Anyone out there with Autoimmune inner ear disease (AIED)?

Posted by tinae @tinae, Apr 29, 2023

Hi - I have been on an emotional roller coaster for the last year since my diagnosis of AIED. Just looking to see if anybody else out there has been diagnosed and how they’re dealing with it. Thank you.

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Is yours from AED or what’s causing your tinnitus?

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@willows

Teresaramirez, I wish I had any good periods. I have very loud tinnitus that goes to unbearable at times. I have various masking devices which I choose to use depending on the sounds and tones of my tinnitus on any given day. I also have fluctuations during both the day and night but never any good periods where I can say that it is in the background. If I am sick it is terrible. I am sorry that you are stuck with additional problems with your ears.

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Wow, I'm sorry your tinnitus is so loud. Luckily, I have moments of peace, but I am always afraid because I don't know how long they will last. It is difficult to accept this. For now I am not using any masking device, I have enough hearing for day to day life and I do not need a hearing aid. I hope your tinnitus improves with the advice given here. I completely eliminated salt and alcohol. much encouragement.

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@teresaramirez

My experience with corticosteroids has been that, during the 4-week treatment of prednisone 120/90/60/30 mg/day/week, my hearing did not improve even a single day, the tinnitus remained stable (medium level, bearable ) and the pressure is also bearable. Let's say that during treatment with corticosteroids I remained stable, without tinnitus attacks, and with stable hearing (with losses of 60-70 dB at 1000-500-250-125 Hz). Since there was no improvement in hearing, my ENT doctor and rheumatologist decided to wait to give another treatment. Immunosuppressants have side effects and now it seems that it is not worth it; The cost-benefit ratio is not worth it. but two weeks after finishing the corticosteroids, I have a seizure that lasts 1 day, and the next day I recover hearing and tinnitus practically disappear. So 2 days, and crisis returns although without dizziness. The next day again fine. So I don't know whether or not to go back to taking corticosteroids. My ENT tells me to choose, that this is just a matter of trying and seeing, but I didn't like the insomnia that the corticosteroids caused me.

It is extremely difficult to accept this type of disease.

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I correct, my dose of corticosteroids was 60/45/30/15 mg/day/week. 4 weeks. I don't know why I thought I had taken 120 mg, no, how crazy.

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@becsbuddy

@teresaramirez I’m really having trouble understanding your steroid tapering. In USA we all taper slowly from 30mg to zero mg so we don’t have the problems that you had. I know you don’t want to be on steroids, but once you're on them, it’s important to taper slowly.
https://www.mayoclinic.org/prednisone-withdrawal/expert-answers/faq-20057923#:~:text=A%20gradual%20reduction%20in%20prednisone,a%20week%20to%20several%20months.
Your doctors may have an entirely different way of thinking and I certainly don’t want to contradict them. Just wondering if there is a connection between the steroid taper and the seizures you had.
Can you talk with your doctors about safe steroid use?

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I correct, my dose of corticosteroids was 60/45/30/15 mg/day/week. I don't know why I thought I had taken 120 mg, no, how crazy.

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@needanswers7

Do you have any other rheumatoid problems other than the hearing loss/tinnitus? My cell counts and inflammation are satisfactory and tests show no autoimmune problems. Sudden hearing loss, like you, and very loud tinnitus are my main problems. What meds did you use right after the prednisone and did it help? Did you have any bad side effects from the injections? I’m worried the needle will damage my hearing more. After the injections, did you go straight to Humira and is that all that you take now? Did I understand you correctly that you no longer need the hearing aids now that you are on Humira? Sorry for so many questions. I’ve tried prednisone 60 mg taper, methotrexate with no lasting improvement. I just started a diuretic and Allegra for 3 months to try to reduce fluid in inner ear. Avoiding salt, caffeine, alcohol, chocolate, sugar. No result yet. Continue to lose my hearing with constant loud tinnitus. I can’t hear through all of the tinnitus! ENT not sure if cochlear hydrops with Meniere's or AIED. All other tests are clear. This is so frustrating and scary.

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In the blood analysis, did they performe the test of antibodies against a 68-kD protein (anticochlear antibodies)?
If, in addition to the symptoms of fluctuating hearing loss that evolves rapidly, tinnitus, vestibular symptoms (I, for example, do not have vertigo, only spiral dizziness that lasts a short time), that test comes out positive, the ENT could conclude that the disease is AIED. In my case, the rest of the immunological tests were all negative. Only the test of the cochlear antibodies was positive.

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@teresaramirez

Wow, I'm sorry your tinnitus is so loud. Luckily, I have moments of peace, but I am always afraid because I don't know how long they will last. It is difficult to accept this. For now I am not using any masking device, I have enough hearing for day to day life and I do not need a hearing aid. I hope your tinnitus improves with the advice given here. I completely eliminated salt and alcohol. much encouragement.

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Theresa, I have not found that any diet changes have been helpful. What is good is an uninterrupted 8 hours peaceful sleep and during the day it helps not to be too busy. Movement can make my tinnitus worse. However I do try to go to the gym at least 3 times a week, hopefully on days when tinnitus is not so strong. I think its important for me to wear earbuds to sleep. I have to sleep on my back so they don’t bother me.

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@tinae

Is yours from AED or what’s causing your tinnitus?

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One day they say Meniere's , the next AIED, the next Meniere’s…on my 5th ENT. It’s affecting both ears and is Prednisone responsive so that pushed them to AIED. Rheumatologist doesn’t see an autoimmune problem.

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That’s exactly how mine started. I woke up one morning with plugged ears and then it was the right ear that I did prednisone and it was a left ear and once it was bilateral, they determine it was AIED.

So I ended up on prednisone for nine months 60 mg eventually taper down but in the interim, I did take three shots of steroids in my left ear because it had failed so drastically. It actually helped that the ENT did not think it would but it did so right now I have about a 15% hearing less in both ears. I do have tinnitus in both but I also started taking methotrexate and now I’m on Humira which is expensive but it seems to be keeping me stable so if your insurance covers it and your rheumatologist can get it past for you it’s worth a try I mean none of it’s good for us right but either that or again I think you said you had the sound machines you can also do the hearing aids where you can put it through an app on your phone so it’s going directly into your ear which does seem to help a little bit more and like I told one of the other people with it, watch your sodium stay hydrated watch your alcohol .

It sucks no doubt about it. I would’ve never imagined in my entire life that I would be losing my hearing have tinnitus it’s just crazy to think this is even happening but it is what it is so you my friend I need to do whatever you can to try to feel better.

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@teresaramirez

I correct, my dose of corticosteroids was 60/45/30/15 mg/day/week. I don't know why I thought I had taken 120 mg, no, how crazy.

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Thanks for correcting that I was freaking out here thinking they gave you that much but even ending at 15 here in the United States they have you go down to five then three then two then one and even a half it’s supposed to bring your coral back up slowly to see if it stops the information.

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