Dr. Patsalides saved my life. I am not exaggerating. I was told by 6 different doctors to just live with it. It was so loud and debilitating, I was suicidal. I am one of the patients with venous sinus stenosis and a venous aneurysm. I screamed when he told me it was in all of my scans from the last 7 years. He placed stents for me in December. My life is 100% better. Doctors need to do better!
@@650tonyd I had an MRI, MRA, MRV, and Cerebral Angiogram. All my doctors said they were normal. Dr. P said he could see the stenosis and aneurysm in all of them.
The information in this video is priceless and so educational. Now I am armed with all aspects of PS and have made my notes and will bring to my ENT specialist next week for review to get to the bottom of this very scary debilitating problem. Thank you so much.
Thank you for this video. 20 yrs ago I started having vertigo attacks that was coupled with significant tinnitus and hearing loss in right ear. The symptoms subsided except for hearing loss. Now I’m going through the same with left year, but feel more in tune with what I’m experiencing this time. I hear a pulsing sound on top of static. I just so happened to notice the pulsing sped up and slowed down upon taking a deep breath. This made me think it was paired up to my heart rate and that led me to find these helpful videos ❤ I have regular episodes of sinus pain on right side of face and all this together, makes wonder about narrowing of passages preventing proper drainage. Ménière’s disease is another possible cause that came up 20 years ago and i will revisit that when I see the ENT soon. My childhood was full of ear infections and throat infections. I hope that at 48, something can finally be identified and treated to help make the 2nd half of my life more comfortable.
Thank you so much for doing this work and interviews. They’re so useful because normal located doctors don’t have time, no appointments or they don’t take one very serious. It’s so good though listening to professionals like you that take their time to give a profound round up of the topic. Keep going with your great work 😊
Excellent interview. Thank you for this informative and thorough interview. What a wonderful DR to give so much information to sufferers of this condition.
Great information! Not only do I have pulsatile tinnitus in my left ear, my tinnitus changes frequency and intensity with every stride of walking, and also gets louder when I press anywhere on the left side of my head/scalp. ENT and audiology look at me with a blank stare when I tell them this.
I'm having pulsatile tinitus from last 6 months....i visited 3 drs (prof) and they said no need for scans ...advised me to use anti allergics and ear drops etc... But now i ll follow the instructions of dr patsalides...
@@lindacannon2239I have PT. What procedure was done intravenously under sedation? What did they give you intravenously? Thanks in advance! I hope you’re feeling better!
Hope your ENT appointment goes well 🙏 ❤ I'm in the UK and I suffer from severe pulsitale tinnitus and I'm struggling to get the help and support I need. 😢
Do you think that because the pressure in the head is high, the hypertension, that you can hear the pulsing worse because of pressure on the ear and veins?
I have pseudotumor cerebri, and I have almost gone into remission from that, which in turn has lowered the pulsing sound. It’s not gone, but it’s definitely not as low lid now that I can tell my pressure is down.
@@treblehealth thank you Ben I cannot tell you how it is to never have a moment of silence, I have an appt with the doctor on October 19th. I pray for even a little help.
Was recently diagnosed after a 3 year battle to get more tests done, until finally an MRA and a radiologist who knew what to look for got it right. Had been suffering of pulsatile tinnitus in my right ear especially throughout the years, but always assumed that it was because of stress, exhaustion, etc. The past 2 years however, it's gotten so bad, I am plagued with side effects of vertigo, severe headaches, nausea, hearing and visual problems because of it... and it's NEVER EVER quiet anymore. The only thing is that I now have a diagnosis: an AICA loop compression (right ear) which surrounds and overrides the right cochlear and facial nerve complex. Something I've been born with apparently, and apparently is extremely rare (?) , but have not had any symptoms until now in my 30s. No matter where I searched I can't find substantial medical reports on the condition or suggested remedies' success rates, but I am aware there is surgery than could help. While I am trying to decide the next best step, my hearing seems to have started getting affected lately, which I was warned about that it could happen if the artery begins damaging the nerve. At this stage, i can't watch even concentrate at work at times when it gets very loud. Can't do the things I liked to do because if I exercise more or do any activity I used to enjoy before, the tinnitus gets so bad it knocks me into bed. I always need to be careful, and while white noise helps to an extend, it's not a possible thing to have 24/7. Not sure of which decision would be best next, so it's still a struggle to do anything regularly, even sleep.
My ENT doctor told me I had tinnitus (but not pulsating). I had a CAT scan done because I have a pacer and can’t have any magnetic imaging tests. It came back clear. Since the test almost a year ago, I have not heard from their office inquiring about my condition. I’m trying to work through this by myself. Needless to say, I’ll be calling them soon to voice my discontent over their lack of interest.
pulsatile is very easily distinguishable. It is a whooshing or heartbeat in your ear. When I had my hearing test the Audiologist actually said she could hear it. It's nice to know you aren't crazy because someone else hears it too!
Excellent discussion and explanation by Dr. P IMHO. I am currently being treated for PT here in FL at Mayo Clinic Jax since March. Get the correct imaging first, audiogram and blood work. Just had a lumbar puncture and ruled out intracranial hypertension as a cause so it looks like it is related to group 2 as Dr P. Stated here venous sinus stenosis. I do have sleep apnea and high bp so trying to get under control. Dropped 22 lbs so far. Next step would be an angiogram and possible stent. But I have 1 set of Leiden Factor V so there is risk of clotting with the stent so I may hold off and get weight, bp, apnea under control first. This started for me back in Aug 21 and couldn’t find the right team of specialists until this past Spring. Be persistent and get the treatment you deserve.
2021 July swooshing began and increased greatly and constantly until 2021 September when I suffered a stroke causing paralysis on my right side, the same side of swooshing. The stroke was deep in brain on its left side. After the strike, the swooshing disappeared.
At what time did this ever happened to you. Mine would be in the middle of the night. Sounds like a pulsating tapping sound. I'm trying to match it to my pulse but they don't seem related. I suffer from severe gerd and bloating. I noticed I had been eating breads during those episodes
I'm going to demand my doctor to watch this video, I'm so so tired of her saying there's nothing to be done but I have mostly pulsatile tinnitus which has been debilitating but she never takes me seriously, even asked for an MRI once to have the veins checked but they didn't check the veins it was just a normal MRI. Had years of abuse against my head which I believe caused damage and now I'm done with these so called doctors. Thank you so much! Finally!
Hey Rain, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
I had Pulsatile tinnitus since october, 2020 i had ringing and buzzing left ear and sometimes the right ear too i also had vertigo and hyperacusis my first ENT said there is no treatment or cure for your tinnitus you should live with it. I became more depressed my buzzing and ringing i couldnot able to sleep at nights i was depressed and anxious . Now i am happy after almost 3 years my pulsitile tinnitus went away and my life is 100 % best Thank AlmightyGod
@@bartsimpson-k4i 1.I did walking exercise 45 Minutes daily 2. I eat beans, grapes, banana, i eat bread but not white bread, drink more water 3. I took Tebonin tablets 120mg 4. I stopped watching bad news ( negative news) 5. I minimized listening negative people 6.i stopped sugar at all no coffee no tea 7.three hours before bed i took my dinner and don't use mobile Phone or watch tv two hours before bed 8. Fasting
So true. Give time for the body to heal itself. I'm doing jogging. Eating healthy, avoiding toxic products in the house and laundry, staying happy and stress free life through prayer and fasting. It is getting better so far..
