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salvatorparadise

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Posts: 3
Reply with quote  #1 
On Sunday I had the unfortunate experience of catching a bottle rocket right on the chin. It apparently had fallen exploded into a still smoldering firepit, and launched without warning. The one in a million happened, and it hit me right at the chin and burst. Ringing and muffled hearing ensued. Ringing largely has subsided, to the point where i'm not sure if it is even ringing anymore, hearing has slowly gotten better, tho it is not back fully - things sound a little muffled still, and most bothersome is a sensitivity to loud sounds.

Loud speaking, shouting, car doors slamming - it's not pleasant. Even when I speak loud it sounds strange in my ears, sort of like a reverberation. It will be 72 hours this evening since I had that loud trauma. Should I continue to wait for about a week before I go to the doc? Is this Hyperacusis? I suppose only waiting will tell me if any of this is temporary or permanent?

Thanks!

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Johnloudb

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Posts: 1,951
Reply with quote  #2 
Hi, sorry to hear about you experience. Often things will improve on there own, just take care of your ears and avoid sounds that are too loud and make your symptoms worse. At the same time you don't want to completely avoid sounds, just take it easy with sounds. Trust yourself!

I really hope you'll visit this website as well (  http://www.tinnitus.org   ), and read about TRT and sound enrichment. You might find a pleasant sound to listen to in your home, that is left on all the time. It has to be a pleasant sound that you have no dislike for and you can tolerate all the time. Maybe get one or two nice nature sound radios, you can listen to in your home. Get used to the sound over a period before you start using it as sound enrichment.

Don't spend long periods of time in silence. This will make your ears more sensitive. 

Don't distress over your symptoms and know that things can get better. They usually do. I suspect in a week or two you're ears will be considerably better, at least that's been my experience when my ears get hurt.

Sometimes people can make a full recovery without seeing a TRT doctor.

Best of Luck,
John

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salvatorparadise

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Posts: 3
Reply with quote  #3 
thanks John, I hope so.

either way, this is making me appreciate, and take care of my ears more.

wore ear plugs mowing the lawn for the first time ever yesterday. It was a highly pleasant experience compared to every time in the past, at least audibly. The plugs couldn't help the 93 degree temperature here in Ohio.

Here's hoping. I'm going easy on my ears for now and forever, I've learned a lesson.

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aQuieterBreeze

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Posts: 2,083
Reply with quote  #4 
Hi,

Sorry to hear this has happened to you.
I don't think you should wait to go to the doctor.
Aside from other factors -
I think there May be something the proper and experienced   hearing healthcare professional (doctor)  - perhaps an ENT or other specialist -  may be able to do to help with your situation. From what i understand, from what i have read,  sometimes time is a critical factor - and waiting too long can put one outside the window of being able to avoid hearing loss ....

You should  try to avoid exposure to loud sound for awhile.

IF any doctor you go see recommends an MRI make sure you are provided with proper hearing protection to use.

You my try contacting DrNagler, on this board - as he seems to know quite a few people in the medical field and could perhaps offer a suggestion of who he thinks would be a good choice, or appropriate - to go see.. He is also usually very prompt with replies.
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Debbie

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Posts: 1,512
Reply with quote  #5 
Salvatorparadise,

A. Get your hearing checked, according to my ENT, who was a mainstream doc, there is a 10 days window period to start steroids and/or other 'emergency' interventions to prevent hearing loss or restore hearing after an acoustic trauma.
B. This is not 'standard of care' for ear things and you must do your own homework depending on your interests: Clinical studies have been done for the US military showing that the following vitamins have shown clinical evidence of reversing hearing loss when begun within a few days of acoustic shock:
vitamins A, C, E (I believe) and Magnesium, 500 mg/day I believe of that, which is considered the chemical activator of the others, you can google all of this of course.
I'm no nutrition specialist or ear doc but plenty of info on all of this if you look it up.
I personally think other antioxidants combined with mag would probably be helpful too, ENT Dr. Barry Siedman (urg, not sure that's his exact name but you can find him by poking around) is all about this.
Might as well attempt to support the nervous system nutritionally as it works to recalibrate, esp. in these early 10 days or a month.

I personally took and take herbal anti-inflammatories (with Tumeric etc.) to help my ear and I feel the difference, I take Garden of Life FYI products (for your inflammation) though any one of us who chooses to take supplements, I would suggest knowing the why's of taking anything and as with meds, going on well informed and gradually to observe personal tolerances to the substance.


I personally believe that there is a big difference between early stages of hyperacusis etc. and later, chronic stages and that the early stages are a special time to take care of the ears with the possiblity of avoiding the long-term scenario.

