Joke Collection Website - Mood Talk - Tinnitus can cause ear stroke? Will you be deaf for long? Seven Concepts of Correctly Treating Tinnitus by Famous Doctors

Tinnitus can cause ear stroke? Will you be deaf for long? Seven Concepts of Correctly Treating Tinnitus by Famous Doctors

Lai Rencong (Chairman of Taiwan Province Tinnitus Society and Director of Otolaryngology Department of Guangtian General Hospital) cracked the myth of tinnitus. On a stormy typhoon day, a young man drove from Tainan to Taichung to see a clinic. He didn't complain even after waiting in the waiting room for five hours. He was anxious to know why his ears kept ringing at midnight. Is there something wrong with your health? I asked him, "Do you usually have tinnitus except at night? The answer isno. "Under what circumstances will tinnitus occur? "He said only when you can't sleep in the middle of the night. In fact, this is physiological tinnitus, which is caused by normal physiological activities of the human body. It will be ignored in most cases, but it is very likely to be heard in extremely quiet situations. Physiological tinnitus is not a disease, it can happen to everyone, especially when you can't sleep well in the middle of the night. Another handsome young man from Kaohsiung is very worried about his tinnitus. His hearing is normal and there is no problem, but because of tinnitus, he has been running around for medical treatment for more than a year, but he is helpless and can't get out of the shadow of tinnitus. A beautiful 22-year-old girl and her mother came to see a doctor. Before she could explain her illness clearly, she began to cry. It turned out that not long ago, after her cecal operation, she had blood in her stool. When she returned to the clinic, the doctor said Crohn's disease could not be ruled out, which was a rare disease. Because she wanted to know what strange disease she had, she began to search the internet for information. Seeing the experience shared by netizens, she became more and more afraid, so she began to tinnitus. In order to solve the problem of tinnitus, she went to a famous clinic and found a famous doctor in otology. Without saying anything, the doctor asked her to eat Ginkgo biloba leaves at her own expense. After tossing for half a year, tinnitus symptoms still haven't improved. No matter how hard I try to explain it, it is usually difficult to convince people with network poisoning like this. Especially now is the era when keyboard Conan is popular, and the younger you are, the deeper the poisoning is. When many people feel abnormal, the first thing they think of is not to seek medical treatment as soon as possible, but to look up information online. On the internet, it is easy to find a bunch of specious ideas. But as a result of being a doctor, I often scare myself, which doesn't help me at all. Lai Rencong (Chairman of Taiwan Province Tinnitus Society and Director of Otolaryngology Department of Guangtian General Hospital) cracked the myth of tinnitus. On a stormy typhoon day, a young man drove from Tainan to Taichung to see a clinic. He didn't complain even after waiting in the waiting room for five hours. He was anxious to know why his ears kept ringing at midnight. Is there something wrong with your health? I asked him, "Do you usually have tinnitus except at night? The answer isno. "Under what circumstances will tinnitus occur?" He said only when you can't sleep in the middle of the night. In fact, this is physiological tinnitus, which is caused by normal physiological activities of the human body. It will be ignored in most cases, but it is very likely to be heard in extremely quiet situations. Physiological tinnitus is not a disease, it can happen to everyone, especially when you can't sleep well in the middle of the night. Another handsome young man from Kaohsiung is very worried about his tinnitus. His hearing is normal and there is no problem, but because of tinnitus, he has been running around for medical treatment for more than a year, but he is helpless and can't get out of the shadow of tinnitus. A beautiful 22-year-old girl and her mother came to see a doctor. Before she could explain her illness clearly, she began to cry. It turned out that not long ago, after her cecal operation, she had blood in her stool. When she returned to the clinic, the doctor said Crohn's disease could not be ruled out, which was a rare disease. Because she wanted to know what strange disease she had, she began to search the internet for information. Seeing the experience shared by netizens, she became more and more afraid, so she began to tinnitus. In order to solve the problem of tinnitus, she went to a famous clinic and found a famous doctor in otology. Without saying anything, the doctor asked her to eat Ginkgo biloba leaves at her own expense. After tossing for half a year, tinnitus symptoms still