Talk:Tinnitus/Archive 2

Archive 1

Archive 2

NEJM

doi:10.1056/NEJMcp1506631 JFW | T@lk 07:14, 29 March 2018 (UTC)

Semi-protected edit request on 19 February 2018

In Management Section

Medication :

Add : Caroverine drug show good success rate in treating subjective tinnitus of inner ear.

Ref : Denk DM, Heinzl H, Franz P, Ehrenberger K (Nov 1997). "Caroverine in tinnitus treatment. A placebo-controlled blind study". Acta Oto-Laryngologica. 117: 825–30. doi:10.3109/00016489709114208. PMID 9442821. Amitdwivedi11 (talk) 10:24, 19 February 2018 (UTC)

 Not done for now: Per WP:MEDRS. This source and similar caroverine tinnitus studies can best be described as preliminary or investigational. Although apparently sold for that purpose in some countries, it is not an approved drug by the US FDA or the European Medicines Agency and the current Clinical Practice Guideline from the American Academy of Otolaryngology recommends against any medication therapy. Eggishorn (talk) (contrib) 19:33, 20 February 2018 (UTC)

New Reference: Martindale 36th Edition Page 2277 A clinical study on role of caroverine in the management of tinnitus Abha Kumari, Sandeep Kumar — Preceding unsigned comment added by Amitdwivedi11 (talk • contribs) 08:34, 15 June 2018 (UTC)

Image

2010-07-20 Black windup alarm clock face

Wondering what image we should use to illustrate this article if some do not like this one? Doc James (talk · contribs · email) 13:13, 9 May 2018 (UTC)

None, it's better without an image. Sources call it a ringing, but none equates it to an alarm clock. The image is completely uncalled for. TarkusAB^talk 17:42, 9 May 2018 (UTC)

I agree. It's absurd to have an alarm clock illustrating a serious medical condition that has nothing to do with alarm clocks. So why is it still here several months later? I'm going to remove it. Better no image than one so outrageously inappropriate.—104.244.192.13 (talk) 16:46, 20 September 2018 (UTC)

Oh. I can't edit the article. PLEASE, someone remove the highly offensive alarm clock! It's like using a cartoon character to illustrate an article about brain cancer.—104.244.192.13 (talk) 16:54, 20 September 2018 (UTC)

I agree that a better image is needed. I'm removing the current image for now. I've been looking around, in the hopes of locating something better, but that is hopefully more interesting than just an ear diagram. For example, a painting by someone with tinnitus that expresses their experience. I'm not finding anything on Wikicommons. I found some paintings online and will reach out to the artists to see if they would be willing to upload their work to Wikicommons.Dustinlull (talk) 15:38, 22 November 2018 (UTC)

When a better image is found we can discuss it. Doc James (talk · contribs · email) 18:29, 22 November 2018 (UTC)

What do you all think about this image? I may be able to convince the artist to upload this to wikicommons. https://fineartamerica.com/featured/tinnitus-conceptual-artwork-bill-sanderson.html Dustinlull (talk) 01:12, 28 November 2018 (UTC)

Hi, Doc James and TarkusAB, I have been in communication with the owner of the image that I linked above. What do you think? (and please chime in, any other interested editors.) He is working to see if he can upload it to wikicommons, but I just want to make sure that we all like the image before he goes to the trouble of uploading it. Thanks!Dustinlull (talk) 22:49, 28 November 2018 (UTC)

Unfortunately, the artist has decided that he will not be uploading the image. I will see if I can find anything else. Dustinlull (talk) 01:26, 1 December 2018 (UTC)

[[User:Dustinlull] I really like that image and would be supportive of using it. Unfortunate they were not willing to donate. Doc James (talk · contribs · email) 18:53, 1 December 2018 (UTC)

As a long term sufferer, with my tinnitus increasing with every round of chemotherapy, I would be very sympathetic to an image of the old fashined fire-alarm. The one with the electromagnet ringing the bell. Usually painted red with the word "FIRE" on it. — Preceding unsigned comment added by 58.167.145.28 (talk) 08:21, 9 March 2019 (UTC)

In Medication Header add

In Medication Section add" Caroverine has been demonstrated to have a high rate of efficacy in the treatment of cochlear-synaptic tinnitus. Reference: Denk DM, Heinzl H, Franz P, Ehrenberger K (Nov 1997). "Caroverine in tinnitus treatment. A placebo-controlled blind study". Acta Oto-Laryngologica. 117: 825–30. doi:10.3109/00016489709114208. PMID 9442821. Topical Administration of Caroverine in Somatic Tinnitus Treatment: Proof-of-Concept Study Klaus Ehrenberger Department of Otorhinolaryngology, Medical University of Vienna, Austria A clinical study on role of caroverine in the management of tinnitus Abha Kumari, Sandeep Kumar Amitdwivedi11 (talk) 08:29, 15 June 2018 (UTC)

