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Hyperacusis: Sensitivity to Sound

Does the sound of someone stacking dishes in the same room seem louder since your pulsatile tinnitus began?

What about the television volume... have you found yourself asking someone next to you to lower the volume, when it seems low enough to the other person? 

Is the sound so loud it annoys you, like fingernails on a chalkboard?   

It's bad enough to deal with and manage the pulsing heartbeat sound of pulsatile tinnitus, but for some of us, the pulsing sound is accompanied by hyperacusis.   

According to the Hyperacusis Network, hyperacusis is "a collapsed tolerance to normal environmental sounds."  For people who suffer from hyperacusis, "the volume on the whole world seems stuck on high."

For the most part, hyperacusis is still a mystery.  Many medical centers around the world study the relationship between tinnitus and hyperacusis.  Some say as many as 40% of tinnitus sufferers experience some level of hyperacusis, and when present, hyperacusis should be treated with the tinnitus. 

Researchers, like the University of Iowa's Tinnitus Clinic, study hyperacusis.  If you are experiencing hyperacusis, please take a few minutes to fill out their survey here.

Do pulsatile tinnitus sufferers sometimes experience hyperacusis, too?  If you are a whoosher and you experience hyperacusis, please leave a comment below. 

Thanks!

WhooshEr

Fri, April 30, 2010 | link          Comments

"In Pursuit of Silence," by George Prochnik

The New York Times recently reviewed the book, "In Pursuit of Silence," by George Prochnik. Needless to say, as a pulsatile tinnitus sufferer, the title hooked me in.  

Mr. Prochnick's premise explores the question: What is silence?  He finds a very quiet place in Iowa "so quiet," he says, some find it physically impossible to stay. 

Now I gotta tell ya, since my pulsatile tinnitus set in over a year ago, I've longed and longed for that place, so the thought of a place TOO quiet baffles me.  But it interests me.  As much as tinnitus bothers us, are some people just as bothered by silence?  Why so?  And is silence, something we all seem to desire, really what we need to thrive?

The reviewer's brief personal anecdote is a fascinating aspect of the review.  In the first paragraph, she briefly explains that she is deaf but she can still hear sound.  She describes it as "deep space sounds, a hollow hum that washes in and fades away, changes in pitch and volume."  Interesting (and similar to some pulsatile tinnitus sounds, right?).  This person, whom we all think should know silence, only really knows *her* form of silence. 

And just when my thoughts started brewing, I was even more intrigued by the tinnitus sufferer whose letter was printed in response to the book review.  In sum, the tinnitus sufferer accepts the constant noise. 

That's the key: acceptance.  And acceptance doesn't mean giving in or "living with it."  Unlike regular tinnitus, pulsatile tinnitus causes can often be identified.  But until we each find the cause and remedy for our whooshes, we can try to accept it for what it is now and find our new silence. 

Before pulsatile tinnitus I would pick up books like this in two seconds and plop on the couch in a quiet room to read.  There *would* be other noises around though, even in the quiet room, in that old silence. 

Mr. Prochnik explores this silence-that's-not-so-silent. Maybe true silence is not what we need or want. 

What is silence?     

Tue, April 27, 2010 | link          Comments

Poll Results: Do You Experience Pain with the Whooshing Noise?

81%  No

19%  Yes

Total Votes: 36

Tue, April 20, 2010 | link          Comments

A Tinnitus Supplements Skeptic

There is so much to say on the topic of tinnitus supplements and the voracious ad campaigns supporting them.  Check out this recent LA Times article titled, "Do Claims For Tinnitus Supplements Ring True?"  

The article addresses supplements for nonpulsatile tinnitus, but there are also quite a few supplements out there targeted specifically to sufferers of pulsatile tinnitus.  Have you seen them?  

It's one thing for a manufacturer to claim that a supplement alleviates some symptoms associated with pulsatile tinnitus -- like anxiety, sleeplessness, etc.  I actually believe that some supplements out there may help in that regard; to their credit, there are supplements that make this distinction clear.  But those that claim to CURE pulsatile tinnitus?  If you've made a pulsatile tinnitus cure in a bottle, seems to me you should be preparing your acceptance speech for the Nobel Prize in Medicine instead of writing elaborate ads on Google.  