haven't improved. No matter how hard I try to explain it, it is usually difficult to convince people with network poisoning like this. Especially now is the era when keyboard Conan is popular, and the younger you are, the deeper the poisoning is. When many people feel abnormal, the first thing they think of is not to seek medical treatment as soon as possible, but to look up information online. On the internet, it is easy to find a bunch of specious ideas. But as a result of being a doctor, I often scare myself, which doesn't help me at all. The examples of these three young people made me deeply feel that the more I am afraid of tinnitus, the easier it is to tie myself down. Many patients with excessive anxiety and amplified tinnitus often encounter it in outpatient clinics. In addition, many wrong medical consultations and specious online information are also the chief culprits of patients falling into tinnitus. "Tinnitus can't be cured for a lifetime", "Tinnitus can lead to kidney deficiency", "Tinnitus is an ear stroke" and "Tinnitus needs to eat Ginkgo biloba and vitamin B group" ... These misunderstandings may not be fully answered by many doctors, but their explanations will have a great impact on patients seeking treatment, so I think some concepts need to be clarified urgently. Myth 1: Hearing can't be cured, and tinnitus can't be cured for life? When tinnitus begins to appear, patients don't understand why their ears suddenly buzz, so they will panic and be at a loss. If the doctor sends another message: "If tinnitus is not cured, the patient will suddenly fall into despair and think that his life is over! Negative emotions will aggravate the condition of tinnitus, and tinnitus will produce negative thoughts. A series of vicious cycles will only push patients to a more painful abyss. " Tinnitus can never be cured "is really arbitrary! Generally speaking, most acute tinnitus will recover naturally within half a year, and all of them can return to normal state. Like 99% dizzy patients, most symptoms will get better within three months. Telling the patient that tinnitus will not get better will only aggravate the patient's panic and despair. 85% patients with chronic tinnitus have different degrees of hearing loss. Although sensorineural deafness cannot be cured, the feeling of tinnitus can be improved and compressed. Because tinnitus does not come from the inner ear, but from the brain. About 30 years ago, the medical profession confirmed that tinnitus is equal to brain ringing, which can be proved by the patient's auditory nerve being cut off, but tinnitus will not disappear, and sometimes it will be louder. When tinnitus cannot be cured, some doctors will tell patients: "High-frequency tinnitus comes from the inner ear, because the hair cells in the inner ear can't be repaired, so your tinnitus will not get better! This statement is groundless and incorrect. In fact, tinnitus mostly comes from auditory pathway. In addition, although the inner ear injury cannot be changed, tinnitus is the result of injury response and protection. Similar to the scar on the body, it will gradually fade and adapt to calm down. Myth 2: Is it true that you have been deaf for a long time? There is a folk saying that people will be deaf after listening for a long time, and the mass media often convey this message. Therefore, the idea that tinnitus can lead to deafness without treatment is generally deeply rooted in many people's hearts, which is actually an extremely wrong idea. One of my students in China once told me a case: Aunt Wang, who was in her sixties, went to a local hospital for tinnitus. The doctor told her, "if you talk for a long time, you will be deaf." The treatment of tinnitus is very difficult! Because Aunt Wang was deaf in her left ear when she was six years old, this sentence lingered in her mind like a spell. She is worried that her right ear will be deaf, so she can't communicate with the outside world at all. Because she is too worried, she can't even sleep well, and tinnitus is of course more serious. Later, she went to another hospital. After detailed examination, the doctor told her that tinnitus would not cause deafness. Hearing this, Aunt Wang's heart finally fell to the ground, so she went home happily. When she came back for a follow-up visit a month later, her tinnitus was much relieved. Aunt Wang's situation is not a special case, and it has been heard from time to time in the real medical field. Since it is wrong to say that you will be deaf for a long time, why does it spread so widely? Where did it come from? It is mentioned in ancient Chinese medicine books that "deafness is the beginning of singing, and singing is the beginning of deafness", so this alarmist concept will be handed down. In fact, there are many reasons for tinnitus, which may come from ears or other parts of the body. Whatever the