 Done L293D (☎ • ✎) 00:23, 17 June 2018 (UTC)

 Not done - Please see WP:MEDRS. Jytdog (talk) 00:36, 17 June 2018 (UTC)

Amitdwivedi11 (talk) 08:06, 21 June 2018 (UTC)Check reference in book "Martindale 36th Edition Page 2277" — Preceding unsigned comment added by Amitdwivedi11 (talk • contribs) 07:36, 21 June 2018 (UTC)

Not sure what you mean? Doc James (talk · contribs · email) 18:54, 1 December 2018 (UTC)

Article issues

I read this article and think it needs serious work.

1- The layout that, to me, seems all-over-the-place and not actually represented clearly by the lead. The use of references in the lead is not warranted especially when duplicated. Although there is no "rule" against sourcing content in the lead this is considered a summary of key points found in the article, an overview, and should not contain material not found somewhere in the article. Sourcing content then duplicating the references in the body is unnecessary duplication.

• The definition?

It is the sensation of hearing various types of noises by an individual that sometimes can be detectable by others (objective tinnitus). It is not a disease but a "symptom" that may be from an unknown cause, by disorders of the inner ear or auditory nerve (otic), certain medications (Over 260 ototoxic kinds) or even the discontinuation, and it can be psychological or nonotic.

• Listed under "Signs and symptoms:

There are two ways the symptoms can appear which is intermittent and continuous (chronic) tinnitus.

Types

• pulsatile tinnitus: "The specific type of tinnitus called pulsatile tinnitus" appears to be one type.
• In the Causes section it states there are two types of tinnitus: subjective ("tinnitus aurium", "non-auditory" or "non-vibratory") tinnitus and objective tinnitus ("pseudo-tinnitus" or "vibratory" tinnitus), and this seems to be definitive except for the confusion of pulsatile tinnitus listed as a "type".

Under the Psychological section "Persistent tinnitus" is also referred to as "continuous".

In the Subjective tinnitus section it states there can also be a "type" known as somatic or craniocervical tinnitus. The wording "type" should be examined. It seems clear there are more than two "types". Otr500 (talk) 12:35, 14 October 2018 (UTC)

Another cause.

After five lots of cancer and three different lots of chemotherapy under three different oncologists (we've moved twice since the cancers started), my tinnitus has increased significantly. All three of my oncologists, and both of the hearing clinics I've been to, have told me that this is a common side effect of many chemotherapy drugs. Sadly, I dont have a medical reference for that. — Preceding unsigned comment added by 58.167.145.28 (talk) 08:13, 9 March 2019 (UTC)

My tinnitus worsens when atmospheric pressure falls. Crawiki (talk) 08:47, 13 June 2019 (UTC)

Semi-protected edit request on 13 August 2019

please add

HOME REMEDIES

1.Sound therapy-

Decreasing the level of background sound, wearing specialized ear masks as well as hearing aids

2.Tinnitus Retraining Therapy-

Retraining your auditory system to get used to the tinnitus (or buzz / ringing in the ear), this remedy might require a trained professionals and hearing aids that emit low-level white sound(combination of sounds of all different frequencies that the human ear can hear together, it blocks out any background sound).

3.Cognitive behavioral therapy-

Doesn't help with the noise but relieves depression in people with tinnitus.

Winnie731225 (talk) 04:16, 13 August 2019 (UTC)

 Not done. Please see WP:MEDRS. –Deacon Vorbis (carbon • videos) 04:24, 13 August 2019 (UTC)

References

Hear

Yes one can hear ringing when no sound is present. This is the terminology the NIH uses.

