Accouphene et café (désolée il n y a pas de traduction en francais)

Caffeine and Tinnitus

by Barry Keate

Otolaryngologists (ENT physicians) often advise their tinnitus patients to avoid use of caffeine in order to reduce tinnitus sounds. Michael Seidman, MD, one of the preeminent tinnitus specialists in the US, encourages his tinnitus patients to reduce or eliminate their use of caffeine, salt, alcohol, simple sugar, aspartame (NutraSweet), MSG and food colorings and dyes. This has been considered sage advice for many years.

However, as far as caffeine is concerned, there is now clinical evidence coming from the UK that seems to contradict this advice.

Dr. Seidman states that patient response to these dietary suggestions runs from acceptance to stiff resistance. He has some patients who drink up to 25 cups of coffee per day. Some report back after 8 weeks upset that they had to go through caffeine withdrawal but still experience tinnitus. Others may drink as little as ½ cup per day and stop at his suggestion but express skepticism that this has the ability to reduce tinnitus.

Dr. Seidman responds that he does not know what particular “poison” or tinnitus trigger any one individual may have. It may be that any or all of the above worsen someone’s tinnitus. Anecdotally, he has had several patients quit their daily caffeine and they tell him their tinnitus went from an 8 to a 5 on a scale of 1-10.

Personally, I drink two cups of coffee in the morning to wake up. I try to avoid caffeine for the rest of the day and do not drink more coffee or soft drinks. I’ve been doing this for most of my adult life except when I quit coffee many years ago in an attempt to reduce my tinnitus. It didn’t work and I went back to drinking coffee. For me, salt is the real trigger, which I’ll discuss next month. What eventually truly reduced my tinnitus was Arches Tinnitus Formulas.

Clinical Study on Caffeine and Tinnitus

Now, in the first clinical study to specifically look at the relationship between caffeine consumption and tinnitus, researchers at the Centre for Hearing and Balance Studies at Bristol University surprisingly found no statistical evidence that giving up caffeine relieves tinnitus. Furthermore, they found that acute caffeine withdrawal might actually add to the problem.1

Sixty-six participants with tinnitus who consumed at least 150 mg a day of caffeine (about 1 cup of drip coffee) took part in a 30 day trial.

The study employed two groups which operated under two differing constructs:

1 - Taking usual caffeine consumption followed by a phased withdrawal.
2 - Starting with a phased withdrawal followed by reintroduction then usual caffeine consumption.

The study was designed double-blind so that participants would not know which construct they were following. They knew there were periods they would receive caffeine and periods they wouldn’t, but they did not know at any point if they were consuming caffeine or a placebo.

Participants kept a brief record of their tinnitus symptoms each day. They were also required to complete a questionnaire to measure their tinnitus three times during the study; at the start, after they had been withdrawn from caffeine for ten days, and after they had consumed their normal amount of caffeine for ten days.

Researchers concluded “Caffeine had no effect on tinnitus severity. . . Significant acute adverse symptoms of caffeine withdrawal were observed. No evidence was found to justify caffeine abstinence as a therapy to alleviate tinnitus, but acute effects of caffeine withdrawal might add to the burden of tinnitus.”

Lead researcher for the study, Dr Lindsay St. Claire said, "With almost 85 per cent of adults in the world consuming caffeine daily, we wanted to challenge the claim that caffeine makes tinnitus worse. Many professionals support caffeine withdrawal as a tinnitus therapy, even though there is a lack of any relevant evidence, and, in fact, acute symptoms of caffeine withdrawal might even make tinnitus worse.”

This does not mean that stopping caffeine will not help anyone. As Dr. Seidman has noted, some drinkers of as little as ½ cup of coffee have improvement. Clinical studies are conducted to evaluate the mean difference between outcomes; a measure of statistical dispersion in a population. A small subset of individuals within the study may have different outcomes but there may not be enough of them to sway the overall statistics.

Despite these recent findings, I believe that it is wise for individuals to learn what triggers or worsens their tinnitus. If you think that caffeine may be a trigger, then it would a good idea to try caffeine abstinence and see if it reduces the sound. If caffeine withdrawal occurs and produces acute effects, or no change in tinnitus levels is discerned you always have the option of resuming your caffeine intake.


References

1 - St. Clair, L. Stothart, G. McKenna, L. Rogers, PJ. Caffeine abstinence: an ineffective and potentially distressing tinnitus therapy. International Journal of Audiology January 2010, Vol. 49, No. 1, Pages 24-29.

