Steroids: Prednisone / Dexamethasone / Others (Oral and Injections)

Discussion in 'Treatments' started by tweak, Apr 23, 2012.

    1. Mark Foster

      Mark Foster Member

      Tinnitus Since:
      Feb 2019
      Cause of Tinnitus:
      Noise exposure (a loud concert)
      Guys what is your experience with corticosteroid intratympanic injection?
      I had noise induced tinnitus for 2 months and I wanted to get an ear injection done, but I've visited 2 doctors already and they said it's not proven to work. Should I keep trying new doctors or should I just surrender?
       
    2. GSC
      Wishful

      GSC Member Hall of Fame

      Tinnitus Since:
      02/2019
      Cause of Tinnitus:
      Acoustic trauma.
      It's already too late. They will only do an injection if there's an obvious dip in your audiogram.
       
    3. Mark Foster

      Mark Foster Member

      Tinnitus Since:
      Feb 2019
      Cause of Tinnitus:
      Noise exposure (a loud concert)
      There is a dip at 4.2 kHz and 8 kHz, but like -30 dB, nothing deadly, but my tinnitus is loooouuud.
      From the research I've read an injection could "possibly" help my case as well.
       
    4. GSC
      Wishful

      GSC Member Hall of Fame

      Tinnitus Since:
      02/2019
      Cause of Tinnitus:
      Acoustic trauma.
      You have until month three for effectiveness and the possibility of it helping your case. If you want to keep going this route, you can keep trying, but it will be very hard to find an ENT who will do this. Maybe print out proof on how much it helps and research that it does in order to make your case known if you are going to see another ENT.
       
    5. Mark Foster

      Mark Foster Member

      Tinnitus Since:
      Feb 2019
      Cause of Tinnitus:
      Noise exposure (a loud concert)
      I have finally found a doctor who accepted to try it (costs quite a bit), I think I'll go in next week, but he suggested for one ear only.
       
    6. bendaver

      bendaver Member

      Tinnitus Since:
      Since Diagnosed with SSNHL 28-Mar-2019
      Cause of Tinnitus:
      Upper Respiratory Ailment (virus) infiltrated Cochlear Nerve
      I was diagnosed 3/28/2019 with SSNHL. It was caused by several viral infections from late Fall 2018 through Winter and early Spring 2019. I never really (100%) was able to escape the virus ... somewhat my fault for not persisting with my primary care physician to continue hitting it with another round of med.

      So, I contacted my ENT. A full exam of my outer-to-middle ear revealed nothing alarming, but the follow up (audiologist in that office) the same appointment revealed that I had 100% hearing loss in my left ear.

      So my ENT prescribed a round of prednisone. After completing it, I went back to my ENT, to report I had no change in my hearing, and I had continued (as before) to have extreme vertigo and tinnitus. An appointment was made right away by my ENT to meet with an inner ear specialist a few days later.

      The specialist agreed that I had SSNHL and he recommended, then and there, to begin intratympanic (into/through the ear drum) injections of Dexamethasone. Three injections were administered over a 9-day period. The physician said that, even though I sense no change to date (now 1-week after the final treatment, that he has seen down the road benefit. So, there may yet be hope.

      Meanwhile, I do daily exercises that he gave me to do at home to deal with my vertigo. I have improved a bit, in that regard. But my tinnitus has worsened and it’s seems to change in intensity and variability. I have a constant seashell/white noise that is quite loud and it is with me 24/7. In the last couple of days, a new sound overlays that seashell sound, which us a repetitive hum (like a fog horn) that repeats every 3-5 seconds in 1-second long bursts ... it is quite annoying. I keep myself busy throughout the day, occasionally listening to books on Audible. In the evening I listen to quiet nocturnes (Debussy or Chopin) to lull me into sleep.

      This entire day-to-day experience drives me crazy, but I try not to let it get me down .. keeping busy helps; fortunately, I am retired and I have a quiet house while my wife is at work. I hope this ends soon ... that I see some relief. I know that my vertigo will eventually come under control with exercises, and I hope that eventually I become accustomed to the tinnitus, but I am concerned about my unilateral deafness.

