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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.

Hello,

Pain in multiple body parts can have various causes, including muscle strain, arthritis, nerve issues, infections, or underlying conditions like vitamin deficiencies.

Suggested Steps:

🔹 Identify Patterns – When did the pain start? Is it constant or comes and goes? Any swelling, stiffness, or weakness?
🔹 Check for Triggers – Recent physical activity, stress, or infections?
🔹 Lifestyle & Nutrition – Ensure proper hydration, a balanced diet, and adequate rest. Vitamin D & B12 deficiencies can contribute to widespread pain.
🔹 Pain Management – Try gentle stretching, warm compresses, and mild pain relievers (if advised by a doctor).

Next Steps:

If the pain persists for more than two weeks, worsens, or affects daily life, a consultation with a general physician, orthopaedic surgeon, or rheumatologist is recommended. Based on your symptoms, they may suggest blood tests, imaging, or physiotherapy.

Dear Manurani ji,

Our care coordinator will contact you as soon as possible to help you arrange an appointment with Dr Damodar Bindhani.