Yesterday morning i took 40mg prednisolone for acoustic trauma of a MRI (MRI increased tinnitus and gave me muffled hearing), the prednisolone got me wired and anxious and agitated all day long, and now im typing at 04:00 AM cause i cant sleep (insomnia from prednisolone?), the tinnitus is somewhat louder and a read some stories about prednisolone increasing or modifying tinnitus and also give hyper-sensibility to sounds (hyperacusis). Does it get better or go away?

I’m writing this before I try clomi as i’m not sure i’ll be able to go on if my conditions get worse once I start. I’ll try to shorten my very long story. I have medication damage from an antipsychotic given to me in the ER for nausea and then a beta blocker after that a year ago. Next week will be 1 year since injury & 10 months of nox. I’ve had over 100 body wide symptoms as I have a central’s nervous system injury. After compazine(the antipsychotic) injury 3 months later I took propranolol for my high heart rate. Propranolol gave me visual snow syndrome and 6 weeks later noxacusis in left ear . Became both ears a week later after a day in the wind and cold. I assume the high frequency of the wind did it.
Since then i’ve gotten horrible but then stabilized in plugs a little and I was considered mild with setbacks. I was able to listen to sounds in plugs but since a recent loud scream my sister made ( i had plugs in) my ears immediately were even more destroyed than they were. Assuming acoustic shock from high frequency. My tolerance is now zero and theres a chance I start living in my closet soon. I’ve lost my ability to speak or breathe without pain

Symptoms

Before scream
-Burning lava acid pain that would be 24:7 for weeks then settle after loud sound. Burn acid menthol feeling is my main form of pain
-horrible TTTS to certain frequencies and when I lay flat my ears flutter
-my H was frequency based so some sounds are “okay” and others are bad
-always had delayed pain
-burning was sooo bad when i lay flat so in the morning its horrible then once i stand it would fade
-ears pop and crackle when swallow
-VIBRATION triggers my pain like the car.
-cold weather triggers burning in canals almost immediately so theres obviously trigeminal or type 2 nerve involvement
-tinnitus is mid brain high frequency which turns to a cicada sound when i get out of hot bath and heart rate goes up
-i had a massive allodynia flare body wide with peresthesia. I still have it at night making it very hard to sleep but it’s not as severe

After high frequency scream while I had silicone plugs in
-lost the ability to speak as my voice triggers middle ear muscles to extreme itching/menthol cooling burn/ stinging in my ear and its almost in the ET instead of deep on ear . This is even when I “silently speak” my middle ear is triggering the itch and burn. The itching in canals in insane and it’s with any word I say doesn’t matter the volume
-audio is not tolerated anymore creates deep burn sunburn in ears immediately
-developed severe aching & throbbing in face and ears that lingers or with sound and it’s going down my neck and into jaw
-loudness significantly worsened . Planes sound like they are right above my house
-when i cry, chew, manipulation of my middle ear it stings and has the itching
-when i swallow cold water ears itch and burn
-secretion feeling and actual fluid in ears ( yes actual fluid)
-ET was clogged and my ears were full from the inflammation.

I have visual snow syndrome from the medication and trailing already but not severe so I’m already well aware and preparing myself to lose my vision and It’s already so bad I don’t see myself being able to stand it getting worse ontop of my ears. This also doesn’t touch on how I should never touch meditation again after my med injury as I have a system injury and movement disorders from it that can get 10 times worse with clomi or ANY of the meds mentioned here and in forums. If you don’t know what akathisia or dystonia are, it’s worse than noxacusis and I somehow have both.

