Pulsatile Tinnitus with Daily Ear Pain

Discussion in 'Support' started by Mint64, Aug 1, 2020.

    1. Mint64

      Mint64 Member

      Tinnitus Since:
      September 2017
      Cause of Tinnitus:
      Not known
      Hello, I'm new here. My one sided pulsatile tinnitus symptoms started in March just before lockdown so have not made any progress with investigations.

      I have been referred for brain MRI and hearing test.

      I am not troubled by the noise (I have had non-pulsatile bilateral tinnitus for nearly 3 years), but with the pulsatile tinnitus there is also ear pain. Daily but not constant.

      Any suggestions as to what the cause could be?

      Grateful for any replies. Thank you.
       
      • Hug Hug x 1
    2. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      @Mint64 During times with ear pain with pulsatile tinnitus, problem may be moments of having higher than normal blood pressure and with that the nerves within the ears often take notice.

      Moments, even brief incidents of high blood pressure from anxiety or tension can cause pulsatile tinnitus.

      If you are over 50 years old, atherosclerosis is often caused by high blood pressure. With that when a very high blood pressure moment happens from stress, plaque from an artery’s inner lining (called the endothelium) can becomes damaged - or plaque can become loose and travel to the carotid artery or internal jugular vein.

      MRA is much better than a MRI for neck and head exam with pulsatile tinnitus.

      Controlling blood pressure is important. One may have normal blood pressure 99.9 percent of the time. It's moments when blood pressure raises considerably that can cause pulsatile tinnitus.

      I would research how to control blood pressure and look for suggestions (non medication) that might help you.

      If you feel that you may have moments of higher than normal blood pressure from stress, I can give you suggestions to help control.

      Magnesium Glycinate will lower blood pressure by 12%. Use that's needed is 1/3 tablet three times a day with also taking 1/3 tablet of Vitamin C.

      Blood pressure medications for some can increase tinnitus and pulsatile tinnitus, so that's needs more discussion. I would need to provide study links about this.
       
    3. AUTHOR
      AUTHOR
      Mint64

      Mint64 Member

      Tinnitus Since:
      September 2017
      Cause of Tinnitus:
      Not known
      Thank you for your reply Greg. I realise that the problem could be arterial but so far have not found much information on pulsatile tinnitus with pain. Hadn't considered high blood pressure as I am actually a long-term user of beta blockers as a migraine preventative.

      Apart from the pulse and other noise (pumping, whirring, spinning and vibration - like a washing machine) I also hear an intermittent squeak in my ear. It is not wax, I have had microsuction recently). There is also brief dizziness when I lie down as in BPPV.
       
    4. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      Mint, can you give the name of your beta blocker. I also added a little more to my post above.
       
    5. AUTHOR
      AUTHOR
      Mint64

      Mint64 Member

      Tinnitus Since:
      September 2017
      Cause of Tinnitus:
      Not known
      Thank you Greg. I take propranolol 160mg slow release daily as a migraine preventative.
       
    6. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      Basically, micro suction, caused movement of calcium crystals into your ear canals. BPPV should disappear. BPPV can be more evident, with blood pressure that goes up and down as in too low at times. Propranolol needs to be taken at the same time each day.
      -------------------------------------------------------------------------------------------------------------
      Propranolol for some, can increase tinnitus. It should help to control pulsatile tinnitus, but not a jugular blub problem which is a cause of pulsatile tinnitus in one ear. There has been a few reports where propranolol has caused a jugular blub problem. I really doubt a jugular blub problem, but a MRA on neck and another at a later date on head will show what is going on. Angiograms are best. Ironically this test could do damage to arteries and veins, but that is rare.
       
    7. AUTHOR
      AUTHOR
      Mint64

      Mint64 Member

      Tinnitus Since:
      September 2017
      Cause of Tinnitus:
      Not known
      Thank you again Greg. I expect that the microsuction explains the BPPV. I had no idea. Am hoping that investigations will eventually explain the pulsatile tinnitus.
       
      • Friendly Friendly x 1
    8. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      @Mint64 You have a kind soul and I thank you.

      Please stay in touch.

      You may only need a medication adjustment for blood pressure.
      Maybe buy a blood pressure monitor to see it your pressure is high or low.
      Then place the numbers - example - BP 130/90 - into an internet search and sites with this reading will appear and discuss the reading.

      Ask your doctor if a change from a MRI to MRA is possible.
      An MRA is a test that lets your doctor see inside your blood vessels -- your arteries and veins. MRA stands for Magnetic Resonance Angiogram or MR Angiography.

      Wear ear plugs.
       
    9. AUTHOR
      AUTHOR
      Mint64

      Mint64 Member

      Tinnitus Since:
      September 2017
      Cause of Tinnitus:
      Not known
      Just an update. I had my MRI a little over a week ago and have not yet been informed of the result. I have a hearing test tomorrow. I am meant to have an MRA but do not yet have an appointment. It is over a month since I first posted and in that time the left ear pain has worsened. It is on and off throughout the day every day from shortly after waking. Interested to see that someone else is experiencing ear pain with pulsatile tinnitus.
       
    10. MeHereHi
      Panicky

      MeHereHi Member

      Tinnitus Since:
      2019/20
      Cause of Tinnitus:
      Unknown
      Hi, I have ear pain and PT. Ear pain is intermittent and short but it can be intense. I don't have BPPV or hearing loss and optic nerves are good according to routine eye exam. I had an MRI today so I will come back and let you know the results next week when they are received. x
       
    11. AUTHOR
      AUTHOR
      Mint64

      Mint64 Member

      Tinnitus Since:
      September 2017
      Cause of Tinnitus:
      Not known
      Thank you.

      My hearing test was normal but still waiting for MRA appointment. Won't get result of MRI until consultant is ready to review me, and that won't be until after I have had the MRA.

      My PT actually stopped some weeks ago but the ear pain has since increased. Intermittent and brief - like yours. I still have chirping and buzzing and high pitched ringing. The ringing I have had for 3 years.

      The BPPV has stopped.
       

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