Unfortunately, my challenge to companies that produce supplements that "cure" pulsatile tinnitus has not been answered.  In the meantime, my opinion remains that many desperate tinnitus sufferers --pulsatile AND nonpulsatile-- are being duped when they buy these supplement "cures."  

As I've mentioned before, I would love to be proved wrong.  And my offer still stands: if you are a supplement manufacturer and you have proof that your product cures pulsatile tinnitus, write whooshers@gmail.com with endorsements from the medical community and pulsatile tinnitus patients, and I'll devote this Web site to your praises.  Until then, I don't believe you. 

Have any of you tried any supplements, particularly the ones advertised to alleviate or "cure" pulsatile tinnitus symptoms? Did they have any effect?  Are you a doctor who sometimes recommends certain supplements to your pulsatile tinnitus patients?  Don't be afraid to leave your comments below!  You can help other whooshers out there.  

WhooshEr

Mon, April 19, 2010 | link          Comments

Pulsatile Tinnitus Answers, One Whoosh At A Time

Have you been whooshing for a long time?

Have doctors hurried you out of their offices or told you to "live with it?"

Are you unsure whether dangerous causes of your pulsatile tinnitus have been properly ruled out?

Have you given up on ever hearing sweet, sweet silence again?  

Do you need inspiration to get to the bottom of your pulsatile tinnitus?

Yes?

Well, take a look at this Whoosher update by Blondie, from her blog, Tales From Clark Street

Sat, April 17, 2010 | link          Comments

Where In The World Do You Whoosh?

Hello, Whooshers!  Check out the new Whooshers.com Whooshers Map

If you haven't already, please let us know (anonymously) where you whoosh, so we can tag you on the map!

Click the "Comments" link below this post, type in your country, state/province (or follow the alternative directions in the link above), and we'll tag your location on the map ASAP!

There are a lot of us out there!

Mon, April 12, 2010 | link          Comments

Pulsatile Tinnitus: A Symptom of an Injury?

Pulsatile tinnitus is a medical mystery.  Some of us wake up one day and hear the whooshing.  Out of the blue.  No warning.

Some of us, however, may hold more clues than we think.  

At one time or another, all of us think about the day before we started whooshing -- many of us long for that quiet day!  But, did anything unusual happen that day?  The week before?  Were there any warning signs? 

Some of us can't recall anything unusual from those "days before," but some of us experience the whooshing after we hurt ourselves while moving something heavy or while playing a sport.  Some of us had a bad chiropractic adjustment, hurt our neck in a car accident or felt kind of weird after a new yoga routine. Some of us experienced vertigo and think maybe that was related to the onset of pulsatile tinnitus.    

Is your whooshing accompanied by pain (see this week's Whooshers poll!)?  Do you get vertigo?  Can injuries that occured just prior to the onset of pulsatile tinnitus provide clues about and treatment for the whooshing?

The answer, for some of us, is YES.  In this article, which we posted last year, a pulsatile tinnitus sufferer describes his experience with a brief, sharp pain and whooshing.  A dissection of his carotid artery was isolated and he was treated, but only after seeing several doctors who told him (mistakenly) what many of us have heard before: it's tinnitus, there's no cure, so live with it.  Isn't it amazing how EASY it is for some doctors to say that?

Of course, each of us is different, and in a room full of pulsatile tinnitus sufferers, it's possible for each person to have a different whoosh cause.  But the point is, stories like this should encourage us to tell our doctors about accompanying pain or other symptoms, and to find doctors who are willing to consider and explore the POSSIBILITY that we may know more about the onset of our whoosh than what may show up on an MRI, MRA or other test. Injuries, pain, and unusual feelings like vertigo may provide clues!

Whooshers.com received the email below from a Whoosher looking for insight... can you help her?

Back in the summer of 2007, I went to see my current chiro for a neck adjustment because of a migraine headache. I have been using chiropractic for my migraine relief for many years, after the adjustment, on a Saturday afternoon, I went home and felt fine. On Monday morning I woke up with vertigo. I had never had it before and I thought I was still asleep dreaming! The room was spinning.