This video is 10mos ago, I was lucky to come into this video, was diagnosed a month ago with pulsatile tinnitus. I had this for almost 2 years not knowing its pulsatile tinnitus, became worst in 2022. My doctor said to just ignore it. Thank you so much for the information. I have pending ENT appointment hoping I can get the tests you suggested. Thank you💕💕💕
Hi Estela, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on our Treble Health website.
OMG!!! Thank you so much. Just the minimal information provided has enlightened me regarding the source of my pusatile Tinnitus. Now to determine if there is any treatment
I felt so validated by this video. I have lived with a pulsatile tinnitus for almost 10 years. It is venous, I discovered it disappears when I press my neck just as he mentioned. Placing noise canceling airpods helps me. If I can’t stand it , I just press my neck to have a break. It was very hard at the beginning.
I also validated mine in my right ear, although its the opposite. When i press on my jugular vein due to the blood pressure increase my tinnitus increases almost 5 times. My tinnitus is really small only notice is during night almost always doubted that its my brain and my worry which makes me feel this but after this little experiment and for the first time clearly hearing it 5 times made it clear what it is
I'm glad to hear that you found validation and some relief from the video. If you ever need further support or guidance, feel free to reach out. We're here to help you on your journey with tinnitus.
Since 2006 I have had Tinnitus. A continuing high pitched sound all the time in both "ears" and recently I also have the pulsatile Tinnitus in my left ear. This one is directly in tune with my heart rate and is more difficult to deal with. The original Tinnitus becomes " white noise " ,for me, most of the time while doing my daily routines but in the morning and bed time is when it's the hardest to deal with.
Dr. Patsalides was a life saver for me. My Pulsatile Tinnitus was so loud that my wife could here it when she put her ear near my ear. I had a very bad Durel Fistula. All my local ENT and radiologists told me to live with it. They didn't even detect the very bad fistula condition. It is 95% better now and I don't even hear it as I am so used to the faint noise. Before I was contemplating on rupturing my eardrum so I don't hear it.
I don't normally hear it but when I lay on a noisy cotton pillow case and my head pulses on the pillow case thus making the pillow make noise and makes it so hard for me to fall asleep. I have had to ger a stretchy pillow cover to help.
Hey tanya, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
This video was so helpful. I have not been diagnosed with anything specific yet but have an appointment with an ENT on May 17th and I'm stressing quite a bit about what could be causing the intermittent PT. I sometimes have a headache accompany the PT but no other symptoms, and my brain has assumed everything under the sun. This video has helped me figure out exactly what I need to tell my ENT in order to get the right tests performed. Three doctors in the last month have told me it might be my sinuses which I absolutely do not believe, and it's been frustrating/disappointing. Thank you so much.
I also have a question regarding the more serious causes of PT: Dr. Patsalides mentioned that the most serious category can have potentially life-threatening problems if left untreated. For these potential issues, how long is too long to leave it untreated?
Hey N M, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
I been having pulsátiles tinnitus from TMJ for two years now. Had jaw nerve repair in consequence of a bad root canal. Since then, I suffer from náuseas, ringing in one ear, whooshing sound in both ears, and vibration in my head. The pulsing and feeling like I’m in water as soon as my head hits the pillow does not allow me to fall asleep. It is driving me crazy!
I also have TMJ, sometimes I experience both PT and high-pitched tinnituıs that has not gone away for 5 months. Also, my body seems to shake when I close my eyes and try to sleep, but there's nothing wrong when I get up. All I notice is that PT disappears when I ran and do sport, but I haven't found a solution for tinnitus yet. It looks like i have same problem with you, if you've found a diagnosis, could you enlighten me as well ?
Hey Marina, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
Hi Sharon, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on our Treble Health website.
Thank you so much for the video. It has eased my worry by equipping me what to ask for. I am dealing with tmj. The PT comes and goes. It’s been very concerning. Appreciate your suggestions.
We're glad the video helped ease your worries and gave you some useful questions to ask. TMJ can be challenging, but it's great that you're taking steps to manage it. We're here to support you-feel free to reach out if you need any further advice!
I have tinnitus and I remember when I first got it I worried it’s affect my sleep but you get used to it. This isn’t the same. It’s like someone is beating a drum in my ear. I’m from just north of nyc and I’ll fly back home to see this doc if I can’t get it treated out west because this is intolerable
You're very welcome! I'm glad the podcast has provided you with a better understanding on what steps to take. Wishing you continued clarity and well-being on your journey! 🙏😊
Hey Santy, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
I just left Kaiser and I know for a fact my symptoms align more with Pulsatile tinnitus. The doctor said it’s EUSTACHIAN TUBEN DYSFUNCTION because I have a stuffy nose. It’s hard to go to work with these symptoms of throbbing, heartbeat, whooshing in my right ear.
Thank you so much. Because of this video I finally understood that the sound that i hear is real and physical not something to do with my hearing or problem with my general ear but the blood flow in the ear. I just pressed on my jugular vein as suggested and i hear my tinitus increase by 10 folds due to increase in blood pressure. Need to do some checkups soon.
I thank the doctor for being interviewed. I believe I might have read some articles he has written. I am also on Long Island. I was diagnosed with pulsatile tinnitus in July of 1989. I was sitting on the bed and thought the cat was purring near my ear and I've heard every heartbeat ever since. Got worked up back then but I doubt I got an MRA and yes, it can be fully blocked by pressing on my neck. So hopefully I'm in the venous category. In the past 10 years when my blood pressure has been up it's gotten really loud. A few years ago I went to emergency because it was so loud I was going out of my mind. And it turns out my blood pressure was very high. When I went to an ENT several years ago he had said that it would go away if my blood pressure went down, this is not true, I've had this damn thing for just about 35 years, again, every heartbeat, it's not intermittent, it never went away once it started. I noticed way back when, certain medications and alcohol would make it worse and of course raised blood pressure as I already mentioned. One good thing about it, it is about the only good thing I can say is I think it may have saved my life because since blood pressure is the silent killer and I hear all my heartbeats, I know when my pressure is up. As well, I had dangerous arrhythmias from low potassium and I could hear that in my ear as well. Whether I'm rationalizing or not, I'd swear that having it has let me know about things going on with my heart that I wouldn't have otherwise known. I have both pulsatile tinnitus and I have ringing in both ears, it's positional; if I move my jaw in a certain way it gets a lot louder if I turn my head it gets louder. Currently it's starting to really bother me at a high pitch in the same year with the pulsatle tinnitus. Though I have some teeth issues going on. I wrote on Dr. Ben's other video that the massaging and scalp is helping with the ringing tinnitus. It would be helpful to know what are the percentages of the three categories the doctor sees. I know the first category is very dangerous, but it would be very helpful to know the evidence-based findings. I know he said category 1 with is rare, but he didn't give any numbers. It would also be helpful to know when someone like me has had it for so long, what the odds are it is of a certain cause. To anyone suffering from this or ringing tinnitus, I think the number one advice I could give you since let's face it, I'm certainly an expert in living with it is to simply ignore it. But I would say that if it gets really loud definitely check your blood pressure. Always know when mine's low when it's near quiet and of course I always know when it is high. Getting exercise and a low salt diet really helps this situation as well.