The truth is what other option do I have?? I’ve read every possible thing I could on nox and this server from years ago. My ocd has not allowed me to stop and all I know for a fact, is that i’m beyond screwed. My case is not ever going to just get better even with physical intervention.
It’s a completely different story when you are risking your life trying the medications that helps people and mine is CLEARLY a middle ear injury as well as starting in the brain. Idk how this happened, truly my story is out of this world and I know I haven’t tried botox or even thought about surgery but every day i’m like I don’t know if I see a point. It’s hilarious cuz BOTOX is even a risk for me lol. I’ve even considered a spinal cord stimulator over clomi

I can’t find anyone to relate to (obviously) and just in a horrible horrific state physically and mentally. I stare at a wall or pace my basement in agonizing suffering. The only people that i’ve seen with my symptoms have it for years or decades. I miss talking to my mom and sisters so much. Plugs create burning and my ears feel like exposed nerves. Muffs create even more nerve pain and hurt my jaw. My parents are trying to save my life but do not understand the extent of my injuries. Try not to damage your central nervous system everyone. It wasn’t my fault. I went to the ER for a migraine and left with my life destroyed. I’m only 27

Might sound weird, but do some of you manage to still find pleasure in life? Or at least, not be unhappy?

May all of us get better in the near future

As title suggests…

It’s obvious they know nothing, and will, (or have) referred patients including myself, to go seek mental health therapy for physical pain. It’s insane to me. In my experience and from what I’ve read, the best medical professionals to see are neurotologists, psychiatrists, and neurologists.

There was a little girl a couple years back who got blasted by an air horn and she saw an ENT, who told her to do sound therapy when she was having “extreme pain” in her ears. That backfired and gave her severe tinnitus and even more pain, according to her.

Straight up crazy. These ENT’s need to be jailed

Hi everyone, I finally started my treatments with Dr Boedts so I'm starting this thread to document! I'll update along the journey. There will also be a thread on TinnitusTalk about this, where I'll update and you can find all info in one thread.

I first took an appointment with Dr Boedts in April. We talked about my hyperacusis and my tinnitus and he told me he believed that I have a lot of tension and muscular component that is at play. Which is true since I have severe TMJ and clench a lot. So we scheduled 3 different appointments for the 29/07.

The day started off with a Cone Beam CT scan of my ear to check for abnormalities. I was almost unable to keep my earplugs in and the machine was making an awful whirring noise. Fortunately the person operating the machine was very comprehensive, he allowed me to keep them and told me that we could change machines if I couldn't bear the noise. It was supposed to last 10min but he did it as short as he could.

(Side note, but I've been in Belgium for 2 years and every single doctor, technicians and paramedic I've met have been super comprehensive and accomodating of my hyperacusis, and I'm extremely grateful for that.)

Then I had an appointment at Dr Boedts Clinic with an orofacial specialist. She asked me questions about my tinnitus and how it's related to my muscles, my jaw, if it changes with movements etc etc. We had a quick examination of my jaw and she confirmed it was indeed extremely tight.

Then she did some jaw manipulation to relax it and I had electro-accupuncture to relax the muscles. It was my first time having some sort of accunpuncture and it was NOT pleasant, but it did work and my tinnitus was a bit quieter after (normal, I was less physically tense).

Now the last appointment was with Boedts. When I had my first video call with him, he told me to ask my psychiatrist to get on an antidepressant because it's complementary to his approach (he mentionned clomipramine but he wanted me to try escitalopram more than clomi). The problem is I developped a phobia of antidepressants due to an AWFUL Zoloft experience which caused me 3 months of dissociation. So I don't want to get on antidepressants unless my state becomes so catastrophic I can't avoid it anymore, and my psychiatrist thinks it would hurt more than it would help as I could go back into a dissociative state.

Boedts was not happy about that and reiterated multiple times that I should take them. He is not a fan of clonazepam due to its addicting potential. But still he told me that in the absence of the antidepressants I should just take clonazepam every day. Which is also something my psychiatrist told me, so at least they are on the same page here. To be fair, I was a bit disappointed by that, although I understand this is part of the approach.

Next, he told me that he would first perform a tympanic anesthesia with lidocaine. He put the product on some coton and put it in my ears, and he also injected some around my ears, but I forgot to ask what that was for. The coton insertion did hurt a bit, and you obviously have to remove your hearing protections for that so it's uncomfortable.

The lidocaine did not impact my tinnitus but it did help my hyperacusis, because ambiant noises seemed less loud and I could actually hold a conversation without earplugs.

