I can't answer your questions, but I'm glad to hear you are getting some recovery of hearing. Your hearing loss sounds very similar to mine--normal to 500 Hz, then a steep fall at 750 Hz, down to 65-100 dB in the higher frequencies. I had no recovery whatsoever.
I was given a higher initial dose of prednisone--60 mg, if I remember correctly.
Good luck--I hope you continue to improve. Thanks for posting your results.
I went to a specialist the day after I posted my first comment. He looked inside my ears and see nothing and a normal ear drum. Then he did an audio test, I had profound hearing loss in my left ear. Basically over 90db loss.
He didn't exactly explain what happened but instantly prescribed 40mg of prednisone for 10 days and taper off 20mg then 10mg then 5mg for 9 days going half every 3 days. I am on my last day today and I did an audio test at some hearing aid place 3 days ago. Up to 750 hz, I have full recovery but it drops steeply to 65 db for all other higher frequencies.
The same day I started prednisone I started Chinese medicine taken atleast 4-5 hrs apart, vitamin supplements (A,E,B complex, zinc, magnesium, calcium) atleast 3 hours apart and hyperbaric oxygen therapy. I basically did everything I found online. Not sure which helped but I can use my left to talk on the phone with normal volume.
I am writing to share my experience and also want to ask about other people's recovery path. The first 7 days, the lower frequency sounds registered or made a buzz in my ears but not really a defined sound, then by the 15th day I can hear them more clearly. Now, my ears are reacting to higher frequencies, but again not very clear, what are the chances of them coming back?
Whoops, I see that an expert had already answered this question, which was posted twice.
Did either of these doctors do ANY test of your hearing? I think there is a tuning-fork test that can distinguish conductive from sensorineural loss.
I went a MONTH with NO test whatsoever of my hearing and yes, my sudden hearing loss was permament. However, I did not have any fluid in my ears, per those first doctors--who blew me off anyway.
I can't answer your question as to whether fluid in the middle ear is by itself good enough to rule out sensorineural hearing loss. Sudden sensorineural hearing loss is rare and middle-ear fluid is common, so doctors are going to assume that fluid is the cause.
Hopefully an audiologist will weigh in here.