Hearing loss, Tinnitus, 4 month untreate

Duration: ~4+ months. Cause: 1–2 hrs loud DJ music + close shouting to L ear. Initial: Heaviness, no pain; L ear slower pressure equalization, “chuu” after Valsalva. Tightness on L jaw and some time move caused some loud pop sound and felt free. Doctors told it's just psycological and sinus conjession gave nasal drop. Progression: Continued noise exposure,train and traffic horns, poor sleep → worsened tinnitus, “tok-tok/fod-fod” with loud sounds/own voice, clicking with head/ear movement, mild L pain, occasional R discomfort. Audiogram: Initially normal; later L 30–40 dB loss(tested again after 4 months), R normal. Treatment: Audio Vit-Z (worsened symptoms), now NAC + Ubinext LC. Other: Chronic sinus, thyroid issues. Likely: Noise-induced SNHL, cochlear synaptopathy, tinnitus, TTTS, ET dysfunction. Ear sensations: Voluntary tightening/humming (tensor tympani), involuntary flutter after loud sounds, separate mild “tik-tik” movement unrelated to main muscle. stress 📈Soundsensitivity.