A suggestion here wmorri,
Or try this here and see if this helps you:
1. Winamp > Ctrl+P (for preferences)
2. Plug-ins > Output
3. double click 'DirectSound output'
4. Driver tab
5. make sure the device in the drop-down list correctly reflects your soundcard
-and/or-
1. Control Panel
2. Sounds & Audio Devices icon (or MultiMedia Icon)
3. Audio tab
4. in 'Sound playback' make sure the 'Default device:' drop-down box correctly reflects your soundcard
What version of directx are you using?
Theres a newer version of wine now 1.1.24:
http://www.winehq.org/site/download