What Do We Really Know About Tinnitus?

Discussion in 'Support' started by tinnitussufferer, May 7, 2015.

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    1. tinnitussufferer
      Angry

      tinnitussufferer Member

      Location:
      UK
      Tinnitus Since:
      1/2004
      many people report a fluctuation in their symptoms. If so you are lucky because at least you have quiet days.
      Presumably there are those that dont get fluctuations? is it true? How can this difference be explained?

      does tinnitus fluctuate in response to anything or is it just random?
       
    2. linearb
      Psychedelic

      linearb Member Hall of Fame

      Location:
      East Coast USA
      Tinnitus Since:
      1998
      I don't think "tinnitus" is by any means a singular condition, I think it's a set of different symptoms with the common characteristic "unwanted noise in head not caused by external sounds". I have a lot of theories about why my tinnitus fluctuates; it's hard not to because I'm pretty aware of at least some of the variables. But, I would not try to apply any of these theories to other people.

      For instance, in addition to my tinnitus, I have similar and almost certainly related visual issues. That's definitely not true of all tinnitus patients, and it may not be true for most of them.
       
    3. OddV
      Assassinator

      OddV Member Benefactor

      Location:
      USA
      Tinnitus Since:
      09/2014
      Cause of Tinnitus:
      Ear Infection
      Not sure about fluctuating tinnitus, but I do get spikes... Two triggers that I'm aware of are stress and chocolate.
       
    4. tinnitussufferer
      Angry

      tinnitussufferer Member

      Location:
      UK
      Tinnitus Since:
      1/2004
      Its funny how we cant go deaf from tinnitus. Persistent loud noise exposure can cause hearing loss. Tinnitus can be pretty loud.
       
      • Good Question Good Question x 1
    5. Dr. Nagler

      Dr. Nagler Member

      Location:
      Atlanta, Georgia USA
      Tinnitus Since:
      04/1994
      Noise itself does not cause auditory damage; rather it is the sound waves that result in the noise that cause the damage. Tinnitus does not originate as a sound wave. Thus you can't go deaf from tinnitus. Tinnitus can make you pretty damned miserable, but it cannot make you deaf.
       
    6. tinnitussufferer
      Angry

      tinnitussufferer Member

      Location:
      UK
      Tinnitus Since:
      1/2004
      well i actually read somewhere that it is noise rather than the soundwaves which causes damage. The noise triggers a reaction causing damage to ear cells.
       
    7. Dr. Nagler

      Dr. Nagler Member

      Location:
      Atlanta, Georgia USA
      Tinnitus Since:
      04/1994
      You can read just about anything somewhere.

      Best to all!
       
    8. Telis

      Telis Member Hall of Fame

      Location:
      Calgary
      Tinnitus Since:
      11/2013
      Haha. If this were true I would be completely deaf by now.
       
      • Agree Agree x 1
    9. attheedgeofscience
      Uninvolved

      attheedgeofscience Member Hall of Fame

      Location:
      Denmark
      Tinnitus Since:
      Childhood
      Cause of Tinnitus:
      Head Injury
      Have you ever done a physics experiment in school (as a demonstration) where an alarm clock like this...

      51CevmgXsUL._SY300_.jpg

      ...is placed inside a see-through glass container with the air inside gradually being vacuumed? If you have, you will know the similarity between noise and sound waves (i.e. you can't have one without the other from the point-of-view of the perceiver, and assuming the perceiver is not deaf...). The reason an old fashioned alarm clock is chosen is because it makes visible to the audience that it is still ringing while in the container.

      And to be perfectly accurate: noise is a perception (not a physical entity); the converse applies for sound waves. And so it is the sound waves that do the damage. Without a perceiver there would just a sound wave, but no noise!
       
      • Informative Informative x 1
    10. tinnitussufferer
      Angry

      tinnitussufferer Member

      Location:
      UK
      Tinnitus Since:
      1/2004
    11. Dr. Nagler

      Dr. Nagler Member

      Location:
      Atlanta, Georgia USA
      Tinnitus Since:
      04/1994
      So quote from the article you cited:

      "NIHL (Noise Induced Hearing Loss) is therefore the consequence of overstimulation of the hair cells and supporting structures."