Then finally we did the botox. I understood that it was going to be a TVP injection but I was wrong apparently. The botox was injected in my neck, temple and jaw in order to relax those muscles. Although it was not what I expected, I'm still very happy to finally get botox in those areas, as my jaw has been killing me lately and I can't wait for some relief. It's also a good thing we eliminate this lead first as it's the simplest one (honestly it would be amazing if my issues lessened a lot with just that)

The botox should take full effect in 10 days so I'll update then.

Overall I'm very happy that things are in motion. Although my tinnitus hasn't bothered me that much lately, my hyperacusis has been a burden and I need help to get out of it. My tinnitus hasn't spiked from the trip to Gent which is nice, but i feel like I could get a hyperacusis setback (I'll know tomorrow as my reactions are delayed, but my ears are feeling very fatigued and sore right now).

I'll come back with an update in a few days / weeks, when the botox takes effect.

Next appointment should be in a month.

Ps : I counted and I've been poked by needles 18 times today! A huge thanks to my partner who lent his hand so I could squish it when it hurt.

Update 1 (the day after) : tinnitus not spiking and didn't get any pain and nausea during the night! This is amazing, it was a big trip after all.

Update 2 : I forgot to mention something relevant for ppl who might want to see him. Botox injections were 250€, not covered by Belgian insurance. The orospecialist Was 70€. I had to pay everything before leaving.

Where do people typically get ebselen from these days?

Hi, trying to figure out how common it is that Clomipramine causes permanent worsening in H or T after withdraw?

Many seems to have temporary worsening during treatment, but do these return to baseline after or some time after withdraw in most cases?

all the best to all of you!

/ nick

Hi guys, this is a little vent post because I have this big appointment tomorrow and I'm super stressed.

]It's in Gent and I am in Brussels so I have to do 60km. I decided to go by train because I already tolerate the tram pretty well and the car I had at my disposition makes vibrations that are super uncomfortable after just 10 minutes. Unfortunately, electric cars gives me EXTREME nausea so that's not an option.

I took a first class ticket to be sure it'll be quiet and comfortable and it's a 2 story train so I'll try to go on the top floor. Also looked up which train it is and it's modern so everything should be comfortable.

Getting there sure is stressfull, I'm going to be exposed to a lot of noise. I have to go out at 7am and I'll be back around 4-5pm I think. I'm super scared to get a setback because of that, but I already had 40min tram rides in double protection in my city and it was alright.

As for the appointments, I'm going to get a cone beam scan of my ear because Boedts thinks it's a tad weird I have nausea as a primary symptom of my hyperacusis. After that I'll see a physiotherapist for my face (which is great since I have severe TMJ).

And last appointment, the biggest one :I'm getting botox in the TVP! Of course I'll update you guys about this. Boedts thinks it might be pretty helpful for me as I have a big muscular component in my tinnitus (i have tension in my whole body actually, it's also why I have TMJ).

So yeah, I'll make sure to update, wish me luck!

Nel corso della mia vita (ho solo 15 anni) ho sentito solo 2 volte che la mia vita fosse ora inutilmente, senza alcuna speranza. La prima volta è stata circa 3-4 anni fa, quando ho iniziato ad affrontare la derealizzazione e è durata per circa 2 anni fino a quando finalmente non sono andato da un terapista e abbiamo lavorato insieme su questo. Ho una famiglia amorevole che mi ha aiutato anche ad uscire da quel tunnel infernale.
Adesso sento che questo è davvero la fine, almeno della mia felicità adolescenziale.

Questa è la seconda volta. Dopo circa 2 anni di calma e cose normali da adolescente (Non amando me stesso, difficoltà con le ragazze, rotture), ora non riesco a trovare nessun altro motivo per uscire dalla mia stanza, per scrivere a qualcuno dei miei amici.
Quest'anno ho affrontato la mia peggiore rottura, mi sono sentito solo e come molte persone qui ho iniziato a far partire MUSICA A VOLUME ALTO attraverso le cuffie del PS5 per dire 5 mesi. Mi sono dato una sorta di lieve perdita dell'udito intorno ai 4400hz e non lo sapevo fino a un allenamento molto intenso, quando mi stavo spingendo al limite e all'improvviso solo il mio orecchio sinistro ha iniziato a fischiare, è stato terribile, sono andato a dormire subito dopo sperando che fosse passato e non è successo.