      I read all day long about options ... technical fixes to address my deafness. Cochlear fixes, such as titanium cranial implants (Osseointegration) offer some hope, but I am hesitant to agree to any workaround that may have long-term side affects. I need to do more reading, talk further with my otolaryngologist, and perhaps reach out to other professionals to understand all if the options available to me.

      Hopefully this forum will provide me with some solace ... millions of people struggle with this illness ... I’d like to know about the various coping mechanisms that others use to make the adjustments a livable, sustainable quality of life. Thanks to this community for any input.
       
      • Hug Hug x 1
    7. Mark Foster

      Mark Foster Member

      Tinnitus Since:
      Feb 2019
      Cause of Tinnitus:
      Noise exposure (a loud concert)
      Managed to get my first out of 3 injection today, it was just fine!
      My tongue is a bit numb now, but I feel ok.
      Unfortunately the ENT didn't want to do it in both ears, so I only did it on the ear that rings the most.

      I'll keep you updated.
       
      • Winner Winner x 1
      • Informative Informative x 1
    8. Juan

      Juan Member

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      Keep us updated! I have never had corticoids injected yet.
       
    9. Mark Foster

      Mark Foster Member

      Tinnitus Since:
      Feb 2019
      Cause of Tinnitus:
      Noise exposure (a loud concert)
      Well as always, to me at least, it's extremely hard to tell if anything gave me an improvement or not, as so many things play a role in tinnitus. Unfortunately the 2nd injection was cancelled and I don't know if I'm going to go ahead with them, given the price and that I'm not really disturbed by my tinnitus anymore. But it does seem really quieter, at any time, so I hope the Oxygen Therapy and the Steroids helped, but it might just have been spontaneous recovery.

      I suggest doing both as I spent a massive amount of time reading research, and they both seem to help, you don't want to take the risk of not doing them (if the onset is recent).

      I have been lucky of course, but I'm starting to think the internet is a bit too negative about tinnitus, of course there are a lot of sufferers, but it seems like the majority recovers fairly well after a noise trauma? That's also what 2 ENTs told me, and I didn't believe them, given all the stuff I read here, but now I do.
       
    10. Juan

      Juan Member

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      Is hyperbaric oxygen therapy loud? Someone told me it is loud inside the chamber, like 80 dbs...
       
    11. Juan

      Juan Member

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      It's a bit like baseball. This is just strike one. Be careful with noise, believe me, I have been there. I didnt read so much as you at the onset, I think. After all, I have been suffering from hearing problems for such a long time, and had corticoids, etc but not the eardrum injections, or the oxygen chamber.
       
    12. Andy9214

      Andy9214 Member

      Tinnitus Since:
      7/16/19
      Cause of Tinnitus:
      Hearing test
      My ENT suggested a steroid shot in my ear to help with the fullness/ringing. I’m nervous about this because I don’t want the needle going in my ear making things worse. Has anyone done this before? Good idea or bad idea?

      Thanks for all the responses guys. So, my ENT suggested another series of prednisone over the shots which I really didn’t want to do anyways.

      I did go to a concert before I started to experience eat fullness, then about 3 weeks later went for a hearing test and that’s when my right ear started ringing constantly.

      The doctor believes that’s it’s not from the concert, but a possible auto immune hearing loss which I don’t know that much about. I don’t have any auto immune issues which made the doctor skeptical, but he was pretty sure it’s due to a high frequency hearing loss I had Since I was a child. I’m 25 now.

      I spoke to the doctor about going to baseball games, concert, bars etc and asked about how to protect my ears/what ear plugs would be good. I was shocked by his response, but he said not to wear any protection because I will deprive my ears from natural sounds that it has to adjust back to again. Apparently wearing ear plus can make the ringing worse. I’m really nervous about that because I don't want any loud sounds to make anything worse. Has anyone heard of not protecting your ears so they can adapt back to normal? I’m still going to wear ear plugs when I go out.

      Can someone explain the HBO treatment also?

      Thank you.

      Now that you mentioned that I recently started aggressively losing weight and changing my diet. I’m down 30 pounds in the last two months. MAYBE it could be related to that/stress that I have.
       

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