Pulsatile tinnitus

Posted by beatricefay @beatricefay, Jun 2, 2018

Started getting heart beat sounds in right ear only. Got an MRA to check the arteries (no results yet). Strangely the sounds start in the evening and continue when I go to bed. I have no idea why it's quiet during the day. Has anyone else had this experience. If my arteries are okay in my brain then I have to look for other causes. Any ideas. I checked medication side effects but that doesn't seem to be the cause. One night I exercised in the evening and I had no sounds, but that didn't work yesterday. I'm perplexed.

Whenever I have had a Meniere's episode it involves severe vertigo, loud ear ringing, pressure in one ear and nausea but so far I've not had headaches. I was put on a low salt diet and water pills, but had to stop water pills as they affected my kidneys negatively. I understand that that is the usual first step of remedy for Meniere's, so far I guess it is working to some degree as have episodes diminish somewhat, not completely but I'll take what I can get. The ear ringing seems to be with me 75% of the time, I try to ignore it, sometimes I can, sometimes I can't. Keep telling myself things could be worse and just being grateful they aren't!@

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@morninglory I did have vertigo but did ear exercises and that seemed to help One thing I got that helped also was going of dairy but I love white cheese I did switch to almond milk but sitting here today its buzzing but your right things could be worse

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Could you elaborate on ear exercises? I'll try anything to prevent vertigo episodes. Will appreciate any info. Thanks in advance

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@morningglory Sit on bed count to 30 lay on left side with head turned up ,30ct ,sit up same then lay then on right side head turned to ceiling ct 30 P.T will do this also what this does is corrected the crystals in ear from what I understand .This worked for me let me know

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Thanks so much for your reply. I was tested for the problem of crystals becoming dislocated in the ear by a physical therapist and unfortunately for me that is not the problem. It was one test I had hoped to fail!

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@morninglory

Thanks so much for your reply. I was tested for the problem of crystals becoming dislocated in the ear by a physical therapist and unfortunately for me that is not the problem. It was one test I had hoped to fail!

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@lizm2

I have been dealing with pulsatile tinnitus in my right ear for about a year. After going to my primary, then an ENT, I finally ended up at a neurosurgeon. I had an MRI first which showed narrowing of a vein close to my ear. The neurosurgeon then performed a cerebral angiography and venography. Finally diagnosed with Dural AV Fistula. This is all pretty recent, so good times. I now have to have some kind of procedure where surgeon will block some vessels in my brain to prevent the turbulent blood flow which is causing me to hear blood swooshing in my ear. My point is there always seems to be a cause for this, so don’t give up!

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Did your scans show the fistula and what were your symptoms besides the whooshing, I’m waiting to see the NIR for next steps on cerebral angiogram, they found some mild stenosis of the left transverse sinus but not sure what that’s is

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My first episode occurred during the night. The swishing sound woke me several nights in a row and I actually went outside at 2am to check the irrigation system and on another night to check the water level in the swimming pool. The sound soon changed to constant loud rapid thumping and continued for a year before I was able to consult my cardiologist. It was maddening and kept me from sleeping. I eventually was prescribed Losartan and Metropolol for high blood pressure. Now, another year has gone by and my heart beat has slowed and so has the thumping, which I rarely notice during the day. It does thump at night. I think my problem was caused because I stopped daily aspirin after 30 years. None of my physicians comment on this supposition, however. The thumping did start shortly after I quit taking the aspirin. Trying to decide next step. Thank you for your comments.

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@jamienolson

Hi @tlcnurse1, Welcome to Mayo Clinic Connect.
Here is some information that Mayo Clinic has out on Tinnitus- https://www.mayoclinic.org/diseases-conditions/tinnitus/symptoms-causes/syc-20350156. Have you mentioned your symptoms to your physician? @beatricefay – do you notice your pulsatile tinnitus all day long?

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How do you determine whether or not you need the test to determine if the constant pulsating heartbeat you hear is in a blood vessel near your ear or in your brain? My otolaryngologist said it is up to me to decide. ??? @kittyrushing

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Best to get a referral to a neurointerventional Radiologist, I had a mra, mrv and cerebral angiogram to rule out a fistula but I have a mild stenosis in the transverse sinus

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Thank you! I will try to find one and go from there.

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Dr Aman at UCSF Pulsatile clinic is were I went

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