G C T T A Facts on Tinnitus by bigbro22


									    G C      et       onnected                     to   Facts on Tinnitus
                                                          A Guide for Tinnitus Sufferers and their Doctors

                                                                                                           An appointment with the family doctor should        Reassure the tinnitus sufferer.
    Introduction to Tinnitus                                 A Guide to Successful                         be scheduled to discuss the results of the          Explain that, despite the severity of the
                                                                 Management                                audiological findings and treatment options.        symptoms, the tinnitus does not represent
                                                                                                           The family physician may refer the patient to       serious pathology.

T                                                       T
                                                                                                           otolaryngology (ear, nose, throat specialist) or
       innitus is a disorder characterized by                  he important steps in the medical                                                               Counsel the tinnitus sufferer about the
                                                                                                           other relevant specialties. The purpose of this
       the sensation of sound in the absence                   management of tinnitus are the                                                                  nature of the illness (cure or specific
                                                                                                           visit is to rule out any underlying disease.
       of any external noise. This may be                      evaluation, the examination, and the                                                            treatment protocol, chronicity, etc).
accompanied by tension in the head and                  explanation. Usually, tinnitus sufferers will                                                          Information needs are high.
                                                                                                           Although there is no cure, there are treatments
neck, fatigue, irritability, poor concentration,        approach their family doctor who should
                                                                                                           that may provide some relief. At this point it is   Focus on the anxiety, insomnia, and
feelings of panic and depression, and, in               perform a complete history and physical
                                                                                                           important for the family doctor to realize the      lifestyle modifications. Associated
extreme cases, suicidal ideation. The actual            examination. Important issues to be raised
                                                                                                           possible impact the tinnitus may still have on      symptoms should be treated.
incidence of tinnitus in the adult population           in the history include:
                                                                                                           the person’s life and to focus on treating the
remains unknown. It has been reported to                                                                                                                       Maintain hope. Tinnitus can become
                                                          onset of tinnitus                                symptoms.
be in the range of 2-20%. For 10% of                                                                                                                           more manageable and less obtrusive.
                                                          presence of precipitating factors (noise
tinnitus sufferers, the constant noise has a                                                                                                                   It can also disappear.
                                                          exposure, drugs, infection, barotrauma)
significant impact on their lives, and for
                                                          description of the tinnitus (intermittent,                                                           Discuss the hearing loss. Its impact on
some of them, the impact of tinnitus and its
side effects will be disabling. Males and
                                                          pulsatile, frequency, etc.) and the nature of      Fundamental Management                            daily life can be profound; learning coping
                                                          its sounds                                               Strategies                                  strategies is essential to managing the
females are equally affected.

                                                          the severity of the tinnitus and its impact on                                                       tinnitus as well as communication.
                                                          concentration and ability to sleep                        s with most health issues, the             Wearing a hearing aid may offer
It has been thought that most tinnitus is a
result of damage to the microscopic nerve                                                                           doctor/patient relationship can have       significant relief from the tinnitus.
                                                        The next step in the evaluation involves                    a profound effect on healing and
endings in the inner ear. However, this does                                                                                                                   Avoid the phrase, “learn to live with it.”
                                                        referral to an audiologist to assess hearing.      coping. Thus, people with tinnitus must be
not account for the significant number of                                                                                                                      These words may impart a feeling of
                                                        Tinnitus should be identified as the basis for     treated with empathy regarding their suffering,
tinnitus sufferers who have normal or near                                                                                                                     abandonment.
                                                        referral. Audiological testing will probably       honesty regarding the lack of a cure, and
normal hearing, but in whom the tinnitus is
                                                        include an audiogram, word recognition             openness regarding the variety of traditional/      Stay in touch. Schedule follow-up
severe. Current research suggests that a
                                                        scores and tympanometry (impedance                 alternative therapies and day-to-day coping         appointments for assessment and
more central cortical region may be involved.
                                                        testing). Other more advanced tests may also       strategies. To ensure that this happens the         counselling.
                                                        be recommended. The audiology visit is a           family doctor should:
There are many potential causes of tinnitus,
                                                        good opportunity for the tinnitus sufferer to
including: noise exposure, age-related                                                                       Talk about the tinnitus. An appointment
                                                        ask questions about the acoustical quality of
changes of the inner ear, certain medications                                                                should be scheduled to deal specifically
                                                        the tinnitus and about strategies for coping.
(e.g. Aspirin in high doses), systemic                                                                       with the tinnitus.
disease, head trauma, and increased fluid
in the inner ear.
                                                                      Maskers                                          Resources for Tinnitus Help
     Therapeutic Strategies
                                                   Many tinnitus sufferers find that head and ear        Tinnitus Association of Canada
                                                                                                                                                                                                    et     onnected
                                                   noises aren’t as disruptive in the presence of        An information resource for people with tinnitus,
      very case of tinnitus is unique, and         some pleasing or neutral external sound. The          publishes The Tinnitus Information Exchange
      what benefits one person may do              following products may be of some benefit:            Bulletin twice a year (fee: $15)
      nothing for the next. Finding relief is