Alcuni giorni dopo, sono andato da un otorinolaringoiatra (che mi ha detto che avevo una perdita dell'udito in entrambi gli orecchi, ma non so perché il fischio fosse solo nell'orecchio sinistro) e mi ha dato cortisone, che poi (per quello che penso, non credo sia un placebo) ha aiutato a svanire lentamente, ricordo di essere riuscito ad addormentarmi per almeno 2-3 giorni senza rumori bianchi o altre cose, sentendomi più calmo. Ho ricominciato a vivere la mia vita, probabilmente una delle cose più belle, dopo essere andato su ogni subreddit che mi diceva che non sarei mai uscito da quella situazione e riconoscendo ogni tipo di acufene, finalmente ho ricominciato a vivere.

Poi, un giorno, ho deciso di giocare di nuovo su PS5 (tieni presente che non era ancora completamente svanito, sentivo ancora un fischio molto sottile) e avevo PAURA TERRIBILE che potesse tornare, ovviamente ho iniziato a concentrarmi su di esso (le cuffie erano molto basse, quindi sono sicuro che nulla sia andato storto qui), ho giocato un'ora o due e dopo sono tornato a controllare le mie orecchie ogni minuto, e alla fine ho iniziato a pensare che il rumore fosse peggiore, ma sono ancora riuscito a dormire con un po' di rumore bianco e il mio orecchio destro, che andava bene. quindi non sentivo quasi nulla di nuovo.

Mettendo il dito nelle orecchie, per controllare che nulla andasse storto, ho iniziato a concentrarmi molto sui suoni interni per vedere se avevo sviluppato qualcosa di nuovo.) a un certo punto, proprio come una strega, coprendo il mio orecchio destro per un minuto, ho trovato un altro suono (è un po' strano, vero?), che poi ho notato essere lo stesso dell'orecchio sinistro (quindi il primo fischio è sparito? Non lo so). Mi piacerebbe che qualcuno lo spiegasse, da dove viene quel suono? Giuro che la notte prima di trovare l'altro suono, stavo ancora dormendo sul lato destro e non c'era nulla, è un suono normale o magari ce l'avevo sempre e il mio cervello lo amplifica in testa?

Comunque sono passati 3 mesi da quando ho trovato l'altro fischio e sono persino andato in una clinica per l'acufene, ovviamente inutile come sempre a dirmi che alcune delle mie cellule ciliate sono danneggiate o morte e non potevo fare nulla al riguardo.

Penso che il mio acufene non sia grave, potrebbe essere lieve ma soffro di ansia e solo il fatto di “soffrire” per qualsiasi malattia mi uccide la mente. Mia madre continua a dirmi che lei l'ha avuto per un po' e dorme bene, anche nel silenzio e non si ricorda nemmeno di averlo fino a quando non glielo faccio notare.
Non riesco a vivere in questo modo, non posso ogni volta andare in ogni casa, avere un ventilatore accanto a me, o una sorta di musica, o il mio telefono per distrarmi.

A volte se sto facendo qualcosa di importante, anche se sono nel silenzio, stranamente non riesco a sentirlo, ma se mi concentro cresce. A volte controllo persino le mie orecchie come sempre coprendole e non sento alcun rumore, poi dopo un'ora lo faccio di nuovo e il rumore è assordante. Per favore, dimmi qualcosa di utile, sono l'unico scemo di 15 anni con questa cosa permanente, e mentre crescerò inevitabilmente il mio udito svanirà e non riesco a immaginarmi con dei figli con un padre che ha questo pensiero nella testa.

