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MALE QUESTIONNAIRE - PAGE 4(b)  You are on page 4(b) of 9 >     This section deals with specific ear/hearing problems. 421.  Is your hearing poor? No / don't know I think I hear slightly less well than others Yes, I regularly misunderstand people It is very poor I am deaf 422.  Within the past few years, have you suffered any loss of hearing in one or both ears? It occurred a long time ago / don't know No Slight / barely noticeable Significant Severe/complete loss of hearing 423.  Do you ever hear blood rushing through one or both ears? No / don't know Sometimes in one ear Sometimes in both ears (Almost) always in one ear (Almost) always in both ears 424.  Do you have Tinnitus (ringing in your ears)? If it sounds like blood rushing then answer the previous question instead of this one. Never had it / don't know Probably had it / minor episode(s) now resolved Major episode(s) now resolved Current minor problem Current major problem 425.  Have you suffered from Meniere's disease (inner ear fluid imbalance / vertigo / tinnitus / hearing loss)? Never had it / don't know Probably had it / minor episode(s) now resolved Major episode(s) now resolved Current minor problem Current major problem 426.  Ear infections (otitis externa) in the ear canal Never had one / don't know Probably had one/minor episode(s) now resolved Major episode(s) now resolved Current minor problem Current major problem 427.  Ear infections (otitis media) behind the eardrum Never had one / don't know Probably had one/minor episode(s) now resolved Major episode(s) now resolved Current minor problem Current major problem 428.  In general, roughly how often do you suffer from earache (a pain in the middle or inner ear)? Don't know Rarely - about once each year or less A few times each year, but nothing serious Regular mild earache / occasional severe earache Regular severe earache Add any additional information here for the questions above: Please mention the question number(s) if possible.     GLOSSARY Meniere's Disease (Menieres, Meniere's, Ménière's) An affliction of the middle ear characterized by vertigo, nausea, vomiting, tinnitus and progressive deafness. Otitis Externa Also called Swimmer’s Ear, this is an infection of the outer ear canal caused by either fungus or bacteria. Water that remains trapped in the ear canal (when swimming, for example) can provide a breeding ground for these bacteria and fungi. Symptoms include redness of the outer ear; itching in the ear; pain, especially when touching or wiggling the earlobe; drainage from the ear; swollen glands in the neck; a swollen ear canal; hearing loss. Otitis Media A very common condition involving inflammation of the middle ear and can be classified as either acute otitis media (AOM), or otitis media with effusion (OME) which is a chronic disease. It most commonly affects infants and young children but can affect all age groups. Symptoms of AOM include earache, decreased hearing, fever, unsteadiness, and occasionally liquid discharge if the eardrum bursts. Symptoms of OME include decreased hearing, tinnitus and unsteadiness, but OME can be entirely without symptoms. Effusions (discharges) continue for several weeks after AOM; only 60% of ears with AOM are clear at 2 weeks and 80% are clear by 8 weeks. Tinnitus (Tinnitis) A sensation of noise (ringing or roaring) that is caused by a bodily condition and can usually only be heard by the person affected. Vertigo The sensation of spinning or whirling; a state in which you or your surroundings seem to whirl dizzily.

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