                                                     Table Top Maskers                                   23 Ellis Park Rd., Toronto, ON M6S 2V4
a matter of trial and error. The following           Behind/In the Ear Maskers                           www.kadis.com/ta/tinnitus.htm
methods have given relief to tinnitus sufferers,     Combined Hearing Aid/Masker
but none has been proven as a cure.                                                                      American Tinnitus Association

                                                                                                                                                                                            Facts on
                                                   Product information can be obtained from an           Brochures, quarterly magazine Tinnitus Today
           Lifestyle Modifications                 audiologist or from The Canadian Hearing              PO Box 5, Portland, Oregon, USA 97207
                                                   Society (CHS).                                        www.ata.org
For some, reducing or eliminating the

following may provide significant relief:                                                                British Tinnitus Association
                                                               Alternative Therapies                     Brochures, publications, quarterly magazine Quiet
  caffeine, cigarettes, alcohol, Aspirin           Some people have found relief from their              4th Floor, White Building, Fitzalan Square,
  salt (elimination)                               tinnitus with the following therapies:                Sheffield, England S1 2AZ www.tinnitus.org.uk
  stress (reduction)
  exposure to loud sounds                             acupuncture, chiropractic, Shiatsu massage
  allergens that may be contributory                  biofeedback, breath training, self-hypnosis
                                                      melatonin, gingko biloba, vitamin B12 injection
                                                                                                         Please contact your local CHS office for                                                     A Guide for
                                                                                                                                                                                               Tinnitus Sufferers
                                                                                                         information on support groups in your area.
                                                      personalized, special diet
          Prescription Medications
                                                        Tinnitus Retraining Therapy (TRT)
                                                                                                                                                                                               and their Doctors
For severe debilitating tinnitus, the following                                                             THE CANADIAN HEARING SOCIETY
                                                                                                                                     , ..
drugs may provide relief by helping to reduce      TRT is a treatment program for tinnitus and                    ` `
                                                                                                           LA SOCIETE CANADIENNE DE L OUIE
the intensity of the sounds and/or aid with        hyperacusis, a heightened sensitivity to sound
sleep loss, difficulties with concentration,                                                                                         Head Office
                                                   causing discomfort and sometimes pain.                271 Spadina Road, Toronto, ON M5R 2V3
fatigue, depression, and anxiety:                  TRT retrains the subconscious parts of your             Phone: (416) 964-9595 TTY: (416) 964-0023
  Benzodiazepines (for extreme cases)              brain to ignore the sound of tinnitus and               Fax: (416) 928-2506 E-mail: info@chs.ca
   -Rivotril (clonazepam)                          involves both Directive Counselling and                 Website: www.chs.ca
   -Xanax (alprazolam)                             Sound Therapy. Treatment usually takes
                                                                                                         Services in each region may vary, so be sure to
   -Ativan (lorazepam)                             18-24 months. If the protocol is followed             contact your local CHS office for specific details.
  Tricyclic Antidepressants (may reduce            very carefully some may see improvement by
  intensity)                                       6 months. Upon completion the tinnitus                                         Regional Offices
    -Aventyl (nortriptyline)                       should no longer be bothersome, but if you
                                                                                                           Hamilton Kingston London Ottawa Peel
    -Elavil (amitriptyline)                        listen for it you will still hear it. CHS offers
                                                                                                           Peterborough Sault Ste. Marie Simcoe York
    -Anafranil (clomipramine)                      TRT in its Toronto Audiology Clinic.                    Sudbury Thunder Bay Toronto Waterloo
  Selective Serotonin Reuptake Inhibitors          For more information, please contact us at:             Windsor
    -Prozac (fluoxetine)                           (416) 928-2502.
                                                                                                                                     Area Offices
    -Zoloft (sertraline)                                                                                   Barrie Belleville Brantford Brockville
    -Paxil (paroxetine)                                           Support Groups
                                                                                                           Chatham-Kent Dryden Durham Region
  Anticonvulsants (may reduce sound intensity)     Many tinnitus sufferers benefit from support            Elliot Lake Fort Frances Guelph Kenora
                                                                                                           Niagara North Bay Sarnia Timmins                                                THE CANADIAN HEARING SOCIETY
   -Sabril (vigabatrin)                            groups. These groups provide information                                                                                                                         , ..
                                                                                                                                                                                                 ` `
                                                                                                                                                                                          LA SOCIETE CANADIENNE DE L OUIE
   -Dilantin (phenytoin)                           and an opportunity for companionship with            This pamphlet produced in cooperation with Queen’s University medical students.

   -Tegretol (carbamazepine)                       others suffering from tinnitus.                                   Charitable Registration Number 10684 6926 RR0001
                                                                                                                                      GCTINNI.qxd 2007

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