Anyway, I went right back to my chiro the same day for an adjustment. He never took responsibility for the vertigo at all. I had it for two and a half weeks. During that time I saw my regular physician, who sent me to a neurologist, who checked me for vertigo, which I had still, and then scheduled a MRI and MRA of the head and neck, with and without contrast, and a Doppler of my carotid arteries. All tests checked out okay. Then I had some physical therapy with massage, use of a TENS machine, and acupuncture. Well time and money won out with that.

A few weeks after the vertigo stopped, as I was watching television, I started to hear a pulsing in my ear! It hasnt stopped since! I have seen ENTs (my hearing is perfect), doctors who are still stumped, chiros, pain doctors. Had another round of MRI and MRA, all negative. Another Doppler of the carotids, negative again. I have had muscle pain in my shoulder for many years due to a work injury.  I used chiropractic for discomfort then and now. I am told that I have soft tissue damage that cannot be repaired. The pulsing is on the same side as my shoulder pain.  My current chiro thinks that the shoulder pain and the pulsing are related. He says that it has something to do with the Mastoid bone and the muscle running up behind my ear.

The doctors are stumped and say maybe I should go to Mayo Clinic. Besides the shoulder pain, and the constant whooshing, I am fine. I think I'd rather have the shoulder pain forever then have the whooshing! It makes me feel so depressed because nothing makes it go away! I take Xanax three times a day and propranolol at night to try to get better sleep and to prevent headaches. I'm at my wits end!

Does anyone else ever complain about sore muscles or muscle spasms that also run along the side of their neck and up behind their ear to cause pulsing??

Fri, April 9, 2010 | link          Comments

Poll Results: I am a Whoosher and my age range is:

0%     16-18  (zero votes)

10%   19-25  (9 votes)

21%   16-32  (18 votes)

15%   33-39  (13 votes)

13%   40-47  (11 votes)

11%   48-54  (10 votes)

22%   55-64  (19 votes)

7%     65+    (6 votes)

1%     Other  (1 vote)

Total Votes: 87

Thanks for voting!  Please participate in the latest Whooshers.com poll.

Thu, April 8, 2010 | link          Comments

Hope for the Whooshers: An Update, by Blondie

Dear Whooshers,

Yesterday, I had an MRI/MRA and visited with a doctor about my whoosh. I don't want to monopolize whooshers.com with my giant post about it, so click here to read the story on my personal blog.

Even though it might be difficult to get Ms. Whoosher to post this part, I want to give a huge shout-out of praise to the owner of this site for bringing together so much information. Collectively, I think we are discovering so many clues to the sources of our whooshing. We're also finding friends and company for our misery. Ha! But in all seriousness, we love getting your emails and hearing your stories. And thank you, readers, for letting us tell our tales.

So wherever you are, lift your coffee or soda or beer and cheer with me. We are brave, interesting souls. We whoosh. We whoosh LOUDLY. But that doesn't mean we have to give in to it. We will conquer these whooshes one heartbeat at a time. And if we don't, at least we have each other.

Yours in the Whoosh,

Blondie

Many thanks to Blondie, for her kind words and courage to share her experience, and to ALL the whooshers out there who share their stories with us! 

Please keep the emails coming: whooshers@gmail.com!

WhooshEr

Tue, April 6, 2010 | link          Comments


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A forum for people experiencing a constant and rhythmic whooshing, pulsing or otherwise heartbeat-like sound, often diagnosed as pulsatile tinnitus.

RESOURCES

Find a Neurotologist: American Neurotological Society (ANS) Membership Roster 2010-2011, by state. (This PDF file will download when you click here)

Blog: Tales From Clark Street

Web Site: American Tinnitus Association

Web Site: British Tinnitus Association

Web Site: Tinnitus Association of Canada

Article: "Tinnitus," eMedicineHealth.com

Article: "How I Struggled with Tinnitus," The Story of Actor Graham Cole, Daily Mail Online.

Article: "Vital Signs: An Unwelcome Ringing," by Dr. Christopher Linstrom, Discover Magazine, April 2010. (About a cured pulsatile tinnitus patient!)