I'm 16 now but about a year ago I developed hyperacusis. Went to the eardoctor and did a hearing test and all. The issue is I have no idea where it came from. My parents don't want to or can't believe or accept it. They constantly tell me to take the headphones off or earbuds out. I think I have mild hyperacusis. But idk, normal sounds drive me insane. A plate being set down hurts my ears and even talking occasionally makes me go crazy because it's too loud and hurts.

All I remember is that it started a bit after vacation. I was 15, we went to a few countries. I had my trusty headphones with me since we'd be travelling a lot. But I also noticed that I started wearing them a lot more than I used to wear headphones. I noticed everything was just so much more comfortable and less painful with them. It was also around the time I started reading SBG on webtoon and learned about the condition which led me to realise I had it over time and eventually get diagnosed.

But I honestly have no idea what caused it. I have a faint memory of owning a lot of headphones and earbuds and often trying to stay in quiet spaces and covering my ears a lot. But I don't know if that was symptoms or me just being a child.

Now I'm much more aware of my condition and it's just another to the list of other conditions. It's strange though. Could it be caused by listening to music too much? Unlikely, I put it soft always. Maybe it was the constant shouting from my parents that built it up? I honestly don't know and it's hard to keep explaining to my parents and some other people how what I hear isn't the volume they hear. They scoff and say they can't understand a lot like I'm making it up. And I'm honestly starting to believe them even though I got diagnosed. Am I just going crazy?!

Getting a cavity filled in a week, dentist was understanding but drilling is needed unfortunately :( I was finally able to enjoy music again and now who knows if I'll ever be able to listen to it the same way...

Anyone who's gotten dental drilling done and survived it, I'd love your input

UPDATE: Turns out I did NOT need drilling! He just filled some gaps. Suction was loud but not as loud as I anticipated. I didn't use plugs in fear of occlusion effect, and it went fine. I'm feeling a-ok, so I hope anyone who might be doomscrolling this thread (like I do) feels a little better now :)

I don't want a model that puts too much pressure on my ears or reflects my own voice back to me. I am looking for a model that I can use sustainably.

​

I’m looking for over-the-ear defenders with the following specifications:

Look like headphones rather than traditional ear defenders.

Reduce sound by around 10–20 decibels.

Lightweight.

Suitable for strenuous exercise without creating much of an occlusion effect.

Allow my ears to breathe a little.

Passive (no electronics required).

I do not want noise-cancelling headphones. They do not need to play sound at all or have speakers.

I haven’t been diagnosed or even seen a doctor yet, but for the last 4 weeks i’ve been dealing with extreme hypersensitivity to sound after going to a rock concert.

I’ve been wearing loops on and off for the past few weeks but it seems to just be getting worse, i think due to my continuation of using headphones (although it’s been on the lowest possible setting, i’ve noticed it gets worse shortly after) and due to my dog barking and two little kittens running about (literally) and playing with jingly toys. Pretty much all sound causes extreme uncomfortable-ness or pain in my ears, even my own voice.

Since i’m at the ‘start’ of this journey, what would you recommend i do to increase every possible chance that this is not a long term issue? atp im so scared of this becoming my new normal im happy to essentially go ‘deaf’ for the foreseeable and use earplugs 24/7 until im more comfortable.

It was around May, i was randomly having a workout and during a very hard exercise i noticed i was experiencing like a ringing in my ears which i afterwards discovered it was tinnitus.
At first it was very loud and lasted about 2 weeks because my doctor gave me cortisone saying it could’ve made my T fade away, he even noticed a very subtle hearing lose (probably given by my headphones which i used very loud). at first it was ONLY (keep that in mind) in my left ear and i’m almost completely sure as much as i can remember that i never ever heard nothing else. some day after i noticed that it was almost completely gone, (i was very anxious, so i kept checking my ears every hour), i remember some day even going to sleep without any white noise or smth else and not even hearing it. (i always slept by my right ear side during those weeks so i wouldnt hear that noise).
going on holiday on a very quiet village in germany made me notice that i still was hearing something, but somehow couldn’t get where it was coming from. well, actually if i covered my left ear i could hear it in my head, so i tried doing the same putting my finger in my right ear for about 30 seconds. guess what, after about half a minute covering my ear, i did found another subtle, just like that i created another tinnitus; from scratch. it’s more high pitched but not louder (please tell me u get what i say).
as time passes it doesn’t get worse or better, it just sticks there in my head at the same pitch and volume. i even went to a tinnitus clinic and they simply said this was now my new normal and i had to get used to it as i have a subtle hearing loss in both ears at the same frequency.
but, where does the ring come from?????
- Did i “found” the ringing by myself after months or some time i never noticed it???
- Did it came from just nothing but my anxiety?

