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otolorin

Tinnitus in Parkinson Disease

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Dear Doc Okun,

out of your very busy schedule,I will appreciate it if you could help to solve this mystery.I usually have tinnitus,whenever I have bad night sleep.I don;t know if it is parkinson related or side effects of the medications.I am on sinemet,(alprazolam and melatonine) for sleep problems.My sleeping pattern is fragmented.I am very worried about the tinnitus,it usually last for 2 to 3hrs,after waking up in the mornings,and sometimes it occurs after taking a nap in the afternoon post sinemet  dosing.Sinemet makes me fatigue,so I tend to nap,then on waking up,I get the cracking sounds in my ears.I sometimes could consciously produce the cracking sounds,whenever I exhale through the nostril.Please help with your soothing answers.God bless sir.

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This is a tough one. Some people get headaches that have tinnitus features and the fact that you get it upon wakening and also aftrer taking sinemet may be a clue you need to see a headache doc.  One thing we usually so is get a MRI to rule out low pressure as a cause for the headaches.

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We have seen a few patients like this.  We recommend seeing an audiologist and seeing if any of the new therapies can help.

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Dear Doc Okun,

I have actually seen an audiologist,and nothing for found wrong with my ears,after examination.And I have done a brain MRI before,which was normal.Noting was found related to tinnitus.Could this be signal disruption between the brain and the ears?However,I plan to see a neurologist,specialised in treating headaches,because I sometimes have pressure in my head with this tinnitus.

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