OCR Text |
Show Ringing mEarFound in Ear EarFound ! Found Due to toVaried toVaried Varied Causes CausesBv CausesBy Bv By DK DB DR J J\BIES J BIES JJ1E1O \J\1E1O J 1E1O 1MES \ \ ) W BARTORINGING IlARTOsjRINGING BARTON BARTO\ BARTO IlARTOsj BARTON1D ' \ 1D INGING in m rn the ear is RINGING notAv not notonly notonly only distressing distressmg to the thepatIent thepatient thepatient patIent but often embarrass embarrassing embarrassmg embarrassing to the physician mg ing who IS ISexpected isexpected isexpected expected toknow to know what TODAY'S TODAYS TODAY TODAY'Scould TODAYScould ' $ could be caus ClUS taus ClUSH tausH : H UrniTUing E A LT mg ing LTHmg Hing such a SImpIe simpie sim nEKl.1 nEKl1 LTH . H n npie pie symptom COLUMN COLUMNFortunately COLUMNFortunately COLUMNFortunately Fortunately the thephysICian thephysician _ physician knows that in m most mostcases mostcases mostcases cases the ringing rmgmg is due to tocontractIons tocontractions tocontractions contractIons - opening openmg and andclosmg andclosing andclosing closmg closing closingof -of of - of the eustachIan eustachIantube eustachiantube eustachiantube tube WhIChcarnes whichcarries which carries carnes the aIr aIrfrom airfrom airfrom from the back of the throat to tothe tothe tothe the middle ear to give aIr aIrpressure airpressure airpressure pressure against agamst the mner inner mnersIde innerside innerside sIde of the drum of the ear U 11 IS 11air air airdoesn airdoesn airdoesn doesn t get to the inner side of thedrum thedrum the getr _ _ _ _ _ drum or doesn t getthere getthere get r dP getdP " there with sufficient sufficientforce sufficientforce " i force to equalout equal outsIde out- out outside - - . thenfit side pressure then thenI thenthe thenvv/ thenvv thenvvthe fit ' / ' I the pressure on theI theoutside the 'is is ' J S outside of the drum drumIS drumi drumJ I i . ' f ls IS t00 too strong and the ll ly . ear drum will be beMi t , bet . . , i-- i idriven _ - t * _ - _ . driven inward Inwardto -to to - tosome to tosome 1.f 1f ' " : . * ' : ? some extent It is isthe isthe Mi the moist surfaces surfacesof surfacesI surfacesy I k . 1 y of the inner mner lining IInmg otI o ot L " " ' 1this this tube as theyDr theyDr they theyOr I Or Dr Barton separate from oneanother oneanother one oneanother another that causes causesrmg causesring causesring rmg ring ng in III the ears in so many cases casesVery casesVery casesVery Very often ear specialists use asmall a asmall asmall small air bag v hich hlch blows blo\ls blo ls blobs \ open the thesides thesides thesides sides of this tube ( which have be become become become come stuck together ) and thus not notonly no noonly notonly t only stops the head noises but 1m im 1mproves improves improves proves the hearmgOther hearingOther hearing hearmg hearingOther Other Causes BlamedUnfortunately BlamedUnfortunately Blamed BlamedUnfortunately Unfortunately however the open openmg opentrig opening mg trig and clos ng rig together of thestIcky th thsticky the thesticky e sticky or moist surfaces of th s s1 1 ttle tube is not the only cause of ofthIS ofthis o othis f thIS ringing nngmg noise the phYSICIan phYSICIanmut physicianmint physicianmuot mut mint " , search elsewhere therefore therefor thereforev.hen thereforewhen thereforewhen v.hen vhen when . the ear specialist spcclalIst reports that thatthe tha thathe thatthe t the tube is not to blameThat blameThat blame blameThat That hysteria and neurasthen1a neurasthent neurasthen1amental neurasthentmental neurastheniamental a ( mental and physical tiredness ) are arecau ar arcau arecauses e cau . es of ringing rmgmg of the ears is now nowbelIeved no nobelieved nowbelieved w belIeved by general physIcIans physIcIansI physiciansand physiciansand I and psychiatrists - the physicianswho physIcIans physIcIanswho physicianswho who deal with behavior problems problemsin problemsI problemsm m in patients I . patientsThat That the circulation ot of the blood bloodor bloodor bloodor or rather disturbances in rn the CIrcu CIrculatlOn circulation circulation latlOn lation are causes of ringing nnglng in the theears th theears e ears is stated by Dr E A Bredlau Bredla BredlaChicago BredlauChicago , , , Chicago m in Archives of Otolaryngol Otolaryngology Otolaryngology Otolaryngology ogy ( ear and throat a ailments Inents ) These Thes ThesedIsturbances Thesdisturbances Thesedisturbances e dIsturbances cause unnatural artery arteryand arteryand arteryand and vein vem impulses to the ear be because because because cause there may be present an an aneUrIsm aneurism aneunsm eUrIsm ( distended or enlarged blood bloodvessel bloodvessel bloodvessel vessel ) high blood pressure blood bloodvessel bloodvessel vessel tumors of the brain bram and ear ea eaitself earitself r Itself severe anaemia ( ( thin thm blood bloodacute ) acute