I had Pulsatile Tinnitis present about 3 years ago. I saw an ENT and an Audiologist. The ENT had me do an MRA and it showed that I had a high jugular bulb on the right side. He told me this was the cause and didn't look any further into it. Well here we are 3 years later and its back. This time I had a cough and was coughing so hard that my right ear plugged up. The PT is back and i'm concerned. I want another MRA to see if it is something else. My BP spiked for some reason during the cough and I feel it my be part of the reason why this is happening. My Dr said my eardrum looks swollen and she can see fluid behind it so maybe the swelling is just pushing against the jugular bulb. IDK i'm just over the sound as its literally driving me INSANE
I had the same thing my ent look my ear said he didnt see swollen but he notice my ear is kimd a wet. But this time before i heard this thumping i need to go my pcp again. Also my BP is elevated that day when i started hearing this thumping aound in my left ear. Its kind a scary i would ask for MRI or MrA to make sure its not dangerous.
Going to the neurologist tomorrow for this. I’m 39, dealt with this for years. Did a brain CT and nothing. Did a hearing test, perfect hearing. Feel like it’s getting worse, mostly at night. Going to request an MRI.
@@treblehealth thanks. All turned out great. I’m also slightly anemic which I found out during my wellness checkout last month. I’m on iron meds and I haven’t had any tinnitus issues like before. It’s practically gone. Thanks! 🙏
I’ve been dealing with pulsatile tinnitus since my last pregnancy 4 years ago. It increases at night and when I’m laying down. Sometimes it’s so loud that I have to press my jugular vein in order to hear the person who is talking or to concentrate on other sounds. I learned to live with it but I would love to get rid of it. I live in Dallas Tx, who do you recommend to see? I already saw an ENT who told me I have to learn to live with it. 🤷🏼♀️ I passed the audio test so it’s nothing to do with my hearing.
Hey Cynthia, thank you for your comment. I do all of my tinnitus work via telehealth. I would gladly consider you as a new client or direct you to the appropriate local doctor. Feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
I’m one of those people who woke up one day and developed pulsatile tinnitus. I hear it mainly in my right ear but sometimes my left. I’ve had every test out there done, including a CT scan of the temporal bone with and without contrast and they found nothing. Mine does overlap with ringing and when I yawn I can get it to stop. It comes and goes. Sucks but I fall into that third category he was referring too. They couldn’t find anything on me to do surgery for.
is this MRA has to be with contrast ( dye ) ? i don't like to inject this harsh dye into my body ? is the result of MRA without dye can be accurate too ?
According to Independent Imaging, "Newer generations of MRA’s can produce finely detailed images, capturing even minute details of the internal vascular structures without the need for contrast dye. In other words, a non-contrast MRA allows your physician to view tiny blood vessels clearly". Link to article: www.independentimaging.com/non-contrast-mra-used/
I have had horrible tinnitus with SIH S/SX.. nonstop, 24/7 for over 3 years. I tried your suggestion to press the jugular vein..I'll be darned...the tinnitus stopped on that side....
I have been dealing with this for 10 years or more, but the last year it has been incredibly difficult, I had an mri scan 6 or 7 years ago, came back normal, my balance has been terrible lately. I have no hearing in my right ear that completely went in 2014. I wasn’t born deaf but did have measles and had I think a bacterial infection aged 2 and was put in some kind of bubble, family were told I might not make it, thankfully I did. I recently had an infection and had antibiotics. Plus I have had pinna perichronditis, I don’t wear the hearing aid no more, as that really aggravates the ear pain, I’m currently suffering with. I have moderate loss in my only working ear, plus the pulsatile tinnitus prevents me from hearing properly. I’m going to see the doctor to have an examination. Thank you for this.
Hey Janette, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
Hi doctors! I have a question 🙃 you guys speak about finding the caused for pulsatile tinnitus, you also mentioned seeing a mostly young women with blood flow related issue causing this. My doctors ran a bunch of test already and found nothing on an MRA and CT Scan. If you want to improve the blood flow in the brain is there a way to do it? Or what would be other causes of PT? If nothing was found on the tests?
Same here. What I noticed if I am dehydrated or drink coffee too strong it triggers it. And if I take liquid Gingko it improves considerably. Also exercising. I wonder if manual lymphatic drainage would help to get the blood flowing. this all started when I wore a headband to bed!
thank you for educational information. i have this kinds ear problem . what shall i do . it has been more then 8th month but nothing is change besides that i have balance program going with tinnitus , fullness of ear and reduced hearing.
You're welcome, Abi. Regarding your question, feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
Thanks for this wonderful video. My question to Doctor: my case seems to be the second category. If I did stain , do I need to be on blood thinner for life ?
We can ask Dr. Patsalides about this for you. In the meantime, it would be beneficial to visit your local ENT or neurologist to discuss whether long-term blood thinner use is necessary in your case.
Question: is pulsatile tinnitus a sound in the head or is it specific to one ear or the other? Also, my tinnitus, which I hear in my head, changes with chewing..chewing can stop it or start it. Would that be characteristic of pulsatile tinnitus?
Hey Dinahsoar, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
I am scared. I have pulsatile in my right ear. Getting worse. I am in UK. Waiting list is 2 years and now our local hospital’s roof needs replacing so everything is on hold…😢
Hey Julie, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
When I was young, I had a chronic otitis media both ears. My doctor referred me for an operation to help me with hearing. But the surgeon refused to do it for a reason that I was still young. Now I am 33 and I am experiencing Pulsatile Tinnitus on my right ear. My hearing level is not consistent. Sometimes the sound is too low and sometimes it’s great. When I blow my ears while covering my nose (like scuba divers do), it makes my hearing better but not all the time it is effective. So I am confused about this hearing issues. I also suspect having an allergic rhinitis.
My mri showed that I had empty sella with chronic remodeling of the bony sella tuccia. I went through all the ct scans I had done previously I’ve had empty sella since 2019 but I was never told and I never had any symptoms until a few months ago
Pulsatile tinnitus is not dangerous and oftentimes, there is nothing abnormal causing it. There are various reasons for pulsatile tinnitus. We recommend discussing this with your primary care physician and cardiologist.
Mine began June 2024 after wearing headphones and sitting for training (work from home) for 8 hours a day. I began noticing my right arm going numb with pain shooting up to my shoulder too. My left ankle was broken in 3 places years ago so I definitely have nerve damage and circulation issues. I had a Bell’s palsy episode in 2012 where my right side of my face drooped. I’m wondering if it all ties in together 😢I can’t sleep good anymore hearing swooshing
It sounds like you've been dealing with a lot of complex health issues. I recommend consulting with your PCP who can assess your symptoms comprehensively and refer you to the appropriate providers.
@@treblehealth I’m having same pulsatile tinnitus issue since 2 months. I haven’t seen a doctor yet. Can you please help? I’m located in North Carolina.
I have this on and off, mostly when I drink alcohol. I do have high blood pressure and take medication but I know for a fact alcohol triggers this. One other time it just came out of the blue and I suffered for a entire week! It was awful. I have ear problems too, feels like fluid behind my ear drums but never comes out! Have gone to do 3 different ent docs and was told nothing can be done!
If I drink strong coffee it triggers it as well as dehydration. Taking liquid Gingko has helped and having facial massages like lymphatic drainage massage and drybrushing.
Hey Thor, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
I have the same thing. My Dr said that middle ear infections can cause it to come and go because the fluid pushes against the eardrum and jugular bulb causing the PT.Does yours come and go or is it constant?
I have sigmoid sinus dehiscence. I experience pulsatile tinnitus, blurred/darken vision, vertigo, and headaches. I’m taking gabapentin but they don’t know why I have the headaches.
Hey Carmine, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
This video really helped me to get some courage and ask about surgery. Can you share the number of patients who have to replace the stents after surgery? What’s the success rate of stents? Do we need to replace them again and again?
This is a question that would be better suited for the physician doing the surgery. As Audiologists, we are clinical providers rather than medical physicians and we do not complete any surgeries.