"It may be soft or loud, high pitched or low pitched. You might hear it in either one or both ears."[1]

Doc James (talk · contribs · email) 14:06, 23 December 2019 (UTC)

no history section

why is there no history section--198.103.152.52 (talk) 17:04, 8 October 2019 (UTC)

perhaps because it was never written about until relatively recently? just a guess. (maybe also, before the industrial age, when there was far less noise in the world, the phenomenon didn't exist; if that is the case, then we shall never know). (side note: literally just as i was typing this, a ringing in my ears started up out of nowhere! it stopped, after about 15 seconds, though, so it was probably from some external source) Firejuggler86 (talk) 23:59, 6 February 2021 (UTC)

Refs

We often reference every sentence to make it easier to verify what content is from what source. User:Kbrose feel free to hide them but please do not remove them. Best Doc James (talk · contribs · email) 13:08, 24 December 2019 (UTC)

Effectiveness of CBT

In 6.1 Psychological, it's stated that

 The best supported treatment for tinnitus is a type of counseling called cognitive behavioral therapy (CBT) which can be delivered via the internet or in person.

yet in the WP article for CBT we read:

 Cochrane reviews have found no evidence that CBT is effective for tinnitus, although there appears to be an effect on management of associated depression and quality of life in this condition.

Frdp (talk) 11:14, 6 April 2021 (UTC)

Other causes - POV

I have cancer and am on Kaytruder immunotherapy. This has increased my tinnitus significantly. My tinnitus is subjective. It is a constant tone that to me sounds like a pure sine wave, at a guess somewhere between 5-15kHz. My oncologist says that increased tinnitus is a common side effect of several cancer medications. But of course I only have this anecdote, so will not add it to the main article.— Preceding unsigned comment added by 2001:8003:e422:3c01:65f2:a9a:ddce:a1a4 (talk • contribs) 00:43, 31 October 2021 (UTC)

According to the results returned by a Google Scholar search, that seems to be a reasonable thing to include in the article. Mindmatrix 12:41, 31 October 2021 (UTC)

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 11 January 2019 and 26 April 2019. Further details are available on the course page. Student editor(s): Nswanson24. Peer reviewers: Khotovy.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 11:25, 17 January 2022 (UTC)

vitamin b12 deficiency

hi can someone please mention the connection between tinnitus and Vitamin B12 deficiency? — Preceding unsigned comment added by 2601:645:100:1D20:0:0:0:DEA2 (talk) 05:27, 11 March 2022 (UTC)

Not without a medical reliable source. Graham87 08:08, 11 March 2022 (UTC)

Image

I do not feel the second image does a very good job of indicating the condition in question. An alarm clock is commonly used. Doc James (talk · contribs · email) 13:57, 27 December 2019 (UTC)

Something like this would be better [2] Doc James (talk · contribs · email) 13:59, 27 December 2019 (UTC)

Hi @Doc James: I think that a self portrait of someone who is experiencing tinnitus is preferable to a picture of an alarm clock. There are two images that are on the hearingexcellence.ca page that I think would also be better than an alarm clock. As a compromise, how about having the self portrait be the lede image but also showing the alarm clock later in the article and mentioning that the alarm clock is commonly used as a symbol for tinnitus? ↠Pine (✉) 23:01, 27 December 2019 (UTC)

User:Pine Which other images are you suggesting? Doc James (talk · contribs · email) 12:16, 28 December 2019 (UTC)

Hi @Doc James: I would be OK with the image from hearingexcellence.ca that has the words "ROARING RINGING HUMMING BUZZING", or the image from hearingexcellence.ca that is near the words "PURCHASE TINNITUS INITIAL APPOITNMENT", as the lede image for this Wikipedia article. However, the licenses for the images would need to be compatible with ENWP. The alarm clock image is my least preferred of all of the options that we have mentioned in this discussion. ↠Pine (✉) 21:38, 28 December 2019 (UTC)

User:Pine do you want to give a try making something like that? Otherwise I will eventually get to it.Doc James (talk · contribs · email) 11:35, 29 December 2019 (UTC)

Bells 2

This one was just added. What is your thoughts? Doc James (talk · contribs · email) 12:20, 29 December 2019 (UTC)

Hi @Doc James: I think that the new bells image is preferable to the clock image. My top choice remains the self portrait. I am OK with these other images being in the body of the article. I think that your time is probably better spent on activities other than creating images, but of course if you would like to design one then I'll be interested in seeing what you create. ↠Pine (✉) 19:21, 29 December 2019 (UTC)

When I look at the self portrait I am unable to figure out what it is showing. Bells are fine with me over the alarm clock. Doc James (talk · contribs · email) 12:22, 30 December 2019 (UTC)

The image of bells is cute, but very misleading for representing sustained tones (not sounds with a sharp, distinct, ding/ting attack envelope). It would be better to have no image at all than to add something misleading or confusing. DKEdwards (talk) 19:37, 20 January 2021 (UTC)