inflammatory mflammatory disease of the theear th thear theear e ear and nerve and gland dIsturbances disturbantes disturb disturbUlcers ances antes antese e . . . antesUlcers Ulcers mcers Usually TreatedBy Treated TreatedBy TreatedBy By Diet and Medicine Medlcme 11ledicine MedicineA MedlcmeA 11ledicineA A patient apparently in good phys physIcal physreal physical Ical real cond tion consulted a physicIan physicIanbecause physicianbecause physicianbecause because he could not eat so sol ] d food foodm foodin ( oodm m in tact fact he was living hVlllg on m 1k lk alone alonebecause alonebecause alonebecause because sol sold d food gave him ds dsr d stT s . . . tT r " " As he had formerly been suffer suffermg suffermg suffering mg with stomach ulcer the phYSI phYSIclan physician physician clan cian thought that perhaps the ulcer ulcerIn ulcerin ulceiin In heal ng had partly rartly closed the thepassage th thpassage thepassage e passage from the stomach to the thesmall th lh lhsmall e ; small intest mtest ne An X a } " ray cxamination e\.aml e.aml e .aml aml e.amt eamt e.amlnatIon e.amtnation \ . natIon showed that the barium suI suIphate so sulphate ! phate meal wh .h h . ch should be out of ofthe o othe olthe f the stomach in six SDC hours at leas leaswas leaswas leaswas was practically11 practically ' \ ill \11 11 present at the theI theend theend th thend e I end ot of 10 hours Only a tiny stream streamsmaller streamsmaller streamsmaller streamI smaller than asIa a slate te pe cil v . as ascarrying wascarrying as asI ascarrymg s I carrymg carrying some of the L'1e L1e ' barium sulphate sut sul sutphate sulphate I phate into mto the intestine mtestme Th s meanl mean meanthat meantthat t , that the opening openmg was virtually closed closeddue closeddue closeddue due to the scar tissue formedhen formed \\hen hen then thenthe \ whenthe \ henthe the ulcer healed As this cond condi condition condition ! tlOn tion requires operation operat on onI onwas onwas I was performed by making another anothe anotheropenmg anotheopening anotheropening r openmg opening into mto the intestine mtestlne from thlower the thelower thelower ? lower side of the stomach Th sa s \a a t \ a a10 10 years ago and the patent pat ent by bywatchmg bywatching bywatching watchmg watching his diet enjoys good goodhealth goodhealth goodhealth goodhealthOperation A health healthOperation Operation Seldom Performed PerformedI I am mentioning mentlomng the above case casebecause casebecause casebecause because many patients w th stom stem stom3ch stemach stomach 3ch ach ulcer are afraid of sudden death deathif deathit 11 if they do not undergo surg cal op operatlOn operation operation eratlOn eration whereas most ulcers todJY today todJYare todayara today- today todaycne - ' - - - ' - - ' - - cne ne are ara treated treats ( bv by - d ra pt at and find med c and it is onlyrtthen only l \ nhen \ d diet tt'd . fd t'd td " ' 'd d ' me med medctre medcine < ! cm ctre ! do not bring relief suet sud such as theabove the theabove theabove above blocked opening opemng or when whenthcre whenthere whenthere thcre there i ' " p .p-rforation .prforation .p p rforation . "rforahon rforahon rforation - " into mto the abdo abdomen abdomen abdomen men or in some cases of bleed ng ngthat ngthat ngthat that operation operahon is peitoimcd pelfOlmed peifotmed pelfOlmedDrs peitoimcdDrs peifotmedDrs Drs R T Monroe and E r : S Em Emory Emory Emory ory Jr Boston in New England EnglandJournal EnglandJournal EnglandJournal Journal of Medicine Medicme review 1 1428 1428cnses 428 428cases < 28cases cnses cases ot of peptic ulcer ( ulcer ot of the thestomach thestomach thestomach stomach and first part of small In Intestine intestlne intestine testine testlne ) handled m in the Peter Bent BentBrigham BentBrigham BentBngham Brigham hospital from 1913 to 1932 1932They 1932They 1932They They were able to trace all but but156 156 patientsOf patientsOf patients patientsOf I Of the remainder remamdcr-l remamdcr l remainder-1272 remainder 1272 - 1 272 cases161 cases 161 about 11 per cent are dead deadbut deadbut deadbut I but only 87--about 87 about 87-about 87 - about 7 per cent-d cent d cent - - d cd ed cdof edof e"ot eot " of peptic ulcer The average age agefor agefor agetor for the whole group was about 56 56ye1.rs 56ye 56yeirs ye1.rs ye1rs ye . irs Ihe the average t me they h had hadsuffered hadsuffered d dsufIered sufIered suffered sufferedwas was bet eon ecn een 12 and 13 13yealS 13yeai 13years yealS years s and there was M v . as little d flei tIeIcnce tIeIcncen cncen n this rc respect , pect between beta betv . cen the patJents patients patientswho patientsw 1\ 1 \ 1ho who . ho d ed of the r ulcer and th se sewho $ sewho e ewho who d d notCopyright notCopyright not notCopyright CopyrightWNU Copyright -WNU WNU - - WNU Scrvl Service scrvtce < e |