I've been experiencing pulsative tinnitus for the past 9 years when standing from a desk where my head posture is forward. I get up and feel like I'm going to pass out than the pulsating starts and whoosh sounds I hear as in sync with my heart. I had an MRI a few years ago and nothing was concerning. I usually get an episode once or twice a year and no doctor can explain why. I'm very scared when this happens and wondering if its bening?
Iam having unilateral tinnitus in my left ear for past 10 years and I visited ent specialist then they told that my ears were perfect. I still having ringing in my left year.
Thank you this helps. I do wish there were more doctors in south africa confident with stenting as I've approached 2 now who say it is very high risk and wont do it. So I'm living with PT.
It's great that your ears look fine, and there's a chance your pulsatile tinnitus could resolve after childbirth. However, it's always good to get an opinion from your ENT specialist. If it's temporary, you might find relief using sound therapy in the meantime until it naturally resolves.
I m 22 year girl nd m suffering from this problem till 3 years i m tottly disturb i m facing lot of problems in my life style nd study because of this i m not able to concentrate at my study plz help my problem go away
I had an MRI done and it says I have a blood vessel compressing my auditory nerve number 8. I think I need a micro vascular decompression. Anyone had this done before and did your pulsatile tinnitus go away?
I have had tinnitus for 12 years. Managed to habituate it. Had the odd spike when ill but about a week ago went to bed and could hear a whoosing pulsating sound. It has continued and my doctor has ordered a CT scan. The wait is long so I may have an MRI privately as pretty scary.
18:23 I've had tube's twice. It didn't work. I had a Cholesteatoma and it was removed but years later my pulsating tinnitus has come back. I can change it or make it go faster depending on what I do. If I bare down it stops.
Hi doctor! I noticed that my pulse on my left ear started getting worst after spinning classes. Can high intense cardio increase the risk of any underlying disease related to pulsatile tinnitus? Should I stop working out?
Fanny, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team at Treble Health and we can do our best to help you.
It sounds like you've been through a lot with labyrinthitis and subsequent symptoms. It's important to keep your ENT and audiologist informed about these changes in your symptoms. We would also like tp provide help. Use this link to schedule a complimentary telehealth consultation with one of our tinnitus experts: treble.health/consultation
Dr. Thompson, very inspiring videos and thanks for having honest, insightful conversations about this issue. I have pulsatile tinnitus, mostly in the right ear. In my case, it comes and goes and is not there 100% of the time. I haven't really been able to determine what the triggers are and I have some lousy days, but also some pretty good days. My question, if anyone has insight, is whether pulsatile tinnitus is typically constant or if it can come and go. If it does come and go, does that help to narrow down what the causes might be? I went to two ENT's and was told by both that there was nothing that could be done and told to just ignore it. As we know as sufferers of this condition, that's much easier said than done and that makes it even more distressing, as well as expensive.
Its killing me! I will be having a consult very soon. It’s hard to find a Doctor who even knows anything about this. Mines pulsate from my ear through my neck. I have to apply pressure for relief. No Doctors where I live understand how to treat it.
What doctor should I see exactly? An ENT or what? All last year I did brain MRI, and went to ENT and nothing found Could sedentary lifestyle cause this?
For pulsatile tinnitus, an ENT specialist is a good start. If nothing is found, you might want to see a neurologist or a vascular specialist. While a sedentary lifestyle can contribute to various health issues, it's not typically a direct cause of pulsatile tinnitus.
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Please help me get a hold of this doctor, i have something in right ear , cant stand and now in a bed, unable to hold my balance
@@yolitorres9200 what would it mean is MRA, MRI, CT head are ALL NORMAL but YOU STILL HAVE UNILATERAL PULSATILE TINNITUS?
Dr. Patsalides saved my life. I am not exaggerating. I was told by 6 different doctors to just live with it. It was so loud and debilitating, I was suicidal. I am one of the patients with venous sinus stenosis and a venous aneurysm. I screamed when he told me it was in all of my scans from the last 7 years. He placed stents for me in December. My life is 100% better. Doctors need to do better!
Glad to hear that, Michelle! Thank you for sharing. :)
was it seen on an MRI and MRA?
What test showed the venous aneurysm
@@650tonyd I had an MRI, MRA, MRV, and Cerebral Angiogram. All my doctors said they were normal. Dr. P said he could see the stenosis and aneurysm in all of them.
How many Drs said normal? What type of Drs?
what hurts me is thinking il never hear silence again
play a game or watch movies if your not busy , if you're going sleep listen to rain sound in your phone with earphones just lower sounds
Glad I found this - will go to a doctors office armed with knowledge and understanding
Dr. P placed a stent in my left venous transverse vein in Nov 2021. He changed my life! Amazing doctor
How did pulsatile tinnitus start for you?
What was the issue that caused your PT?
TonydlP650 venous sinus stenosis of my left transverse vein! Narrowing of the vein
@@jennalyn3017 did your ear ever feel clogged/full?
The information in this video is priceless and so educational. Now I am armed with all aspects of PS and have made my notes and will bring to my ENT specialist next week for review to get to the bottom of this very scary debilitating problem. Thank you so much.
Thank you for this video. 20 yrs ago I started having vertigo attacks that was coupled with significant tinnitus and hearing loss in right ear. The symptoms subsided except for hearing loss. Now I’m going through the same with left year, but feel more in tune with what I’m experiencing this time. I hear a pulsing sound on top of static. I just so happened to notice the pulsing sped up and slowed down upon taking a deep breath. This made me think it was paired up to my heart rate and that led me to find these helpful videos ❤ I have regular episodes of sinus pain on right side of face and all this together, makes wonder about narrowing of passages preventing proper drainage. Ménière’s disease is another possible cause that came up 20 years ago and i will revisit that when I see the ENT soon. My childhood was full of ear infections and throat infections. I hope that at 48, something can finally be identified and treated to help make the 2nd half of my life more comfortable.
You're welcome, Diana! Be well. :)
Sounds like some Upper Cervical chiropractors can help. Reach out to Blair technique practitioner
I’m seeing a neurologist soon for pulsatile tinnitus and blood flow issues in my spine area. And this was very helpful, Thank you
Thank you so much for doing this work and interviews. They’re so useful because normal located doctors don’t have time, no appointments or they don’t take one very serious. It’s so good though listening to professionals like you that take their time to give a profound round up of the topic. Keep going with your great work 😊
You're welcome. 😊
Wow…im literally speechless. Im calling in the morning.
Excellent interview. Thank you for this informative and thorough interview. What a wonderful DR to give so much information to sufferers of this condition.
Great information! Not only do I have pulsatile tinnitus in my left ear, my tinnitus changes frequency and intensity with every stride of walking, and also gets louder when I press anywhere on the left side of my head/scalp. ENT and audiology look at me with a blank stare when I tell them this.
Somatic and pulsatile tinnitus both
I'm having pulsatile tinitus from last 6 months....i visited 3 drs (prof) and they said no need for scans ...advised me to use anti allergics and ear drops etc... But now i ll follow the instructions of dr patsalides...
Sorry for you! Mine was torture, but easily treated intravenously under sedation.
@@lindacannon2239I have PT. What procedure was done intravenously under sedation? What did they give you intravenously? Thanks in advance! I hope you’re feeling better!
What ear drops are u using g
Ty
Thank you, this symptom has just surfaced this evening. This video was the best thanks again.
Update?
Thank you for this. I am heading to an ENT this week and now I know what to ask about.
