instruction: hi doctor I have had tinnitus for five to seven years now I had suffered a lot during the initial years as there was no solution and doctors had to control using anti depressants I am on a regular low dose of escitalopram even now my tinnitus is a very shrill sound and has no trigger or cause and is constant I had done audiometry and there was a slight loss of hearing in one ear lately I chanced to read up on some forums and have found that there are various medications that are being tried for tinnitus tinnicar pinko biloba complamina retard so etc can you suggest in your opinion what I should take to reduce or end the tinnitus what dosage and for how long and for pinko biloba which is the best brand my other problem is I have a sinus problem due to cold exposure such as sleeping under an a I get stuffed sinus congestion I can feel some liquid behind my cheeks when I jump up and down and my nose and my ears are blocked this is not very troubling however this causes a loud buzzing sound in my left ear which is what gets me terrified because of my already existing sinus problem the sinus stuffiness and buzzing stays for a few days even if the nose blockage and stuffiness goes away it takes a few days and I have seen that exposure to heat and hot areas makes the buzzing subside quicker however even after the buzzing sound is gone my tinnitus gets and stays louder than normal for an additional few more days this used to happen regularly every few weeks however now it has become a constant problem I have a constant buzzing in my ear I went to an ent and was prescribed lukotas tinnicar and xylometazoline drops however I wanted your second opinion should I take something like solving to relieve pressure again read from similar cases in forums note in my childhood I can recollect that I had a similar sinus congestion a couple of times and the doctors had drained my sinus using a syearinge put in through my nose
output: hello your tinnitus problem could be due to sinusitis which blocks the eustachian tube and causes tinnitus but if the tinnitus is due to sinus problem it should subside with decongestant etc in your case I do not think so that your ear problem is due to sinusitis to rule out that we need to get audiometry and tympanometry done also let me know if you are on any medication or if you are exposed to loud sounds I do not support multivitamin supplements for tinnitus but you can take any of them for a month and see if symptom improves then you can take for a longer time but again we will need an audiometry test for recurrent sinusitis you should get a nasal endoscopy done if needed it computed tomography scan of nose and paranasal sinuses also only then we will know the severity of the disease