reason, it is certain that tinnitus will never hurt hearing; On the contrary, it is to protect hearing. When there is something wrong with the auditory system and the peripheral control system, the tinnitus police will go out and whistle "beep, beep, beep" to remind you to pay attention to your health. The saying that "hearing for a long time will make you deaf" or "listening for ten times and listening for nine times" is actually a misconception of Chinese medicine. " Eliminating fear reaction is the most important key to treat tinnitus. If patients' fears cannot be eliminated, they will fall into a vicious circle of "restriction → amplification → restriction → amplification", which will lead to a series of adverse reactions. Myth 3: Tinnitus can lead to kidney deficiency? A few years ago, a young man flew back from Japan to Taiwan Province Province to see a tinnitus clinic. At the age of 22, he has fashionable curly hair and is a Japanese fighter by profession, which impressed me deeply. In the third fight in early 20 12, he was kicked in the genitals of his crotch. At that time, he was on vacation abroad with his girlfriend and drank too much coffee during the trip, so he began to suffer from insomnia and tinnitus began to attack at this time. So he saw many doctors and Chinese medicine practitioners, ate a lot of Chinese medicine and received acupuncture treatment. After the examination, I asked him, "Do you have tinnitus now? He said, "I didn't hear it at all! I am curious, since there is no tinnitus, what can I do for him? " Doctor, I'm afraid tinnitus will hurt morale! I explained to him in detail the mechanism of tinnitus and how the sleep system, emotional system and autonomic nervous system in the brain produce a vicious circle, which eventually leads to the shackles of tinnitus. "Tinnitus is often the outlet of the patient's soul. I said encouragingly. "Then I don't have kidney deficiency?" Finally, he suddenly asked me. It turns out that young soldiers are most worried about tinnitus leading to kidney deficiency. Tinnitus is not directly related to sexual dysfunction. It is rumored that tinnitus can lead to kidney deficiency, and then reduce sexual ability, which may be the reason why many men are afraid of tinnitus. Because there is a saying in the ancient books of traditional Chinese medicine that "the kidney opens to the ear", tinnitus is considered to be related to kidney deficiency and kidney deficiency, but for ordinary people, it is often related to sexual dysfunction. To equate tinnitus with kidney deficiency or kidney deficiency is actually the lack of ancient anatomical and physiological knowledge and the limitation of education, which will make such a wrong concept spread in the Chinese world to this day. Myth 4: Tinnitus can cause ear stroke? There is also an absurd saying about tinnitus, that is, "Tinnitus can cause ear stroke". Some doctors will say that patients with sudden deafness have inner ear stroke. This wrong idea can easily lead to negative reactions from patients. When foreign doctors or scholars hear that tinnitus can lead to ear stroke or sexual dysfunction, they often feel incredible. Stroke is caused by cardiovascular problems. The occurrence of "sudden deafness" in clinic is mostly caused by virus infection, which has little to do with the blood circulation of the inner ear. Tinnitus has nothing to do with ear stroke, and medical data also show that patients with sudden deafness have a low probability of suffering from stroke in the future. Therefore, I think it is extremely inappropriate to tell patients that tinnitus is a precursor to ear stroke or that sudden deafness is an inner ear stroke. Myth 5: There is no way out, but learn to live in peace with tinnitus? A 60-year-old woman had tinnitus in her left ear for more than ten years. Both western medicine and Chinese medicine have tried acupuncture and Chinese medicine, but there is nothing she can do about stubborn tinnitus. I have seen more than a dozen doctors, all of whom are hospital-level experts. Finally, I was told that tinnitus can only be relieved, so I came to see me again. After MRI examination, she finally confirmed that it was a left acoustic neuroma. When tinnitus cannot be cured, the doctor may tell you, "Try to make peace with tinnitus!" ! "or" make friends with tinnitus! These words sound reasonable, but they are actually negative. Living in peace with illness represents a "last resort" compromise attitude. What the doctor said was tantamount to announcing that he had no choice but to give up the patient, which would only make the patient feel depressed and helpless and unable to provide positive help. It is not that there is no way, but that the cause has not been found yet. Tinnitus, like body pain, has a reason. You can't just think about relieving pain or eliminating tinnitus, but ignore the truth behind it. The