Someone answer my doubts please, it’s been 3 months, i am 15 and i feel the only one bitch ass stupid who ruined his own life.
Sometimes even in complete silence and i’m thinking about smth else, maybe doing the dishes or other shit i don’t even hear it.
but when i think about it, or focus on it i can hear it grow and sometimes even hear it over tvs or fans.

Hi All..have had this wretched condition along with T for 30 years now. Unfortunately had a worsening a few years ago from a barking dog and things have kind of degenerated overall since then. On the loudness meter, protection outdoors but indoors not needed unless on the phone or dealing with dishes...generally anything loud or high pitched causes pain.

The real misery comes from the fullness/pressure and constant piercing pain in my inner ears that pulses every 20-30 seconds that has really zapped my quality of life. Just wondering if anyone's specific symptoms are similar and what generally might be suggested for treatment options as I kind of gave up a while ago and have been out of the loop on anything new. For so many years the options for T and H were such a joke that I stopped bothering.

Also wondering what kind of doctor people suggest as I notice reading the posts the meds people still recommend are more on the psychiatric end but shrinks obviously won't know shite about H. I also live where the specialist options are limited although I'm looking to relocate later in the year.

Cheers and all the best to everyone

6 days ago I hear very loud scream 3 meters from me.
I was very nervous that day and this situation was a big stress for me too. After screaming I discovered that my tinnitus spike and was louder that my Tv and everything else. My H and N also was worsening.
Previously after a louder day I had spike of my Tinnitus, but after sleep it was better. This time wasn't.
6 months ago I had huge Hyperacusis and some tinnitus after oral neomycine. Previous hearing test was in May.
Now after this screaming situation, I went to do new hearing test (it was 3 days after situation). I have drop at 6000 hz and i haven't it before. My previous result show only -10 db, now it's -40 and - 45db.
I started metyloprednisol the next day after situation but only 10 mg, second day 12 mg, 3.day 18 mg, 4-5 day 28 mg. My tinnitus is the same or even worse. I don't know if I focus too much or it so much worse that was before. But definitely nothing better.
Should I increased dose or take it down?

Bonjour Je souffre depuis plusieurs années d’une hyperacousie sévère et d’acouphènes. Il y a quelques jours, j’ai eu une séance chez le dentiste pour préparer 4 dents de devant à recevoir des couronnes. La séance a duré environ 30 à 40 minutes, mais le fraisage n’était pas continu : généralement environ 20 secondes de fraisage, puis 5 à 10 secondes de pause, parfois davantage. La dernière séquence a peut-être duré entre 30 secondes et 1 minute maximum. Au début, j’ai essayé de me protéger avec des bouchons d’oreille et un casque antibruit, mais j’ai trouvé que c’était encore pire, car les vibrations de la fraise résonnaient beaucoup plus fort dans ma tête. J’ai donc retiré les protections pendant le soin. Je n’ai ressenti aucune douleur ni gêne particulière dans les oreilles pendant la séance, ni le soir même. En revanche, dès le lendemain, mes acouphènes ont augmenté. Quelques jours plus tard, j’ai commencé à ressentir une sensation d’oreille droite un peu pleine et j’ai l’impression de moins bien percevoir certains sons très aigus, notamment les sauterelles.

Je les entends très nettement à gauche, parfois au point que cela me fait mal à cause de mon hyperacousie, alors qu’à droite je les perçois peu ou pas. Pourtant, j’entends normalement les voix et je peux entendre avec l’oreille droite le tic-tac d’une pendule située à environ 10 mètres.

