Tinnitus


Last Updated August 16th, 2019

Tinnitus is a condition described by the perception of sounds in the absence of any external sounds. It could be an indicator of a number of underlying health conditions such as age-related hearing disorder or even heart diseases. It is not an actual disease, it is usually treated as a symptom. At times, certain neurological issues could also lead to a ringing noise.
Tinnitus is defined as a sensation of noise (usually a ringing sound) that is typically caused by a bodily condition and can only be heard by the affected person. It is the condition where you hear noises and ringing sounds even though these sounds don’t exist externally.
Tinnitus is not a rare condition, in fact studies reveal that 1 out of every 5 people have this tendency. If you are have occupational exposure to high levels of noise, you might be at high risk of tinnitus. People generally hear continuous ringing noises and sometimes they can also hear a low sizzling noise (the sound of butter sizzling on a pan). Low pitched whistling noises are also heard in case of tinnitus. Many people complain that these noises keeps them awake at night.

What Is Tinnitus?

Have you ever experienced a sensation of ringing in your ears? Perhaps you have experienced other abnormal sounds such as a whistling, buzzing or hissing in your ears when no one else could. The sound may have become more intense or it might have faded away only to return again. Some patients observe that such sounds tend to be more prominently felt when the surroundings are particularly quiet. You may even have felt a throbbing sound that coincided with your pulse or heartbeat. This condition is known as tinnitus.

It is defined as the perception of sound in the absence of any actual external sounds. This can be temporary or persistent. It is a symptom associated with a variety of disorders ranging from metabolic disorders or cardiovascular disease or even psychological stress and depression. While this sensation can be disturbing and disconcerting, it does not necessarily mean that there is anything seriously wrong with your health.

 

Why Do Some People Suffer From Tinnitus?

When a person develops tinnitus, this may be an early sign of age-related hearing loss. However, it could also be a symptom of something more serious. Tinnitus, in fact, is not a disease in itself. Instead, it is a symptom that can indicate a variety of possible disorders.

Sometimes, there is a physical obstruction in the ear which may be no more than a buildup of earwax. Other times, there is serious neurological damage that is responsible for the abnormal sounds that the patient is hearing.

A fuller list of possible causes includes:

  • Exposure to loud noises.
  • Age-related hearing loss.
  • Stress.
  • Atherosclerosis.
  • Hypertension.
  • Head congestion.
  • Nasal congestion.
  • Excessive buildup of earwax in the ear canal.
  • A foreign object blocking the middle ear.
  • Stiffening of the bone in the middle ear.
  • Sudden changes in air pressure.
  • Anemia.
  • Acoustic neuroma.
  • Meniere’s disease.
  • Otosclerosis.
  • Depression.
  • Disorders affecting the temporomandibular joint.
  • Neurological problems as a result of head or neck trauma.
  • A side-effect of certain prescription medications. This includes antibiotics, non-steroidal anti-inflammatory drugs, and antibiotics.
  • Endocrine disorders such as an overactive or underactive thyroid gland.
  • Infectious disease such as Lyme disease.
  • Autoimmune disorder as in the case of fibromyalgia.

 

What Are The Symptoms?

Tinnitus itself is a symptom that could be caused by a variety of different conditions, as we have just seen. It is characterized by abnormal auditory sensations. It is often described as a ringing in the ear. More details follow:

  • A ringing, buzzing, hissing or roaring sound in the ears. This does not correspond with any external sounds.
  • Unusual sensitivity to sound.
  • Symptoms may worsen when the person is suffering from stress or fatigue.
  • The intensity of the symptoms may vary over the course of the day.
  • The patient may not notice the sounds as much when they are busy or mentally engaged in some other activity.
  • Symptoms vary when the patient moves their head, eyes or jaw in a certain manner.
  • The condition may be unilateral or bilateral.
  • Irritability.
  • Anxiety.

 

Are There Different Types Of Tinnitus?

Yes. Generally speaking, there is a very simple method of classifying different cases of tinnitus. Primary tinnitus is any condition in which the symptoms have no apparent cause, although this may be related to hearing loss. Secondary tinnitus is any case of tinnitus that can be linked with an identifiable cause whether that might be a medical condition, trauma or occupational exposure.

There is another, more detailed, scheme of classification depending on the nature of the cause for the condition:

  • Subjective tinnitus: This is the most common form of tinnitus. It is often associated with long-term exposure to loud noises. This is common in instances of occupational exposure to loud sounds for extended periods of time. Construction workers or miners are examples of individuals who suffer such exposure as an occupational hazard. Tinnitus could also be caused by a single instance of exposure to loud noises.
  • Objective tinnitus: This is a very rare form of tinnitus. In fact, the sounds perceived by the patient can actually be heard by another individual by means of a microphone placed in the patient’s ear. The cause may be put down to muscle contractions or abnormalities in blood vessels.
  • Neurological tinnitus: There is a neurological basis for the abnormal auditory symptoms experienced by the patient. For instance, this may be caused by a condition such as Meniere’s disease.
  • Somatic tinnitus: This type of tinnitus tends to affect only one ear. It tends to originate with a problem in the sensory system. Otherwise, it may be influenced by changes in the sensory system. Certain kinds of muscle spasms or a disorder of the temporomandibular joint are examples of conditions that can lead to somatic tinnitus.

