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Thread: Two hearing tests 4 days apart and different diagnoses

  1. #1

    Default Two hearing tests 4 days apart and different diagnoses

    I had a hearing test which showed a conductive hearing loss. You need to go see an ENT. Four days later another hearing test, no conductive hearing loss. You need to go see an ENT, because you have an asymmetrical hearing loss. Waiting for the appointment with the ENT.

    I suffer from non-allergic rhinitis which means I almost always have some amount of post nasal drip and accumulations in the sinuses and occasionally a feeling of pressure in the ears. I take medications for the condition and on some days it is well controlled, other days not so much.

    Do you have an explanation for the conductive hearing loss? The tests were done by two different audis. Is it possible that the conductive hearing loss is related to the non-allergic rhinitis? A bad patient who didn't respond appropriately (that would be me)? A bad test technique? The second test included tympanometry and the audi is pretty sure the loss is sensorineural. Thank you for your advice and guidance.
    Brad
    SRT
    70 db R/15 db L
    WR
    R 56% at 65db/L 100% at 60db

    Freq. 250 500 750 1K 1.5K 2K 3k 4k 6k 8k
    L 15 5 15 20 20 0 15 40 105 95
    R 15 35 50 55 55 50 50 60 80 100

  2. #2
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    Default

    Quote Originally Posted by Brad109 View Post
    I had a hearing test which showed a conductive hearing loss. You need to go see an ENT. Four days later another hearing test, no conductive hearing loss. You need to go see an ENT, because you have an asymmetrical hearing loss. Waiting for the appointment with the ENT.

    I suffer from non-allergic rhinitis which means I almost always have some amount of post nasal drip and accumulations in the sinuses and occasionally a feeling of pressure in the ears. I take medications for the condition and on some days it is well controlled, other days not so much.

    Do you have an explanation for the conductive hearing loss? The tests were done by two different audis. Is it possible that the conductive hearing loss is related to the non-allergic rhinitis? A bad patient who didn't respond appropriately (that would be me)? A bad test technique? The second test included tympanometry and the audi is pretty sure the loss is sensorineural. Thank you for your advice and guidance.
    Your hearing can change fro day to day, especially if you have something like what you have going on. Your rhinitis probably has something to do with the conductive component showing up and then not showing up 4 days later. However, you do need to see an ENT because of the asymmetrical hearing loss.
    Oticon Agil Pro w/streamer

    -250 500 1000 1500 2000 3000 4000 6000 8000
    L 10--5----10----30---50----70----85---80---80
    R 5--10----20----35---45----85----85--100--100

    SP Disc ------------- SRT
    L 88% @55db ------- L-10
    R 90% @55db------- R-25

  3. #3

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    Thank you for the recommendation. I will ask the ENT about the rhinitis and make sure we have maximized the medications for the best control.
    Brad
    SRT
    70 db R/15 db L
    WR
    R 56% at 65db/L 100% at 60db

    Freq. 250 500 750 1K 1.5K 2K 3k 4k 6k 8k
    L 15 5 15 20 20 0 15 40 105 95
    R 15 35 50 55 55 50 50 60 80 100

  4. #4

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    Only way rhinitis causes a conductive hearing loss is if the congestion is so bad that it blocks off the Eustachian Tube oriface and you develop fluid in the middle ear. Otherwise, I'm wondering how big of a conductive component are we talking about? 10dB or 35dB?

  5. #5

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    Quote Originally Posted by SteveAUD View Post
    Only way rhinitis causes a conductive hearing loss is if the congestion is so bad that it blocks off the Eustachian Tube oriface and you develop fluid in the middle ear. Otherwise, I'm wondering how big of a conductive component are we talking about? 10dB or 35dB?
    The losses varied by 10 to 30 db depending on the frequency. By now I have had four hearing tests so far. Only the first audiogram showed a conductive hearing loss. It was most likely an error by the HIS or patient error. I have gotten better at taking the test, just not good enough to not need a hearing aid.
    Brad
    SRT
    70 db R/15 db L
    WR
    R 56% at 65db/L 100% at 60db

    Freq. 250 500 750 1K 1.5K 2K 3k 4k 6k 8k
    L 15 5 15 20 20 0 15 40 105 95
    R 15 35 50 55 55 50 50 60 80 100

  6. #6

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    To me, the actual taking/giving of the test is not all that complicated where there should be much variation, however, your related medical condition & by your own admission, your having better/worse days - would be my bet for the reason of variation.

    Oticon Alta Pro RITE

    125...250...500...1k....2k....4k....8k
    10.....15.....25.....40....50....50....55
    L&R about the same
    WRS 92% @65 dB

  7. #7

    Default

    Quote Originally Posted by Brad109 View Post
    The losses varied by 10 to 30 db depending on the frequency. By now I have had four hearing tests so far. Only the first audiogram showed a conductive hearing loss. It was most likely an error by the HIS or patient error. I have gotten better at taking the test, just not good enough to not need a hearing aid.
    I would say you are correct. Rhinitis is not likely to cause a conductive loss. Sometimes when you give instructions to the patients, no matter how many times you tell them, in 5 different languages, they still give responses to masking noise vs. the actual tone. Which would cause the bone scores to look better than the air scores, hence you end up with what looks like a conductive hearing loss.

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    http://newt.phys.unsw.edu.au/jw/hearing.html
    is normal hearing supposed to be -100?
    Last edited by math13; 04-25-2015 at 10:44 PM.

  9. Default

    Quote Originally Posted by SteveAUD View Post
    I would say you are correct. Rhinitis is not likely to cause a conductive loss. Sometimes when you give instructions to the patients, no matter how many times you tell them, in 5 different languages, they still give responses to masking noise vs. the actual tone. Which would cause the bone scores to look better than the air scores, hence you end up with what looks like a conductive hearing loss.
    I never had an audiometry with masking noise...
    I'm a physicist from Spain. 28 yo. Technical answers are welcome. I'd love it, actually Hidden Content
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    My blog: Hidden Content

  10. #10

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    Brad, I would definitely see the ENT and you'll probably have to get yet another audiogram to really nail down whether you have a conductive loss or not. Conductive losses can often be corrected either surgically or with medication, so it's really worthwhile to find out what's going on.

    I had a large conductive loss on my left side due to otosclerosis (growth of extra bone which immobilized the bones in the middle ear). I had surgery for it three weeks ago and can hear on that side now. If your bad ear is fixable, it would be a shame to miss the opportunity. Good luck!
    Freq: Right Left
    250 40 60
    500 50 65
    1000 50 60
    2000 45 45
    4000 65 70
    8000 9070

    Right: SRT=50 dB, WRS 92% at 70 dB
    Left: SRT=60 dB, WRS 80% at 80 dB

    Had stapedotomy on left ear in May, 2015. Prior to that had a severe/profound loss across all frequencies in my left ear.

    Widex220

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