Hope your ENT appointment goes well 🙏 ❤ I'm in the UK and I suffer from severe pulsitale tinnitus and I'm struggling to get the help and support I need. 😢
what an amazing doctor ! he seems VERY VERY caring doctor and with FULL confidence
I’m shocked intracranial hypertension is not mentioned 😮
He mentioned it.
Do you think that because the pressure in the head is high, the hypertension, that you can hear the pulsing worse because of pressure on the ear and veins?
I have pseudotumor cerebri, and I have almost gone into remission from that, which in turn has lowered the pulsing sound. It’s not gone, but it’s definitely not as low lid now that I can tell my pressure is down.
I have that now . 😞
Thank you! You may have saved my life, I’m calling to schedule with this doctor asap.
Glad I could help! Be well, Rose!
@@treblehealth thank you Ben I cannot tell you how it is to never have a moment of silence, I have an appt with the doctor on October 19th. I pray for even a little help.
@@treblehealthI wish there was help for people like me in the UK 😢 I'm really struggling 😢 thank you for this video ❤
Was recently diagnosed after a 3 year battle to get more tests done, until finally an MRA and a radiologist who knew what to look for got it right. Had been suffering of pulsatile tinnitus in my right ear especially throughout the years, but always assumed that it was because of stress, exhaustion, etc. The past 2 years however, it's gotten so bad, I am plagued with side effects of vertigo, severe headaches, nausea, hearing and visual problems because of it... and it's NEVER EVER quiet anymore. The only thing is that I now have a diagnosis: an AICA loop compression (right ear) which surrounds and overrides the right cochlear and facial nerve complex. Something I've been born with apparently, and apparently is extremely rare (?) , but have not had any symptoms until now in my 30s. No matter where I searched I can't find substantial medical reports on the condition or suggested remedies' success rates, but I am aware there is surgery than could help. While I am trying to decide the next best step, my hearing seems to have started getting affected lately, which I was warned about that it could happen if the artery begins damaging the nerve. At this stage, i can't watch even concentrate at work at times when it gets very loud. Can't do the things I liked to do because if I exercise more or do any activity I used to enjoy before, the tinnitus gets so bad it knocks me into bed. I always need to be careful, and while white noise helps to an extend, it's not a possible thing to have 24/7. Not sure of which decision would be best next, so it's still a struggle to do anything regularly, even sleep.
These same symptoms are happening with my mother ...
What should I do ??plzz help
How are you now ? ❤
@@nishchaygiri1779How is your mum ❤
My ENT doctor told me I had tinnitus (but not pulsating). I had a CAT scan done because I have a pacer and can’t have any magnetic imaging tests. It came back clear. Since the test almost a year ago, I have not heard from their office inquiring about my condition. I’m trying to work through this by myself. Needless to say, I’ll be calling them soon to voice my discontent over their lack of interest.
You will never know the underlying reason for Tinnitus; that's why they did not call back. Pulsatile tinnitus is completely different from tinnitus.
pulsatile is very easily distinguishable. It is a whooshing or heartbeat in your ear. When I had my hearing test the Audiologist actually said she could hear it. It's nice to know you aren't crazy because someone else hears it too!
@@juliannarathmell that's true. Its awesome someone validated your problems
Excellent discussion and explanation by Dr. P IMHO. I am currently being treated for PT here in FL at Mayo Clinic Jax since March. Get the correct imaging first, audiogram and blood work. Just had a lumbar puncture and ruled out intracranial hypertension as a cause so it looks like it is related to group 2 as Dr P. Stated here venous sinus stenosis. I do have sleep apnea and high bp so trying to get under control. Dropped 22 lbs so far. Next step would be an angiogram and possible stent. But I have 1 set of Leiden Factor V so there is risk of clotting with the stent so I may hold off and get weight, bp, apnea under control first. This started for me back in Aug 21 and couldn’t find the right team of specialists until this past Spring. Be persistent and get the treatment you deserve.
2021 July swooshing began and increased greatly and constantly until 2021 September when I suffered a stroke causing paralysis on my right side, the same side of swooshing. The stroke was deep in brain on its left side. After the strike, the swooshing disappeared.
did you get any imaging like a CT, MRI, MRA etc before the stroke happened?
At what time did this ever happened to you. Mine would be in the middle of the night. Sounds like a pulsating tapping sound. I'm trying to match it to my pulse but they don't seem related. I suffer from severe gerd and bloating. I noticed I had been eating breads during those episodes
I'm going to demand my doctor to watch this video, I'm so so tired of her saying there's nothing to be done but I have mostly pulsatile tinnitus which has been debilitating but she never takes me seriously, even asked for an MRI once to have the veins checked but they didn't check the veins it was just a normal MRI. Had years of abuse against my head which I believe caused damage and now I'm done with these so called doctors. Thank you so much! Finally!
Hey Rain, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
Find a new doctor.
❤ I hope you're well ❤
@@joanneb7607Well said thank you but here in the UK there's very little help for people like me 😢
I had Pulsatile tinnitus since october, 2020 i had ringing and buzzing left ear and sometimes the right ear too i also had vertigo and hyperacusis my first ENT said there is no treatment or cure for your tinnitus you should live with it. I became more depressed my buzzing and ringing i couldnot able to sleep at nights i was depressed and anxious .
Now i am happy after almost 3 years my pulsitile tinnitus went away and my life is 100 % best Thank AlmightyGod
hi bro Mashallah, how did you treat your PT how did it go away? please help a brother out i’m depressed due to this PT in my right ear
@@bartsimpson-k4i
1.I did walking exercise 45 Minutes daily
2. I eat beans, grapes, banana, i eat bread but not white bread, drink more water
3. I took Tebonin tablets 120mg
4. I stopped watching bad news ( negative news)
5. I minimized listening negative people
6.i stopped sugar at all no coffee no tea
7.three hours before bed i took my dinner and don't use mobile Phone or watch tv two hours before bed
8. Fasting
So true. Give time for the body to heal itself. I'm doing jogging. Eating healthy, avoiding toxic products in the house and laundry, staying happy and stress free life through prayer and fasting. It is getting better so far..
Almighty God fixed your tinnitus ? Where does he practice
@@polareyes1123
Omg! Exactly!!!!
This video is 10mos ago, I was lucky to come into this video, was diagnosed a month ago with pulsatile tinnitus. I had this for almost 2 years not knowing its pulsatile tinnitus, became worst in 2022. My doctor said to just ignore it. Thank you so much for the information. I have pending ENT appointment hoping I can get the tests you suggested. Thank you💕💕💕
Hi Estela, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on our Treble Health website.
hi Estela, how r ur symptoms now of pulsatile tinnitus?
OMG!!! Thank you so much. Just the minimal information provided has enlightened me regarding the source of my pusatile Tinnitus. Now to determine if there is any treatment
I felt so validated by this video. I have lived with a pulsatile tinnitus for almost 10 years. It is venous, I discovered it disappears when I press my neck just as he mentioned. Placing noise canceling airpods helps me. If I can’t stand it , I just press my neck to have a break. It was very hard at the beginning.
I also validated mine in my right ear, although its the opposite. When i press on my jugular vein due to the blood pressure increase my tinnitus increases almost 5 times. My tinnitus is really small only notice is during night almost always doubted that its my brain and my worry which makes me feel this but after this little experiment and for the first time clearly hearing it 5 times made it clear what it is
I'm glad to hear that you found validation and some relief from the video. If you ever need further support or guidance, feel free to reach out. We're here to help you on your journey with tinnitus.
I had this for 1 week and was going crazy, i don't know what happened but it went way when i did some neck exercises.
