Hearing Loss & Valsalva Maneuver: Looking for Information

Posted by chasmayhear @chasmayhear, Jun 10, 2020

I'm an older man and have one issue that I am looking for information on. My hearing was recently diagnosed with hearing loss, especially of the higher frequencies. I was told that my hearing test indicated nerve hearing loss common for my age. I had gotten a CAT scan looking for other issues.

If I pressurize my ears (Valsalva Maneuver, I believe) there is a great but brief improvement in my higher frequency response. I was seeing an ear specialist and asked him about it. There was no available information.

I find that hearing the high frequency sound response improve so strongly from simply pressurizing my ears does not seem consistent with 'nerve hearing loss'.

I have tried searching and get nowhere. I noted that the carotid artery passes next to my ear and that the Valsalva Maneuver has some complex effects on blood pressure. What is known about this?

If you have any information that might apply please post.

Chas

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@user_ch783e933

I just spoke to my otologist. He said in my case it was caused by the valsalva maneuver, overdoing it, although my tubes are compromised already they never caused any of this. He said no imaging will really determine the exact problem and doesn't think it necessary. He also said making a small hole in the eardrum to release any fluid that might exist can be done as well as placing tubes BUT: he told me this condition will CLEAR UP ON ITS OWN in time. I'd rather do that than make incisions and have tubes, etc. I'd rather wait. I'm seeing him next week. I know you asked for an update, this is it, no imaging, etc., so far anyway.

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Thanks for this! Good news then, that it will clear up on its own. So you have stopped doing valsalva entirely now correct?

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@user_ch783e933

I just spoke to my otologist. He said in my case it was caused by the valsalva maneuver, overdoing it, although my tubes are compromised already they never caused any of this. He said no imaging will really determine the exact problem and doesn't think it necessary. He also said making a small hole in the eardrum to release any fluid that might exist can be done as well as placing tubes BUT: he told me this condition will CLEAR UP ON ITS OWN in time. I'd rather do that than make incisions and have tubes, etc. I'd rather wait. I'm seeing him next week. I know you asked for an update, this is it, no imaging, etc., so far anyway.

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Also please report back after your visit next week!

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@gcritchley

Thanks for this! Good news then, that it will clear up on its own. So you have stopped doing valsalva entirely now correct?

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Yes my otologist told me at the visit I had with him on 7/25 when I first presented with these symptoms never to do that again. Meanwhile, it's hard to know what's happening. I seem to have some improvement in hearing in the left ear. I noticed last night that the upper registers aren't as obvious as in the right ear but that could be the reduction in hearing. The hissing isn't as bad but then tinnitus never bothered me and I know it does go away after a while, it's rarely permanent. I don't really know what's going on here. I found this online: Magnetic resonance imaging (MRI) of the internal auditory canal (IAC). I'm going to ask him if I need it or if it will help, insurance might not pay for it but so far it's never denied any testing. I'll report back after my visit next Tuesday.

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