Ruptured eardrum? Ruptured eardrum? - Page 2

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Thread: Ruptured eardrum?

  1. #11
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    All well and good, although I'm not sure about steroids for sensorineural hearing loss...

    And, what, exactly, is the etiology of this sudden loss of function? That would seem to be an important question not being addressed here. The differential for this is not trivial. I think I read that in a book once. What kind of doctor, exactly, did you see?

    Because, you see, if my vestibulocochlear apparatus (which is, you know, part of my central nervous system) suddenly went offline for no good reason, I would get me to an otolaryngologist. YMMV.

  2. #12
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    Forget the gym and get to a competent ear doctor now! The same thing happened to me walking across my living room on a Sunday about 10 years ago. I didnít think much of it. The next morning I woke up with vertigo so bad that I could not sit up in bed. I wound up losing most of the hearing in my right ear.

    Get off of the internet and go to a doctor.

  3. #13
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    Quote Originally Posted by Mark Rippetoe View Post
    What "steroids" did he prescribe?
    Not bodybuilder steroids of course, just a milder steroid thatís apparently used for some asthma, rheumatoid arthritis, and a few other things. The name is Prednisolone.

    Quote Originally Posted by Jonathon Sullivan View Post
    Because, you see, if my vestibulocochlear apparatus (which is, you know, part of my central nervous system) suddenly went offline for no good reason, I would get me to an otolaryngologist. YMMV.
    Thanks for the advice here. Thatís actually what I did yesterday. The next thing I could do is go get a second opinion. The specialist I saw is well-regarded by former patients, although I know the absolute best doctors in the country are a plane hop away - worth it if I get some very different advice, but maybe not the best for my ear while itís recovering. From what I gather so far, SSHL tends to be caused by underlying issues that are usually genetic and then triggered by some kind of life event. If that sounds off to you, I think I had better get another look.

  4. #14
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    This is why I asked. There are two basic types of steroids, catabolic (cortisone analogs) and anabolic (testosterone analogs). Cortisone is a very powerful anti-inflammatory, which means that the doctor has decided that 1.) the diagnosis is an inflammation of the structure, or 2.) the doctor has not decided anything and has just given you prednisone to get you out of the office with a prescription, so you'll be a satisfied-if-ignorant patient. The chances are that the latter option is the case.

  5. #15
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    Giving steroids is reasonable- they are the only intervention in the acute stage likely to help. But as other members have said if you have been diagnosed with acute sensorineural hearing loss (the doctor will have been messing about with tuning forks on your skull) then you need it investigating further through otolaryngology (Iím so glad we can still use the old fashioned ďENTĒ in the UK Iím not good with long words)

  6. #16
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    Thatís good to know - I didnít realize that cortisones were classified as steroids. Iíll be going for a second opinion tomorrow when the clinics are open, in that case. I donít suppose a corticosteroid will do much if anything to help the healing process, and Iím certainly glad I didnít opt to have it injected.

  7. #17
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    Quote Originally Posted by Jdcuth View Post
    Giving steroids is reasonable- they are the only intervention in the acute stage likely to help.
    Why?

  8. #18
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    Quote Originally Posted by Erik Y View Post
    Male in my thirties, 5í11 and 220.

    at the end of the last set there was a ringing in my right ear that still hasnít gone away after twenty-four hours and everything on that side is muffled.
    Do you clench your jaw when lifting heavy or when fatigued? TMJ pain can cause tinnitus and hearing loss.

    Do you have a strength deficiency or shoulder impingement on that side?

    If you think there is some relationship, try a physio who specialises in head & necks.

  9. #19
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    Because if the causative agent is inflammatory, steroids could stop it very quickly and prevent symptoms being permanent. Itís a big ďifĒ, but an acute course of pred has such a low risk of side effects it suggests the doctors first action was not unreasonable. But if they are worried enough to do that then further investigation, or at the very least referral, would seem the appropriate course of action.
    In terms of how effective they are, the latest Cochrane review is contradictory (they always are) but one big trial was very favourable.
    Excellent- I can transcribe this and use it in this years appraisal....

  10. #20
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    Quote Originally Posted by Jdcuth View Post
    Because if the causative agent is inflammatory, steroids could stop it very quickly and prevent symptoms being permanent. It’s a big “if”, but an acute course of pred has such a low risk of side effects it suggests the doctors first action was not unreasonable. But if they are worried enough to do that then further investigation, or at the very least referral, would seem the appropriate course of action.
    Got it. You're a prednisone doc. Lots of you guys here in North Texas.

    Quote Originally Posted by Erik Y View Post
    I think I ruptured my eardrum yesterday during presses. The weight wasn’t remotely heavy - doing some easy reps to get back into it after taking a couple weeks off from the movement - but at the end of the last set there was a ringing in my right ear that still hasn’t gone away after twenty-four hours and everything on that side is muffled.
    What about this presentation would lead you to believe that Eric is dealing with an inflammatory situation? And if for some odd reason you really believe he is, why not an NSAID?

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