Balises : acouphène, café

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bon dommage je ne sais pas lire en anglais, si quelqu'un peu me faire un résumé, avnat enfin avant mes acouphene, je devais 8 tasses de cafés par jour (jadore) puis suite a des problème de santé, vertiges.. et mal être, le doc m'a dit de plutot boire du décaféiné, choses faite au début un peu dure, car perte de l'arome d'un bon café.... je m'y suis trés bien habitué, de toute facon je n'en bois que4 Tasses par jour maintenant....je suis moins nerveuse... moins de palpitation.. mais quand je suis invité, au resto, ou déplacement, je ne trouve pas tjrs du déca.. le vraie café me fatigue et m'augmente mes acouphenes... donc il y a peut etre une relation peut etre, oui peut etre
amicalement
bernadette
caffeine has ZERO to do

bullshit

it's a blody problem in the brain,the blody SOFTWARE nothing else

that's all
stop making people crazy with stupid allegations
yes!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
vandenbrandenjp a dit :
caffeine has ZERO to do

bullshit

it's a blody problem in the brain,the blody SOFTWARE nothing else

that's all
stop making people crazy with stupid allegations
Translate,please!

Thanks!

Dan (lol!!!)

vandenbrandenjp a dit :
caffeine has ZERO to do

bullshit

it's a blody problem in the brain,the blody SOFTWARE nothing else

that's all
stop making people crazy with stupid allegations
Translate,please!

Thanks.

Afin que tout le monde puisse comprendre de quoi il s'agit.


Yohann B. a dit :
Why are you always acting like a baby ! You should think more before saying something dude. It's not because there is nothing
to do with ``your tinitus`` that everybody has to feel the same. Open your mind and see what else people feels with their tinitus.
I am sorry that is nothing to do with yours because it's all in your head but it's not the same for everyone here .

And stop saying there is nothing we can do to feel better.....take care :)

BERNADETTE a dit :
yes!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
vandenbrandenjp a dit :
caffeine has ZERO to do

bullshit

it's a blody problem in the brain,the blody SOFTWARE nothing else

that's all
stop making people crazy with stupid allegations
Dan je sais mais ca me prend bcp de temps.

Il faudrait demander a Monsieur Vandenbrandenjp

a plus
gigi




Dan a dit :
Translate,please!

Thanks!

Dan (lol!!!)

vandenbrandenjp a dit :
caffeine has ZERO to do

bullshit

it's a blody problem in the brain,the blody SOFTWARE nothing else

that's all
stop making people crazy with stupid allegations
et ben mince alors
j avais traduit une partie du commentaire et voila tout a disparu
je dirai meme flute

bon je vai recommencer demain
bonne nuit il se fait vraiment tard maintenant

Et au fait M Vandenbrandenjp COME DOWN I KNOW IT IS NOT FUN BUT IT S A FREE SPEECH HERE.
GOOD NIGHT
GIGI
Gigi,

c'est à ce monsieur que je demande de traduire ses propos afin que tout le monde puisse en profiter.D'ailleurs,peux tu m'aider?Que signifie,en clair,ceci:caffeine has ZERO to do

bullshit

it's a blody problem in the brain,the blody SOFTWARE nothing else

that's all
stop making people crazy with stupid allegations


Je me permets de faire appel à toi car Mr Vandenbrandenip n'a pas donné suite....

Merci d'avance,Gigi.'je parviens à traduire grosso modo mais bon,ce n'est pas top...)

gigi a dit :
Dan je sais mais ca me prend bcp de temps.
Il faudrait demander a Monsieur Vandenbrandenjp
a plus
gigi




Dan a dit :
Translate,please!

Thanks!

Dan (lol!!!)

vandenbrandenjp a dit :
caffeine has ZERO to do

bullshit

it's a blody problem in the brain,the blody SOFTWARE nothing else

that's all
stop making people crazy with stupid allegations
Rooo,misère,ma pauvre Gigi.

Il existe peut être des traducteurs corrects en ligne.Car tu dois drôlement galérer à tenter de traduire ce long post....

gigi a dit :
et ben mince alors
j avais traduit une partie du commentaire et voila tout a disparu
je dirai meme flute

bon je vai recommencer demain
bonne nuit il se fait vraiment tard maintenant

Et au fait M Vandenbrandenjp COME DOWN I KNOW IT IS NOT FUN BUT IT S A FREE SPEECH HERE.
GOOD NIGHT
GIGI
bref il dit simplement que la cafeine n a rien avoir avec les accouphenes et que c est un probleme circulatoire au niveau du cerveau rien d autre Cest tout, arretez de rendre les gens fous avec vos remarques." fin de la traduction.

bullshit - vulgaire -
by gigi

Dan a dit :
Translate,please!

Thanks.

Afin que tout le monde puisse comprendre de quoi il s'agit.


Yohann B. a dit :
Why are you always acting like a baby ! You should think more before saying something dude. It's not because there is nothing
to do with ``your tinitus`` that everybody has to feel the same. Open your mind and see what else people feels with their tinitus.
I am sorry that is nothing to do with yours because it's all in your head but it's not the same for everyone here .

And stop saying there is nothing we can do to feel better.....take care :)

BERNADETTE a dit :
yes!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
vandenbrandenjp a dit :
caffeine has ZERO to do

bullshit

it's a blody problem in the brain,the blody SOFTWARE nothing else

that's all
stop making people crazy with stupid allegations

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