A very good explanation about pulsatile tinnitus, thank you very much!
Since 2006 I have had Tinnitus. A continuing high pitched sound all the time in both "ears" and recently I also have the pulsatile Tinnitus in my left ear. This one is directly in tune with my heart rate and is more difficult to deal with. The original Tinnitus becomes " white noise " ,for me, most of the time while doing my daily routines but in the morning and bed time is when it's the hardest to deal with.
Have you seen a doc? Xx
Very very helpful. Thank you!
You're welcome! Glad it helps. 😊
Dr. Patsalides was a life saver for me. My Pulsatile Tinnitus was so loud that my wife could here it when she put her ear near my ear. I had a very bad Durel Fistula. All my local ENT and radiologists told me to live with it. They didn't even detect the very bad fistula condition. It is 95% better now and I don't even hear it as I am so used to the faint noise. Before I was contemplating on rupturing my eardrum so I don't hear it.
Thank you for this video. I will see my ENT doctor on dec, 27th and i will tell the doctor what i got from this video. thank you so much
I don't normally hear it but when I lay on a noisy cotton pillow case and my head pulses on the pillow case thus making the pillow make noise and makes it so hard for me to fall asleep. I have had to ger a stretchy pillow cover to help.
ty to you both for having this conversation i have PT left side
Hey tanya, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
This video was so helpful. I have not been diagnosed with anything specific yet but have an appointment with an ENT on May 17th and I'm stressing quite a bit about what could be causing the intermittent PT. I sometimes have a headache accompany the PT but no other symptoms, and my brain has assumed everything under the sun. This video has helped me figure out exactly what I need to tell my ENT in order to get the right tests performed. Three doctors in the last month have told me it might be my sinuses which I absolutely do not believe, and it's been frustrating/disappointing. Thank you so much.
I also have a question regarding the more serious causes of PT: Dr. Patsalides mentioned that the most serious category can have potentially life-threatening problems if left untreated. For these potential issues, how long is too long to leave it untreated?
Hey N M, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
How WasYour ENT Appointment ?
@@NM-nc2nh Good question that I am wondering about. I also have vertigo,
I been having pulsátiles tinnitus from TMJ for two years now. Had jaw nerve repair in consequence of a bad root canal. Since then, I suffer from náuseas, ringing in one ear, whooshing sound in both ears, and vibration in my head. The pulsing and feeling like I’m in water as soon as my head hits the pillow does not allow me to fall asleep. It is driving me crazy!
The Lord heals u my friend.
😮 thanks, I could not describe it any better as you have🙏
I also have TMJ, sometimes I experience both PT and high-pitched tinnituıs that has not gone away for 5 months. Also, my body seems to shake when I close my eyes and try to sleep, but there's nothing wrong when I get up. All I notice is that PT disappears when I ran and do sport, but I haven't found a solution for tinnitus yet. It looks like i have same problem with you, if you've found a diagnosis, could you enlighten me as well ?
Thank you for making this video exactly what I needed to hear. Great information that will help me considerably!
Hey Marina, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
Was that pun intended?
thank you for this video! It has gave me some peace of mind and some good advice for how to handle my upcoming ENT appointment in October.
You're welcome, Tiffany! Glad it helped. :)
Thank you for this video. I hope to find an appointment with this doctor.
Hi Sharon, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on our Treble Health website.
Wonderful information,,thank you.
You're welcome. 😊
Thank you so much for the video. It has eased my worry by equipping me what to ask for. I am dealing with tmj. The PT comes and goes. It’s been very concerning. Appreciate your suggestions.
We're glad the video helped ease your worries and gave you some useful questions to ask. TMJ can be challenging, but it's great that you're taking steps to manage it. We're here to support you-feel free to reach out if you need any further advice!
I have tinnitus and I remember when I first got it I worried it’s affect my sleep but you get used to it. This isn’t the same. It’s like someone is beating a drum in my ear. I’m from just north of nyc and I’ll fly back home to see this doc if I can’t get it treated out west because this is intolerable
This doctor is amazing. My ENT never talked about such things and did not order a MRI for my pulsitile tinnitus.
Thanks for your comment. S B. Be well.
Thank you for this cast pod and spesielt to doctor Patsalides. Now I understanding better about PT and what I must to do. Thank you a lot 🙏😊❤️
You're very welcome! I'm glad the podcast has provided you with a better understanding on what steps to take. Wishing you continued clarity and well-being on your journey! 🙏😊
Very informative Thank you !
Hey Santy, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
I just left Kaiser and I know for a fact my symptoms align more with Pulsatile tinnitus. The doctor said it’s EUSTACHIAN TUBEN DYSFUNCTION because I have a stuffy nose. It’s hard to go to work with these symptoms of throbbing, heartbeat, whooshing in my right ear.
hi
i’ve got the same symptoms and it all started with ETD. did your Pulsatile tinnitus ever get better?
Thank you so much. Because of this video I finally understood that the sound that i hear is real and physical not something to do with my hearing or problem with my general ear but the blood flow in the ear. I just pressed on my jugular vein as suggested and i hear my tinitus increase by 10 folds due to increase in blood pressure. Need to do some checkups soon.
I'm glad the video helped clarify things for you. Given your experience, it would be a good idea to visit an ENT specialist.
I thank the doctor for being interviewed. I believe I might have read some articles he has written. I am also on Long Island.
I was diagnosed with pulsatile tinnitus in July of 1989. I was sitting on the bed and thought the cat was purring near my ear and I've heard every heartbeat ever since.
Got worked up back then but I doubt I got an MRA and yes, it can be fully blocked by pressing on my neck. So hopefully I'm in the venous category.
In the past 10 years when my blood pressure has been up it's gotten really loud. A few years ago I went to emergency because it was so loud I was going out of my mind. And it turns out my blood pressure was very high.
When I went to an ENT several years ago he had said that it would go away if my blood pressure went down, this is not true, I've had this damn thing for just about 35 years, again, every heartbeat, it's not intermittent, it never went away once it started. I noticed way back when, certain medications and alcohol would make it worse and of course raised blood pressure as I already mentioned.
One good thing about it, it is about the only good thing I can say is I think it may have saved my life because since blood pressure is the silent killer and I hear all my heartbeats, I know when my pressure is up. As well, I had dangerous arrhythmias from low potassium and I could hear that in my ear as well.
Whether I'm rationalizing or
not, I'd swear that having it has let me know about things going on with my heart that I wouldn't have otherwise known.
I have both pulsatile tinnitus and I have ringing in both ears, it's positional; if I move my jaw in a certain way it gets a lot louder if I turn my head it gets louder. Currently it's starting to really bother me at a high pitch in the same year with the pulsatle tinnitus. Though I have some teeth issues going on.
I wrote on Dr. Ben's other video that the massaging and scalp is helping with the ringing tinnitus.
It would be helpful to know what are the percentages of the three categories the doctor sees. I know the first category is very dangerous, but it would be very helpful to know the evidence-based findings. I know he said category 1 with is rare, but he didn't give any numbers.
It would also be helpful to know when someone like me has had it for so long, what the odds are it is of a certain cause.
To anyone suffering from this or ringing tinnitus, I think the number one advice I could give you since let's face it, I'm certainly an expert in living with it is to simply ignore it. But I would say that if it gets really loud definitely check your blood pressure. Always know when mine's low when it's near quiet and of course I always know when it is high.
Getting exercise and a low salt diet really helps this situation as well.