      But this overstimulation they are referring to is not the result of noise - it is the result of the sound waves that are converted to electrochemical signals by the hair cells that act as tiny transducers. There is no noise per se until the electrochemical signals make their way into the brain where they are ultimately perceived as noise. The term NIHL is actually a misnomer - but if they called it SWIHL, that would result in even more confusion ... because when John Q. Public attends a sporting event with a huge screaming crowd, as far as he is concerned the crowd is making noise and not sound waves. And when the announcer foolishly wants to get the crowd yelling and screaming at the 120dB level, he doesn't tell them to make some sound waves; he tells them to MAKE SOME NOISE!!!

      Indeed the dB meter itself isn't measuring noise. Rather, it is reflecting the amplitude of the sound waves that will ultimately become noise in the brain!

      ATEOS has it exactly right.
       
    12. tinnitussufferer
      Angry

      tinnitussufferer Member

      Location:
      UK
      Tinnitus Since:
      1/2004
      the point i was trying to make, is that i used to think hearing loss occurs because the sound is so intense that the force of it literally strikes the hair cells and/or ossicles and destroys it in that way. However it seems this is not really what happens. The way damage seems to occur is as a secondary process as described in that wikipedia link. which would explain why NAC would work in some cases.

      Now if its not only the force that causes damage then I wondered whether tinnitus could trigger further hearing loss in the same way soundwaves do
       
    13. Zechariah

      Zechariah Member Benefactor

      Location:
      Finland
      Tinnitus Since:
      05/2014
      Cause of Tinnitus:
      Acoustic Trauma
      This is what happens in the case of extreme sound pressure levels. At 120dB you can be pretty sure that actual physical structures in the inner ear will take damage. At least the hair cells will "blow up" at most of the frequencies more or less.
       
    14. linearb
      Psychedelic

      linearb Member Hall of Fame

      Location:
      East Coast USA
      Tinnitus Since:
      1998
      the longitudinal data I have seen does not support this idea. Additionally, when you consider that most people who find T bothersome end up taking steps to protect their hearing that healthy people do it, it seems reasonable that having tinnitus from a younger age might actually be correlated with having better hearing later in life.
       
    15. tinnitussufferer
      Angry

      tinnitussufferer Member

      Location:
      UK
      Tinnitus Since:
      1/2004
      id rather have no tinnitus and slightly worse hearing than this screeching noise for the rest of my life even if i had better hearing. Unfortunately, I dont have a choice.
       
    16. NiNyu

      NiNyu Member

      Tinnitus Since:
      29/12/2014
      Cause of Tinnitus:
      barotrauma? stress?
      When I was completely deaf, and I did tell them I cannot hear anything but the T noise, they did a hearing test up to 120db. Now I believe they caused more damage.
       
    17. Zechariah

      Zechariah Member Benefactor

      Location:
      Finland
      Tinnitus Since:
      05/2014
      Cause of Tinnitus:
      Acoustic Trauma
      Hi, sorry I wasn't specific enough. I was talking about more "long term" exposure. Couple or minutes or longer. Hearing test beeps are so short that they shouldn't deal damage at 120dB but it is possible in my non professional opinion. I haven't heard that any hearing tests are done such a loud volume. Usually they limit it up to 100dB or so...
       
      • Informative Informative x 1
    18. tinnitussufferer
      Angry

      tinnitussufferer Member

      Location:
      UK
      Tinnitus Since:
      1/2004
      that reminds me of what happened to me. They were trying to see how much noise i could tolerate so they played a series of tones at increasing volume. Even though i told them not to play too loud they ended up playing a loud tone which i found unpleasant. i see no point in that test.
       
      • Informative Informative x 1
    19. NiNyu

      NiNyu Member

      Tinnitus Since:
      29/12/2014
      Cause of Tinnitus:
      barotrauma? stress?
      @Zechariah , exactly. Why would you go up to 120db? especially when the patient is deaf. This is fu*ked up! I wish I had never done the hearing test. Who knows, maybe my hearing was better now.


      @tinnitussufferer , it's a pointless test. You could punch them in the face to see how much pain they can tolerate and you would get a similar result.
       
    20. MikeP505
      Curious

      MikeP505 Member Benefactor

      Location:
      Ontario Canada
      Tinnitus Since:
      2011
      Cause of Tinnitus:
      Punishment for being so darn good looking!
      @NiNyu

      Above you stated " When I was deaf........." Does this mean you are no longer deaf?
       

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