Hi there Ruth,
If it's your eustachian tube that is blocked I'm guessing it's totally possible just to feel the pressure without any pain - but then again I'm not a doc, so can't say for sure. Although this is what I thought I had to start with, the otologist never asked whether I was feeling a lot of pain, he was much more interested with whether he could see any fluid pressing up against the eardrum (I think that's how they see it anyway) so I guess pain isn't a big part of it.
As for the tinnitus - I got it when I was ten (I think ) no reason known at the time, just woke up with ringing in my ears - not deafening, but totally audible in the quiet. My mum took me to ENT, they did various hearing tests and because there was no obvious cause said I'd have to live with it. I remember it being very shocking when it first happened, and panic inducing, but to be absolutely honest, the ringing tinnitus now doesn't bother me at all. I doubt that you are stuck with this Ruth, but I can honestly say that even if you were, as long as it isn't deafening and external noise drowns it out, you can habituate to it. You won't believe me when I say this, the first few days of experiencing it are really scarey (I still remember them 20 yrs later) but for the longest time I never even thought about it - other than avoiding environments that made it louder - this would unnerve me - clubs and concerts. Even if I did that it always got quieter again. Just to reassure you, I now think this may have been the v. first sign of tmjd, which is why it never went, it's got a bit louder since all this has been going on.
Unfortunately since the tmjd in the last month, when the big hyperacusis incident happened, I have experienced the odd occasion of a whole different thing - a sound like someone drilling on rubber - I think it's a muscle in spasm, (I hope) this scares the hell out of me, seems to come on when I talk to much (who would have thought I'd have to stop chatting so much to get better) and sends me round the bend. So far 2mg of valium will get it under control and it goes away. You don't need to worry about this happening - I'm pretty sure it's tmjd related.
Anyway, hope the doc visit goes well, and you can clear it up with some antibiotics.
B.T.W in the meantime the best thing for drowning out tinnitus at night is white noise, just tune in your radio to btwn stations. Also, in the unlikely event that this should stick around, there are now therapies and stuff that can be done to help someone get used to it, or to find ways to get it under control. There are also certain drugs that can work. I don't think these were available when I was ten.
Let us know how the doctors visit goes.
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hbep
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