I had Pulsatile Tinnitis present about 3 years ago. I saw an ENT and an Audiologist. The ENT had me do an MRA and it showed that I had a high jugular bulb on the right side. He told me this was the cause and didn't look any further into it. Well here we are 3 years later and its back. This time I had a cough and was coughing so hard that my right ear plugged up. The PT is back and i'm concerned. I want another MRA to see if it is something else. My BP spiked for some reason during the cough and I feel it my be part of the reason why this is happening. My Dr said my eardrum looks swollen and she can see fluid behind it so maybe the swelling is just pushing against the jugular bulb. IDK i'm just over the sound as its literally driving me INSANE
I had the same thing my ent look my ear said he didnt see swollen but he notice my ear is kimd a wet. But this time before i heard this thumping i need to go my pcp again. Also my BP is elevated that day when i started hearing this thumping aound in my left ear. Its kind a scary i would ask for MRI or MrA to make sure its not dangerous.
hi how r u doing now with your PT?
Going to the neurologist tomorrow for this. I’m 39, dealt with this for years. Did a brain CT and nothing. Did a hearing test, perfect hearing. Feel like it’s getting worse, mostly at night. Going to request an MRI.
Best of luck, DD. 😊
how r u now Dean?
Any supplements you taking
@@treblehealth thanks. All turned out great. I’m also slightly anemic which I found out during my wellness checkout last month. I’m on iron meds and I haven’t had any tinnitus issues like before. It’s practically gone. Thanks! 🙏
I’ve been dealing with pulsatile tinnitus since my last pregnancy 4 years ago. It increases at night and when I’m laying down. Sometimes it’s so loud that I have to press my jugular vein in order to hear the person who is talking or to concentrate on other sounds. I learned to live with it but I would love to get rid of it. I live in Dallas Tx, who do you recommend to see? I already saw an ENT who told me I have to learn to live with it. 🤷🏼♀️ I passed the audio test so it’s nothing to do with my hearing.
Hey Cynthia, thank you for your comment. I do all of my tinnitus work via telehealth. I would gladly consider you as a new client or direct you to the appropriate local doctor. Feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
@@treblehealth will do first thing tomorrow. Thank you for your reply.
@@CynthiaFa1 there’s also UCSF’s pulsatile tinnitus clinic, highly recommend once you get imaging.
@@B3gonias where are they located?
@@CynthiaFa1 did you get any help?
I am praying for every person alive with tinnitus.
I’m one of those people who woke up one day and developed pulsatile tinnitus. I hear it mainly in my right ear but sometimes my left. I’ve had every test out there done, including a CT scan of the temporal bone with and without contrast and they found nothing. Mine does overlap with ringing and when I yawn I can get it to stop. It comes and goes. Sucks but I fall into that third category he was referring too. They couldn’t find anything on me to do surgery for.
is this MRA has to be with contrast ( dye ) ? i don't like to inject this harsh dye into my body ? is the result of MRA without dye can be accurate too ?
According to Independent Imaging, "Newer generations of MRA’s can produce finely detailed images, capturing even minute details of the internal vascular structures without the need for contrast dye. In other words, a non-contrast MRA allows your physician to view tiny blood vessels clearly". Link to article: www.independentimaging.com/non-contrast-mra-used/
Thank you for sharing this video. It was very helpful.
You are so welcome! Glad it helped, Sharon! Be well. :)
I have had horrible tinnitus with SIH S/SX.. nonstop, 24/7 for over 3 years. I tried your suggestion to press the jugular vein..I'll be darned...the tinnitus stopped on that side....
I have been dealing with this for 10 years or more, but the last year it has been incredibly difficult, I had an mri scan 6 or 7 years ago, came back normal, my balance has been terrible lately. I have no hearing in my right ear that completely went in 2014. I wasn’t born deaf but did have measles and had I think a bacterial infection aged 2 and was put in some kind of bubble, family were told I might not make it, thankfully I did. I recently had an infection and had antibiotics. Plus I have had pinna perichronditis, I don’t wear the hearing aid no more, as that really aggravates the ear pain, I’m currently suffering with. I have moderate loss in my only working ear, plus the pulsatile tinnitus prevents me from hearing properly. I’m going to see the doctor to have an examination. Thank you for this.
Hey Janette, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
Thank you so much for the video
You are so welcome!
Hi doctors! I have a question 🙃 you guys speak about finding the caused for pulsatile tinnitus, you also mentioned seeing a mostly young women with blood flow related issue causing this. My doctors ran a bunch of test already and found nothing on an MRA and CT Scan. If you want to improve the blood flow in the brain is there a way to do it? Or what would be other causes of PT? If nothing was found on the tests?
Also thank you for the great explanation 🥰
Same here. What I noticed if I am dehydrated or drink coffee too strong it triggers it. And if I take liquid Gingko it improves considerably. Also exercising.
I wonder if manual lymphatic drainage would help to get the blood flowing.
this all started when I wore a headband to bed!
thank you for educational information. i have this kinds ear problem . what shall i do . it has been more then 8th month but nothing is change besides that i have balance program going with tinnitus , fullness of ear and reduced hearing.
You're welcome, Abi. Regarding your question, feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
Thanks for this wonderful video. My question to Doctor: my case seems to be the second category. If I did stain , do I need to be on blood thinner for life ?
We can ask Dr. Patsalides about this for you. In the meantime, it would be beneficial to visit your local ENT or neurologist to discuss whether long-term blood thinner use is necessary in your case.
What should I do if I am having pulsutile tinnitus from a venous cause? Help me. 🙏
I still listening my heartbeat in my left ear😢
Question: is pulsatile tinnitus a sound in the head or is it specific to one ear or the other? Also, my tinnitus, which I hear in my head, changes with chewing..chewing can stop it or start it. Would that be characteristic of pulsatile tinnitus?
It is caused by the jaw. Visit a doctor it can be cured easily. Fast before it's too late. Stay safe.
Hey Dinahsoar, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
That sounds more like it's a jaw problem! I agree with person above. Get it checked out by a doc!!
May be vascular too.
Speak to a specialist
I am scared. I have pulsatile in my right ear. Getting worse. I am in UK. Waiting list is 2 years and now our local hospital’s roof needs replacing so everything is on hold…😢
Thank you for this video!
You are so welcome! Be well. 😊
I have pulsatile plus ringing. Going nuts.
How are you now
@@Imbs-b5w same
@@Imbs-b5w same
Have you found a diagnosis ?
@@baldwinnkl the pulsatile went away on its own. Just have a lot of ringing.
Great video thanks. It explains pulsatile tinnitus perfectly
Hey Julie, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
Hey mr @treblehealth i want to do MRi next week but not sure wich one , head , neck or spine.. please respone 🙏🏻
When I was young, I had a chronic otitis media both ears. My doctor referred me for an operation to help me with hearing. But the surgeon refused to do it for a reason that I was still young. Now I am 33 and I am experiencing Pulsatile Tinnitus on my right ear. My hearing level is not consistent. Sometimes the sound is too low and sometimes it’s great. When I blow my ears while covering my nose (like scuba divers do), it makes my hearing better but not all the time it is effective. So I am confused about this hearing issues. I also suspect having an allergic rhinitis.
Thank you cause i was worried about that i have the heart beat sound in my left ear
Thank you for this video, your approach, and both of your demeanors.
Will a CT scan show the vessels as well as an MRA?
No, CT scans are best to show bone definition. MRA is best to show blood vessels.
@@treblehealth thank you for your response. I have bilat IOLs, wondering if I am not a candidate for an MRA.
My mri showed that I had empty sella with chronic remodeling of the bony sella tuccia.
