as the audiologist goes, request an extended audiogram (16-20khz) and get an OAE. Those are the most useful tests at the audiologist. Make sure to avoid the acoustic reflex test.
       
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