Tinnitus can also be classified according to the quality of the abnormal auditory sensations. These different types are described below in brief:

  • Pulsatile tinnitus: In this case, tinnitus manifests in a rhythmic fashion coinciding with the patient’s heartbeat. There may be a vascular disorder responsible for it.
  • Musical tinnitus: The auditory sensations experienced by the patient actually come together to create a melody or musical sounds.
  • Low-frequency tinnitus: The patient generally complains of a low-frequency rumbling or murmuring in their ear.

 

Are There Likely To Be Any Complications?

Having tinnitus can be disturbing and even debilitating. It can interfere with the patient’s ability to perform simple everyday tasks. If this condition persists for an extended period of time, the patient can become depressed or withdrawn and this can affect their social life, professional life and overall quality of life.

They may not be able to sleep normally. The loss of healthy sleep can lead to a variety of disturbances and deficits. For instance, the person may find it difficult to remain alert and concentrate mentally.

 

Diagnosis, treatment, & prevention

Tinnitus in itself is easy to diagnose based on the patient’s description of symptoms. However, the process of diagnosis does not end here. Your doctor will need to find out what is responsible for the abnormal auditory sensations you are suffering from. In order to do this, certain other tests or diagnostic procedures may be performed. Following a simple hearing test, you may be referred to a specialist for further clarity as to the cause. You may need to undergo diagnostic imaging which can help to identify tumors of foreign objects in the ear canal.

The treatment is by first addressing any underlying health issue associated with the condition (if any). Some of the health issues that might be associated with tinnitus are:

  • Vascular conditions– A blood vessel condition (tumor, aneurysm, atherosclerosis etc.) might be associated with the symptoms of tinnitus. Conditions such as carotid atherosclerosis might lead to pulsatile tinnitus. Medications, surgery etc. might be employed to treat the condition.
  • Vestibular neuritis– A viral infection of the inner ear can lead to tinnitus. Antiviral drugs can be prescribed based on the severity of the disease.
  • Impacted ear wax– Impacted ear wax can be removed by a professional in order to treat tinnitus.

Using a different medication– Antibiotics (such as erythromycin,  polymyxin B, vancomycin, and neomycin) cancer medications (such as mechlorethamine, vincristine etc. ), water pills or diuretics (such as bumetanide, ethacrynic acid or furosemide) etc. can cause tinnitus. Getting a replacement drug prescribed can help in overcoming the symptoms of tinnitus.

Noise Suppression: Suppression of the tinnitus noise with the help white noise can be done. Use of white noise machines, hearing aids, masking devices and tinnitus retraining devices can reduce the noise.

Medications: Some drugs can help in reducing the severity of the symptoms of tinnitus. Some of these drugs are- Alprazolam, Tricyclic antidepressants (such as amitriptyline and nortriptyline) etc.

Transcranial Magnetic Stimulation (TMS): Neuromodulation using TMS can help in some cases of tinnitus. It is a painless and non-invasive procedure.

Counseling and Education: Counseling by a psychologist or a licensed therapist can help the individual in coping with anxiety and depression related to the condition. Education about the condition can help in learning about the triggers of the condition.

Support groups can help to learn methods to cope with the condition and live healthily. Avoiding the irritants and triggers can help in the prevention of tinnitus. Protecting the ear from damage due to various conditions can also help in preventing tinnitus.

 

Facts

  • As per the information furnished by the Centers for Disease Control and Prevention (CDC), around 4±3.4 million individuals experience tinnitus out of 222.1±3.4 million American adults.
  • Approximately 7.2 % of individuals consider tinnitus as a major problem in contrast to around 41.6% individuals who consider it a minor problem.

Facts

  • According to CDC, only 49.4% of individuals suffering from tinnitus seek medical attention.
  • Out of all the cases of tinnitus discussed with a physician, around 45.5% were recommended medications, 9.2%-hearing aids, 4.9%- masking devices, and 0.2%- cognitive-behavioral therapy.
  • Tiny hair cells present deep inside the ear are responsible for the sense of hearing.

Facts

  • Hearing loss is usually experienced by individuals under the age of 65 years.
  • Your sense of hearing might get damaged permanently even after a single exposure to loud noise such as an explosion, shotgun blast etc.
  • Your ears work all the time even while sleeping. However, since the brain does not process the sound while you sleep, you cannot hear.

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Tinnitus is a condition described by the perception of sounds in the absence of any external sounds. It could be an indicator of a number of underlying health conditions such as age-related hearing disorder or even heart diseases. It is not an actual disease, it is usually treated as a symptom. At times, certain neurological issues could also lead to a ringing noise.
Tinnitus is defined as a sensation of noise (usually a ringing sound) that is typically caused by a bodily condition and can only be heard by the affected person. It is the condition where you hear noises and ringing sounds even though these sounds don’t exist externally.
Tinnitus is not a rare condition, in fact studies reveal that 1 out of every 5 people have this tendency. If you are have occupational exposure to high levels of noise, you might be at high risk of tinnitus. People generally hear continuous ringing noises and sometimes they can also hear a low sizzling noise (the sound of butter sizzling on a pan). Low pitched whistling noises are also heard in case of tinnitus. Many people complain that these noises keeps them awake at night.