Sounds like you are healing well already, I would encourage this improvement to anchor more deeply and avoid rebounding by keeping away from subwoofer speaker environments (even with earplugs - bone conduction is the portal of entry for many louder sounds, not so much the ear canals) or any other louder or sounds/frequencies which were a bit physically troublesome before this event - know your body and what feels stressful to your ears. Vaccuuming, working on a cash register with beeps on highest volume, sitting for long periods near a generator or other loud or very ear-irritating feeling sound etc. etc.
I think the acute window might be several weeks after stability seems to be anchoring, and about 3-4 months in terms of letting the primary connections continue to become less vulnerable to re-injury, maybe 6 months or a year of after that of being a bit more mindful.
I am just guessing on this longer term window periods, you could ask an oto(ear) neurologist perhaps on this type of thing, related to nerve sensitivity etc. 
Were you ever a bit more sensitive to loud noises than others, or have you always been able to go to clubs etc. without ear protection?
Just curious on that, I personally was a bit more sensitive to louder sounds all my life, had to wear earplugs out to clubs due to pain and muffling and slight ringing after the louder sounds when my friends did not seem to care (even though uncomfortable or not, the sounds are too loud for optimal ear health anyway)
I am thinking that those of us who have had more sensitive hearing might be a bit pre-disposed to hyperacusis etc. so mindfulness and pragmatism (vs. for example phobia of sound) seems might be a good idea for now on anyway.

Working your way up to controlled, low sound exposures such as to music you like at a ear-healthy and very comfortable volume, nature sounds, maybe the Network's Pink Noise CD as well might be good to incorporate when you become ready for some controlled and pleasant ear stimulation.

Whereas earplugs are considered formally to promote sounds becoming even louder to the ear, in this acute stage, I personally (and a few others here  believe) that the MOST IMPORTNANT thing is to avoid re-irriating the ears with unexpedcted loud noise while things may be in the process of healing.
So if you are around town where sirens or louder motorcycle or sports muffler vehicles go by blaring or trains blow whistles within less than a mile or etc. I'd say, wear earplugs in those areas so as not to accidentally expose to a sudden blast of sound.

Beyond all of these measures, I suggest feeling grateful that things are looking positive as they are, and checking yourself for undue worries beyond pragmatic caretaking at this time and mindfulness now and through the recovery process and beyond.


These are all intuitive guesses based on my own auditory shock experience and the stories of many.
I do not mean to extrapolate to your case as if I am an authority on hyperacusis/tinnitus, just to share what I believe to be common sense, although yours may be different, and to let you know that ENT's and other docs are notoriously not up to speed on these issues anyway so to use as much of your own questioning and common sense as possible.
I feel that I personally may well have fully recovered within the weeks and months following my inititial event had I not marched into aggravating re-exposures before my system was really back to normal early on.

ENT's do not tend to know to warn you to avoid early re-exposures the way I have in this post, also ENTs are notorius for putting someone with new hyperacusis into ear irrigation to clear wax out which a) the process itself of which may be too loud and b) may suddenly cause even more acute hearing as old wax is clear of the ears...and more chance of accidental over-exposure initially.

Best of luck, hope you will keep in touch and let us know how things go.

Debbie



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aQuieterBreeze

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Posts: 2,083
Reply with quote  #6 
salvatorparadise,

You mentioned -

wore ear plugs mowing the lawn for the first time ever yesterday. It was a highly pleasant experience compared to every time in the past, at least audibly. The plugs couldn't help the 93 degree temperature here in Ohio.

In my opinion  - it would be better to avoid loud sound for awhile. Let someone else do the noisy stuff - or put it off for awhile. Using hearing protection around loud sound if you are or need to be around  it, is a good idea though.

Sound is not only heard through the ears but can be bone conducted as well.
(as Debbie mentioned)

Some with hyperacusis have had their challenges  made more difficult by further exposure to loud sound- before they understood more about their condition, or about these challenges..

John says - trust yourself --

If  you are in a situation and it seems too loud For You at this point- I think you should trust what your ears are telling you - and either leave if ppossoble - or use hearing protection if necessary.

When someone has hyperacusis sometimes it's not only the volume of the sound but the amount of time spent around loud sound that can make a difference- so leaving if a place seems too loud can be helpful in that respect.

Avoiding loud environments for awhile may also be a good idea -
such as choosing quieter restaurants over louder ones.
And avoiding noisy pubs and clubs and concerts for awhile.
As I think it could be helpful for someone new to these challenges to avoid places where sound is likely to be very loud,
especially until they know more about their challenges and more about how sound affects them.

It's good to hear you mention you notice the ringing in your ears subsiding- i think that is a good sign.

You mentioned -

Here's hoping. I'm going easy on my ears for now and forever, I've learned a lesson.

Here's hoping  you will be back to feeling "normal" again very soon.

You mentioned something about a firepit in connection with all this -

Were you in a campground at the time?
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saab1216

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Posts: 152
Reply with quote  #7 
I can relate to the reverberating. It happened when I got my Hyperacusis.It may not be indicative of a long term problem hopefully but dont put off seeing an audiologist.
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salvatorparadise

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Posts: 3
Reply with quote  #8 
thanks for the replies. i left a message at an ENT today, we'll see where it goes from here. Hearing is improving, so let's keep our fingers crossed. Oh, and that firepit was in my parent's back yard up on Lake Ontario
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