Agree, the bells are pretty, but a bit too literal. It is obvious to native English speakers why the image of the bells, but a nonnative speaker (say, one whose native language does not use the same words for the sound that bells make and the kind of sound that is referred to in English as "ringing" in the phrase "ringing in the ears"; or, even if it does, they may not be aware of the correlation as it exists in English). In short, the sound of bells like those in the picture does not accurately represent what ringing in the ears sounds like. the alarm clock is *better*; I think, maybe, a picture of a school bell would be better still? which looks similar to the bells on the alarm clock, but there's only one of them, mounted on a wall, with a hammer fastened very close next to it (in a similar position as a phonograph arm/needle). Firejuggler86 (talk) 23:47, 6 February 2021 (UTC)

I agree, tinnitus sounds nothing like the bells in the pretty picture. Can someone please take them down? — Preceding unsigned comment added by 2601:645:100:1D20:0:0:0:DEA2 (talk) 05:31, 11 March 2022 (UTC)

Removed the image. Unclear how any image will help — GhostInTheMachine ^{talk to me} 12:07, 11 March 2022 (UTC)

a compromise suggestion that should meet everyone's needs

Hi I responded to something in the archive here https://en.wikipedia.org/wiki/Talk:Tinnitus/Archive_1#Auditory-somatosensory_bimodal_stimulation and then got an alert that it should go here instead. So my comment is over there at the end of the conversation. 2601:645:100:1D20:0:0:0:DEA2 (talk) 06:16, 11 March 2022 (UTC)

No, don't edit archives; I've removed your comment which is useless anyway. Graham87 08:05, 11 March 2022 (UTC)

Semi-protected edit request on 13 July 2022

In the section regarding signs and symptoms, the following sentence is near the end of the section: “These findings suggest that among those people, conditioning at the initial perception of tinnitus, linked tinnitus with negative emotions, such as fear and anxiety from unpleasant stimuli at the time.” For proper grammar, the second comma between “tinnitus” and “linked” should be removed. 209.181.251.68 (talk) 03:22, 13 July 2022 (UTC)

 Done. Next time for such a simple edit, feel free to do it yourself. Zefr (talk) 04:00, 13 July 2022 (UTC)

Semi-protected edit request on 16 July 2022

Suggestion to Add “ototoxins” to the causes in the intro. Specifically include well-known pharmaceutical ototoxins such as salicylates and aminoglycoside antibiotics as well as other thoroughly-studied toxins such as carbon monoxide or cyanide. Here is the CDC/NIH article link:

https://www.cdc.gov/niosh/docs/2018-124/pdfs/2018-124.pdf DrTreadnot (talk) 16:45, 16 July 2022 (UTC)

 Not done - Tinnitus per se isn't mentioned in that article, which is more about hearing loss. Zefr (talk) 17:44, 16 July 2022 (UTC)

Semi-protected edit request on 3 January 2023

In the third paragraph, there is no space between "and" and "earwax". It reads "andearwax". If it helps, it is from this segment: "exposure to certain medications, a previous head injury, andearwax." Andearwax (talk) 20:06, 3 January 2023 (UTC)

 Done Thank you, - FlightTime (open channel) 20:15, 3 January 2023 (UTC)

Gaming

Can using headphones to play games be a cause for kids/ young adults getting tinnitus? 82.3.58.156 (talk) 06:56, 14 February 2023 (UTC)

Yes Technophant (talk) 20:13, 23 September 2023 (UTC)

Semi-protected edit request on 14 February 2023

Source 133 "Tinnitus in childhood" by R. P. MILLS, D.M. ALBERT, C.E. BRAIN has an incorrect DOI. It should be changed to https://doi.org/10.1111/j.1365-2273.1986.tb02033.x 205.189.56.243 (talk) 20:20, 14 February 2023 (UTC)

 Done. Thanks. Zefr (talk) 20:29, 14 February 2023 (UTC)

Semi-protected edit request on 23 August 2023

Under 'Management' the article says CBT. More specifically UK and European guidelines represents new evidence suggesting that Digital CBT (such as the Oto app) should be used as a first line management option.

This is important because people have found it very difficult to access face-to-face CBT but with digital CBT, people can access it instantly

Thank you! Dannysharma1307 (talk) 14:39, 23 August 2023 (UTC)

 Not done - the edit request, as instructed, needs to be a "complete and specific description of the request, that is, specify what text should be removed and a verbatim copy of the text that should replace it. "Please change X" is not acceptable and will be rejected; the request must be of the form "please change X to Y". And a WP:RS source should be provided for review here on the talk page. Zefr (talk) 14:44, 23 August 2023 (UTC)