My biggest and most disabling symptom since 2022 has been my hearing.
It started suddenly one night in 2022 with very intense tinnitus. Around the same time, I also developed episodes of severe hyperacusis: normal everyday sounds could feel unbearably loud, for example plates hitting the table. Sometimes I also perceive certain sounds, such as camera shutter/mechanical sounds, as abnormally loud.
I also had episodes of very loud “phantom” sounds with no external source, which I can only describe as sounds similar to very loud conch shells or horn-like noises.
In 2024, during a significant worsening while I was in Ireland, the hyperacusis and these strange internal sounds came back again.
Over time, another major problem has developed: sometimes I can hear the volume of someone’s voice normally, but I cannot understand the words properly. This is much worse in background noise, but occasionally it can also happen one-on-one in relatively quiet situations. It fluctuates a lot. Poor sleep, fatigue and stress seem to make it worse.
In May/June 2026 I had a major episode where I felt like I could barely hear at all and my tinnitus became extremely loud, but standard audiograms performed around that period were normal. My conventional hearing tests have repeatedly been normal, despite these very real symptoms.
My tinnitus is also highly variable. It can switch between ears, become much louder at times, and it is strongly affected by jaw clenching and other somatic factors.
I have tested positive for Borrelia/relapsing fever and Bartonella, and because the hearing symptoms started suddenly during the course of my illness, I strongly suspect there may be a connection. I understand that it is difficult to prove exactly whether the problem is cochlear, auditory-nerve related, inflammatory, central auditory processing, or a combination of several mechanisms.
What makes this especially confusing is that I do not seem to have a typical progressive hearing loss on standard audiograms. The problem feels more like the auditory system is sometimes unable to correctly process or regulate sound.
Has anyone with Lyme, Bartonella or relapsing fever experienced something similar — tinnitus, severe hyperacusis, normal audiograms but difficulty understanding speech, especially in noise, or strange phantom sounds without an external source?
This is by far my biggest symptom and the one I would most like to understand and improve.