Dear Deepak Ji,
Tinnitus and hearing loss persisting for two years require a detailed evaluation to determine the underlying cause and best management approach. Since your MRI was normal, we need to assess other factors.
Additional Information Needed:
- Do you experience dizziness, ear fullness, or balance issues?
- Was your hearing loss sudden or gradual?
- Have you had a pure-tone audiometry test to assess hearing levels?
- Any history of loud noise exposure, infections, or medications affecting hearing (like certain antibiotics or painkillers)?
Possible Causes & Treatment Options:
1️⃣ Sensorineural Hearing Loss (SNHL):
- If confirmed by audiometry, hearing aids with tinnitus masking features can help.
- In severe cases, cochlear implants may be considered.
2️⃣ Meniere’s Disease (if dizziness is present):
- A low-salt diet, diuretics, and vestibular therapy can help manage symptoms.
3️⃣ Tinnitus Management:
- Sound therapy or tinnitus retraining therapy (TRT) to habituate the brain to the ringing.
- Cognitive Behavioral Therapy (CBT) for tinnitus distress.
We recommend consulting an ENT specialist or audiologist for a complete hearing evaluation and personalized treatment plan. Let us know if you need assistance in scheduling an expert consultation.