Article: "Technique Can Pinpoint Tinnitus," BBCNews.com, October 3, 2009

Article: "Tinnitus: The Noise That Annoys," The Independent, October 13, 2009

Article: "Neuroradiologic Assessment of Pulsatile Tinnitus," Department of Otolaryngology Head and Neck Surgery Loyola University Medical Center, Maywood, IL: Dr Kircher and Dr Leonetti; Department of Otolaryngology-Head and Neck Surgery Henry Ford Health System, Detroit, MI: Dr Standring; Presented at the Annual Meeting of the American Academy of Otolaryngology-Head Neck Surgery, Chicago, IL. Sept. 22-24, 2008. (CLICKING THIS LINK WILL DOWNLOAD THE PDF FILE)

Article: "Imaging of Tinnitus: A Review," Jane L. Weissman, MD and Barry E. Hirsch, MD, Radiology, August 2000.

Article: "Imaging in Pulsatile Tinnitus," G. Madania and S.E.J. Connor, Clinical Radiology, Volume 64, Issue 3, Pages 319-328 (March 2009).

Article: "Imaging of Pulsatile Tinnitus: A Review of 74 Patients," Guner Sonmez, C Cinar Basekim, Ersin Ozturk, Atilla Gungor, Esref Kizilkaya, Clinical Imaging, Volume 31, Issue 2, Pages 102-108 (March 2007). (This is an abstract/summary-you have to pay to see the article in its entirety)

Article: "Usefulness of C-Arm Cone-Beam Computed Tomography in Endovascular Treatment of Traumatic Carotid Cavernous Fistulas: A Technical Case Report," Sato, Kenichi MD, PhD; Matsumoto, Yasushi MD; Kondo, Ryushi MD, PhD; Tominaga, Teiji MD, PhD, Neurosurgery: August 2010 - Volume 67 - Issue 2 - p 467470. (NEW!)

Article: "Brain AVM," (arteriovenous malformation), MayoClinic.com

Article: "Chiari Malformation," MayoClinic.com

Article: "Ménière's Disease," National Institute on Deafness and Other Communication Disorders (NIDCD)

Article: "TMJ Disorders," MayoClinic.com

Article: "Pseudotumor Cerebri," (also called Benign Intracranial Hypertension) MayoClinic.com

Article: "Pulse-Synchronous Tinnitus," The Intracranial Hypertension Research Foundation

Article: "Diagnosis and Cure of Venous Hum Tinnitus," Laryngoscope, Chandler JR, 93(7):892-5, July 1983.

Article: "Glomus Tympanicum," The New England Journal of Medicine, Volume 362:e66, Number 22, June 3, 2010.

Article: "Pulsatile Tinnitus Cured by Mastoidectomy," Duvillard C, Ballester M, Redon E, Romanet P., Department of Otolaryngology-Head and Neck Surgery, Hôpital Général, Dijon, France, Ann Otol Rhinol Laryngol, September 2004.

Article: "Pulsatile Tinnitus," Don McFerran FRCS Consultant Otolaryngologist Essex County Hospital, Colchester, British Tinnitus Association, October 2007.

Article: "Carotid Bruit: What is It?" By Jules Pop, Associated Content, December 18, 2007

Article: "That Noise Wasn't Just Tinnitus," By Sandra G. Boodman, Special to The Washington Post, July 7, 2009

Article: "The 'Rare' Disease That Isn't," By Thomas M. Burton, The Wall Street Journal, June 27, 2009

Video: "A Rare Disease That May Be Underdiagnosed," By Thomas M. Burton, June 26, 2009 (Hear an example of a whooshing sound in this short video)

Audio: Having trouble describing the sound you hear to others? Listen to this collection of sounds that whoosh and see if you can find a match to yours! Demonstrations: Heart Sounds & Murmurs, from the University of Washington Department of Medicine

Audio: Representation of Tinnitus Sounds (Contains some pulsatile tinnitus sounds), British Tinnitus Association

Audio: White Noise MP3s.com

Audio: SimplyNoise.com