 

Dos and Don'ts

Dos
  • Mask the noise. Make use of low-volume radio static, soft music or a fan to help in overcoming the noise from tinnitus in a quiet setting.
  • Use earplugs, noise canceling headphones etc. to protect your ears from the harsh loud noise.
  • Stress management. Stress can worsen the symptoms of tinnitus. Stress can be managed by meditation, biofeedback therapy, exercise, mindful breathing techniques etc.
Don'ts
  • Have excessive alcohol consumption. Alcohol might increase the blood flow in the inner ear region by dilating the blood vessels and thereby worsening the symptoms.
  • Expose yourself to potential irritants. Avoid or try reducing the consumption of substances such as salt, refined and simple sugars, sugar substitutes, flavor enhancers (such as monosodium glutamate), caffeine etc.
  • Indulge in smoking. Nicotine in the cigarettes and carbon monoxide can deprive the ear of the oxygen supply and cause irreversible damage to the eardrum and cochlea.

 

 

 

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Bubble Tea: Bubbling with nutrition or a hidden sugar mine? The tapioca pearls present in the tea looks like bubbles and hence the name bubble tea became popular.…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
Tissue Transglutaminase Antibody (tTG) Test Transglutaminase is an enzyme present in our body and is involved in protein metabolism. A tTg test is…
Hysteroscopy_procedure
Hysteroscopy Hysteroscopy is a minimally invasive tool to help specialists view the uterus to diagnose and even treat several…
elements 22 test
Element 22 test (Nutrients & Toxicity) The element 22 test is used for measuring and monitoring the levels of heavy metals and some nutrients…
hidden benefits walking
9 benefits of walking we bet you didn’t know! Did you know walking can be the miracle pill for eternal youth? Everyone knows walking is good for…
eating disorder anorexia
Eating Disorders: Lifestyle choice or a psychological condition? Is eating disorder just a harmless bad habit? Or does it represent grim psychological disorders? Do you want…
vital organ diseases
Common diseases that could cripple your vital organs Brain, heart, kidney, lungs, and liver - these vital organs are indeed vital for your survival. However, these…
Jackfruit: Slice your way into higher immunity, better digestion, & more… Native to the South East Asia, the jackfruit is a fruit brimming with thousands of health benefits. Discover…
Kava: Is it the healthy substitute for alcohol you have been waiting for? Native to the beautiful South Pacific islands, Kava is a famous beverage rooted in the local culture. It…
Find all the instant ways to get rid of blackheads Blackheads - Not only are they aesthetically unappealing but if left untreated these can cause bacterial overgrowth on…
Quinine: How gin and tonic came to be known as a potent health elixir The discovery of quinine-containing tree bark is sometimes considered the most serendipitous medical discovery of the 17th century.
Vitamin b12
Vitamin B12 Test Vitamin b12 is an essential nutrient required for healthy functioning of the nervous system and also development of…
reflexology massage
Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
EMG electromyography
EMG- Electromyography EMG detects the presence, location, and extent of diseases that damage the nerves such motor neuron disease. Electromyography…
ketoacidosis diabetes
HB1Ac Test HB1Ac test is an important blood test that is used to measure the levels of glycated hemoglobin in…
Hibiscus: Nourish your beauty and health with these vibrant blooms Hibiscus is a trumpet shaped flower found abundantly in tropical countries. It has been historically used for its…
waterchestnut
Water Chestnuts: The tastiest ways to include this healthy tuber in your diet Water chestnut is not a nut after all. It is a tuber (much like the potatoes) growing close…
Erythritol: A healthy sugar substitute or yet another marketing ploy? Erythritol is a popular choice of a healthy alternative sweetening agent in foods. But how healthy can a…
Chest X-Ray A chest x-ray is a diagnostic test that uses x-rays to visualize the structures inside your chest. It…
lithium test
Lithium test A lithium test is a blood test that is used to diagnose conditions of acute and chronic lithium…
beta 2 glycoprotein 1 igm
Beta 2 Glycoprotein 1 IgM The Beta 2 glycoprotein 1 IgM test detects IgM class of antibodies in the blood.The presence of beta-2…
lipase test
Lipase Test A lipase test is a blood test performed to quantitatively measure the level of the enzyme lipase in…
paleo profile test
Paleo profile  The Paleo profile is a series of tests which helps in measuring and monitoring various lifestyle diseases caused…
cancer facts
8 hard-hitting truths no one tells you about cancer Did you know that 1.5 million new cases of cancer are reported every year? Can second-hand smoking kill…
Jicama: A fiber-rich tuber for your weight loss goals Pronouced as HEE-kah-ma, Jicama is the "new kid on the block" that has taken the world by the…
Spirulina: Battle diabetes and cholesterol with this blue-green algae Spirulina, a species of salt water algae, has now become a billion dollar industry. How you can use…