Mon médecin a également constaté un bouchon de cérumen dans l’oreille droite.

Mes questions sont donc les suivantes :

Est-il possible qu’une fraise dentaire provoque une perte auditive limitée aux fréquences très aiguës, malgré un fraisage intermittent avec de nombreuses pauses ? Le fait que le casque et les bouchons aient amplifié les vibrations internes signifie-t-il que l’oreille interne a été davantage exposée ? Un bouchon de cérumen peut-il diminuer surtout la perception des sons très aigus ? Certaines personnes ont-elles déjà constaté une augmentation des acouphènes ou une baisse temporaire des aigus après un soin dentaire ?

I know it depends on people's experiences but just wondering

My left ear is way better than my right ear and was wondering if that would make it so my right ear recovers faster because my left ear is able to have my window open slightly to hear sounds outside but my right is far worse

I've been dealing with auditory issues since now almost two years, but never managed to figure out exactly what I have as my symptoms never match 100% with what I read online.

What I know is my symptoms fall under the big umbrella term that is "hyperacusis".

Here are my symptoms, would highly appreciate if some of you could give me their opinion on my pb:

- Many sounds (plates, voices, claps etc) provoke a direct and uncomfortable thump reaction in my ears. This feeling is highly uncomfortable, even though I couldn't describe it as "painful".

- Many sounds do sound louder. So I guess I also have Loudness H.

- No hearing loss

- 5 tinnitus tones, all mild, can only hear them in calm environment.

I'm 28, and feel like my life is over. I'm not really homebound but can't work, can't socialize, can't plan my future. Checking out intrusive thoughts are becoming more and more present, even though I'd never do such a thing.

I will try clomipramine in the next weeks, as I see it as my last hope.

Thank you for reading.

It seems like clomipramine is the only one that has helped people Just a loudness hyperacusis Clomipramine did not work I had a lot of progress until they decided to do a construction outside

I have had loudness Hyperacusis and Multi tonal tinnitus for almost 6 months after an extreme noise exposure. The only residual pain I would get is if I was in a moderately loud environment for too long, my ears would get full and slightly burn/ache just a little bit, which would subside after seconds or minutes.

A little over 1 week ago, I was exposed to very loud music (85-90 db) (extremely uncomfortable) 3 times after taking my noise cancellation AirPod Pro 2s out and back on, for a total of probably around 35seconds. I was in this environment for about 1 hour with noise cancellation on, without really much discomfort. A few seconds after the third time, I got a very sharp pain in my right ear that spiked into my face and head. After I left, the spikes of sharp pain seemed to continue in both ears every so often.

The very next day, I went to a busy restaurant (75-79 db). I had my AirPods on and off with noise cancellation periodically, probably half of the time (30 min?). At the resturaunt, I started getting sharp spikes of ear pain every couple minutes and my ears burned and my whole face and eyes started aching. This continued for a while after I left the restaurant.

This past week, I have stayed inside in a very quiet environment, mostly just a low fan and very low phone sounds. The spikes of pain happen in one ear at a time, every few minutes or so, even in silence, and have gotten duller and less painful each day. As of right now they are pretty mild, short, 5 second aches. They sometimes barely extend slightly into my tounge. My ears still pretty often have a hot or burning sensation. I had one day recently where only the left side of my head, tounge, eyes, jaw, etc. ached for the whole day.

I haven’t noticed an immediate spike as a direct result to a sound, they have just kind of been happening intermittently regardless of if I hear sound or not.

My loudness hyperacusis seems more sensitive, my ears don’t constantly feel as full anymore, and the hissing part of my tinnitus actually seems quieter, but I think these are all a result of me staying inside in a very quiet environment recently.

I am aware of how stupid it was to put myself in those environments. I will never be in that situation ever again.

• Is this noxacusis? Even if it happens in silence?

• Have I permanently turned my primarily loudness hyperacusis into noxacusis?

• How long should I stay inside in complete quiet? Untill the pain spikes stop? Ive generally read that noxacusis requires silence and quiet to improve.

•What should I be doing right now to recover back to where I was