existence of tinnitus means that the body is sending out a distress signal, and medical staff should make good use of this clue and trace it carefully. Don't just see the apparent hearing loss, just say that it is caused by aging, please accept it frankly. In fact, many cases of hearing loss existed long before the onset of tinnitus, and some hidden reasons need doctors to reason and trace. As a doctor, we should give full play to the spirit of "preaching, teaching and dispelling doubts" and teach patients how to effectively manage tinnitus and make good physical and mental adjustments. In high-tech modern society, people often give their lives to people they don't know, such as high-speed train drivers, chefs, conductor, pharmacists … and doctors. In the world of tinnitus, if doctors sentence patients easily, sometimes they will push patients into an endless abyss. 56-year-old male, left tinnitus for more than a month, ineffective. He went to the hospital for a hearing test, and the result was a decline in high-frequency hearing in both ears. The otologist concluded that his nervous tinnitus would never get better. The patient felt panic and anxiety instantly, so he transferred to neurology and cardiology and began to take antihypertensive drugs and sedatives. More than a month later, I met him in the outpatient clinic in Taipei who was deeply troubled by ear diseases. After more than a month, he has stopped using all drugs, including antihypertensive drugs. He is glad that he doesn't have to take antihypertensive drugs all his life, and he knows that tinnitus won't cause ear stroke at all! The second 39-year-old man also suffered from unilateral tinnitus for two months, and his left high-frequency hearing loss was moderate and severe. After brain stem radio waves and MRI, it is judged that tinnitus will not improve. The doctor prescribed him medicine for depression for a month and told him not to come back to see a doctor. In fact, a detailed examination of his medical history shows that hearing loss is not the main cause of tinnitus. There are actually many similar cases, and doctors need to continue to re-educate and constantly evolve themselves. Myth 6: Can exercise improve tinnitus? In order to relieve tinnitus symptoms, some people mistakenly think that exercise can improve tinnitus or distract attention. The result is just the opposite, which makes the tinnitus ring louder and worse. After exercise, the blood circulation is accelerated, and the increase of blood flow will make tinnitus more obvious. In addition, exercise will make the cortex near the brain center excessively excited, thus further amplifying the patient's feelings about tinnitus. Especially at night, exercise makes the autonomic nervous system too active, so that the brain can't shut down and relax, so the sleep situation is greatly affected, and tinnitus will sound "buzzing, buzzing, buzzing". Therefore, people with tinnitus are advised not to engage in excessive exercise after 6 pm. Myth 7: Can eating Ginkgo biloba leaves or vitamin B improve tinnitus? A little boy who applied for the physical fitness test in the police academy suddenly developed unilateral tinnitus, which has lasted for a month. He went to three hospitals for treatment, but after taking a bunch of drugs, it didn't work, and he was extremely anxious. When he came to my clinic, he said that after eating Ginkgo biloba leaves, he felt that the cerebral blood flow increased, but his tinnitus became bigger and he was too worried to sleep. "What should I do?" I want to write a suicide note to my parents ... "I explained to him the mechanism of tinnitus and the possible cause of a hole in the inner ear." This is a minor scratch. Tinnitus is just a scar of hearing, which will disappear after a while, just like all wounds. "The anxious boy finally smiled after listening." And then staying up late will get louder, right? I asked him why he stayed up late, and he said he would go to the New Year's Eve party! "Didn't you just say you were going to write a suicide note?" "Not now! I haven't even had a girlfriend ... "The boy smiled shyly. Using Ginkgo biloba leaves or vitamins to treat tinnitus is a common method used by many doctors. Ginkgo biloba can promote blood circulation, and vitamin B can boost the nervous system of the brain, which is not good for patients with tinnitus and will only make the feeling of tinnitus more obvious. Ginkgo biloba leaves, vasodilators and vitamin B groups are often used as placebos, but ginkgo biloba leaves and vasodilators are not only ineffective for tinnitus and dizziness, but also may amplify feelings and make patients more angry and flustered. This article is taken from tinnitus, a wake-up call for life/Lai Rencong (Chairman of Taiwan Province Tinnitus Society, now Director of Otolaryngology Department of Guangtian General Hospital)/Ping An Culture.