Tinnitus Diagnosis in Older Adults
Older people often describe tinnitus as hissing, humming, ringing, squeaking, “buzzer”, buzzing, grinding sound. The feeling might be accompanied by a decrease in hearing and creates psychological discomfort. This condition contributes to poor performance, sleep disturbance, chronic fatigue and irritability.
Diseases that may accompany tinnitus:
pathologies of the thyroid endocrine gland, diabetes mellitus;
cardiovascular diseases, renal pathologies, reduced renal function;
impaired blood flow, low or high blood pressure;
diseases of the central nervous system, neurocirculatory dystonia;
neoplastic neoplasms in the brain;
iodine, vitamin B12, iron or folic acid deficiency in the body;
infectious and inflammatory diseases of the upper respiratory tract.
Diagnosis: In order to diagnose a disease and prescribe medicine for tinnitus to an elderly person, it is first necessary to conduct a medical examination of ENT organs, to exclude regressive transformations in the hearing aid itself. If no pathological changes have been identified, the range of research expands and includes the following:
External examination of the outer ear in order to detect visible pathologies: inflammatory processes, boils, and abscesses, sulfur plugs.
Audiometry – measurement of hearing acuity. The audiologist will determine the threshold of auditory sensitivity to sound waves of various frequencies. Get an AARP supplement plan at https://www.medicaresupplementplans2019.com/aarp-medicare-supplement-plans-2019/
Auscultation of the temporal region – listening with the stethoscope of the main arterial and blood vessels of medium caliber in the temporal region. Pathological noises over the arteries may indicate vascular disorders.
Angiography – a method of contrast radiographic examination of blood vessels. Allows you to identify pathological changes in blood vessels, the violation of cerebral blood supply, pre-stroke condition.
Radiography and MRI are used to study the internal structure of organs and tissues. Methods can identify inflammatory processes, purulent otitis, mastoids, or diagnose degenerative-dystrophic lesions of intervertebral discs in the cervical spine (osteochondrosis).
Tests for the integrity of the vestibular apparatus. The bone labyrinth of the inner ear is a system of interconnected cavities located in the temporal bone pyramid. The study helps to determine the integrity of the auditory nerve. A blood test is very important for the diagnosis of hormonal and metabolic changes in the body. It can be used to diagnose thyroxine hypersecretion or insulin deficiency. Medicare and Tinnitus Treatment: Medicare or Medicare supplement plans only offer coverage for services that are believed to be medically essential by your doctor. Medicare does not pay for tinnitus treatment as of now.