I went through all the ct scans I had done previously I’ve had empty sella since 2019 but I was never told and I never had any symptoms until a few months ago
howz is ur PT now?
How many minutes should pulsatile Tinnitus stay? I can hear my pulsatile Tinnitus for 2 minutes before its gone, is it normal?
Pulsatile tinnitus is not dangerous and oftentimes, there is nothing abnormal causing it. There are various reasons for pulsatile tinnitus. We recommend discussing this with your primary care physician and cardiologist.
Mine began June 2024 after wearing headphones and sitting for training (work from home) for 8 hours a day. I began noticing my right arm going numb with pain shooting up to my shoulder too. My left ankle was broken in 3 places years ago so I definitely have nerve damage and circulation issues.
I had a Bell’s palsy episode in 2012 where my right side of my face drooped. I’m wondering if it all ties in together 😢I can’t sleep good anymore hearing swooshing
It sounds like you've been dealing with a lot of complex health issues. I recommend consulting with your PCP who can assess your symptoms comprehensively and refer you to the appropriate providers.
@@treblehealth I’m having same pulsatile tinnitus issue since 2 months. I haven’t seen a doctor yet. Can you please help? I’m located in North Carolina.
No mention of how severe anxiety can cause these symptoms???
I have this on and off, mostly when I drink alcohol. I do have high blood pressure and take medication but I know for a fact alcohol triggers this. One other time it just came out of the blue and I suffered for a entire week! It was awful. I have ear problems too, feels like fluid behind my ear drums but never comes out! Have gone to do 3 different ent docs and was told nothing can be done!
Yo bro I've had a very similar situation I been dealing with myself for the last 3 months how do u feel now
If I drink strong coffee it triggers it as well as dehydration.
Taking liquid Gingko has helped and having facial massages like lymphatic drainage massage and drybrushing.
Please lay off the alchohol. I believe it was major cause in my Pulsative tinnitus. I stopped drinking, it's not worth it.
I have pulsetile tinnitus due to high riding juglar bulb in right ear from 7 yrs. Can it be cured by medicines ?
Hey Thor, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team via email and we can do our best to help you. Our email is contact@treblehealth.com
I have the same thing. My Dr said that middle ear infections can cause it to come and go because the fluid pushes against the eardrum and jugular bulb causing the PT.Does yours come and go or is it constant?
@@650tonyd it is constant. But it goes if I give pressure on below of my ear
Left ear only. My heart rate is upper 50's low 60's. BP is 127/68. The pulsing in my ear is about 130 BPM on average. Figure that one out.
I have sigmoid sinus dehiscence. I experience pulsatile tinnitus, blurred/darken vision, vertigo, and headaches. I’m taking gabapentin but they don’t know why I have the headaches.
Thank you so much for sharing this video! Excellent medical information.
Hey Carmine, thank you for the comment. We are glad to know that our videos have helped you. Enjoy exploring our other TH-cam videos, as well as blog articles on treblehealth.com
This video really helped me to get some courage and ask about surgery. Can you share the number of patients who have to replace the stents after surgery? What’s the success rate of stents? Do we need to replace them again and again?
This is a question that would be better suited for the physician doing the surgery. As Audiologists, we are clinical providers rather than medical physicians and we do not complete any surgeries.
I've been experiencing pulsative tinnitus for the past 9 years when standing from a desk where my head posture is forward. I get up and feel like I'm going to pass out than the pulsating starts and whoosh sounds I hear as in sync with my heart. I had an MRI a few years ago and nothing was concerning. I usually get an episode once or twice a year and no doctor can explain why. I'm very scared when this happens and wondering if its bening?
Mine is same...Do you have this when you press certain side of neck or straining?
Iam having unilateral tinnitus in my left ear for past 10 years and I visited ent specialist then they told that my ears were perfect. I still having ringing in my left year.
Thank you this helps. I do wish there were more doctors in south africa confident with stenting as I've approached 2 now who say it is very high risk and wont do it. So I'm living with PT.
I have pulsitile tinnitus because I’m pregnant. I was told my ears look fine and it will probably go away after childbirth. Can I still treat it?
It's great that your ears look fine, and there's a chance your pulsatile tinnitus could resolve after childbirth. However, it's always good to get an opinion from your ENT specialist. If it's temporary, you might find relief using sound therapy in the meantime until it naturally resolves.
I m 22 year girl nd m suffering from this problem till 3 years i m tottly disturb i m facing lot of problems in my life style nd study because of this i m not able to concentrate at my study plz help my problem go away
I had an MRI done and it says I have a blood vessel compressing my auditory nerve number 8. I think I need a micro vascular decompression. Anyone had this done before and did your pulsatile tinnitus go away?
I have had tinnitus for 12 years. Managed to habituate it. Had the odd spike when ill but about a week ago went to bed and could hear a whoosing pulsating sound. It has continued and my doctor has ordered a CT scan. The wait is long so I may have an MRI privately as pretty scary.
I hope your MRI results are positive.
18:23 I've had tube's twice. It didn't work. I had a Cholesteatoma and it was removed but years later my pulsating tinnitus has come back. I can change it or make it go faster depending on what I do. If I bare down it stops.
Hi doctor! I noticed that my pulse on my left ear started getting worst after spinning classes. Can high intense cardio increase the risk of any underlying disease related to pulsatile tinnitus? Should I stop working out?
Fanny, you asked some good personalized questions here. My answer depends on more information that I do not yet know about your history. Feel free to contact our team at Treble Health and we can do our best to help you.
Thank you so much
You're most welcome! 😊
My PT appeared after Labyrinthitis I lost hearing , had a high pitch ringing , hearing came back then I got PT.
It sounds like you've been through a lot with labyrinthitis and subsequent symptoms. It's important to keep your ENT and audiologist informed about these changes in your symptoms. We would also like tp provide help. Use this link to schedule a complimentary telehealth consultation with one of our tinnitus experts: treble.health/consultation
One more question- Are brief nighttime headaches (that wake you up) associated with a vascular cause of PT? Thanks.
Dr. Thompson, very inspiring videos and thanks for having honest, insightful conversations about this issue.
I have pulsatile tinnitus, mostly in the right ear. In my case, it comes and goes and is not there 100% of the time. I haven't really been able to determine what the triggers are and I have some lousy days, but also some pretty good days. My question, if anyone has insight, is whether pulsatile tinnitus is typically constant or if it can come and go. If it does come and go, does that help to narrow down what the causes might be?
I went to two ENT's and was told by both that there was nothing that could be done and told to just ignore it. As we know as sufferers of this condition, that's much easier said than done and that makes it even more distressing, as well as expensive.
Its killing me! I will be having a consult very soon. It’s hard to find a Doctor who even knows anything about this. Mines pulsate from my ear through my neck. I have to apply pressure for relief. No Doctors where I live understand how to treat it.
Update?
how r u now eden?
I was told that venous stenosis was the cause of my Pulsatile tinnitus. I was also told to try and lose weight to cure it.
So did u have a surgery and put a stent in?
Can pulsatile tinnitus be caused by osteochondrosis? Do I need to do MRA if I already did MRI and it's fine?
This would be a better question from your provider who diagnosed the osteochondrosis.
What doctor should I see exactly?
An ENT or what?
All last year I did brain MRI, and went to ENT and nothing found
Could sedentary lifestyle cause this?
For pulsatile tinnitus, an ENT specialist is a good start. If nothing is found, you might want to see a neurologist or a vascular specialist. While a sedentary lifestyle can contribute to various health issues, it's not typically a direct cause of pulsatile tinnitus.