Tinnitus


Last Updated December 20th, 2021

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.

 

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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These are the top foods to increase your hemoglobin count It is important to add iron-rich foods into your diet in order to increase hemoglobin. Deficiency of hemoglobin could…
PROLACTIN-(PRL)
Prolactin Test (PRL) Prolactin or PRL is a lactogenic hormone produced to induce milk production in lactating mothers. PRL test measures…
blood elements analysis
Vitamin Profile Your doctor will recommend you undergo the vitamin profile test if you are showing signs of either vitamin…
Hemp Seeds: The actual science behind this controversial crop Inspite of being credited as a superfood, hemp seeds are still shrouded with layers of controversies. Are these…
dandelion weight loss
Caralluma Fimbriata: How to eat this cactus to lose weight Caralluma fimbriata is a miracle cactus that can be safely consumed by most for losing weight and boosting…
Experts reveal the safest ways to perform an enema at home The idea of pushing some up your rectal area might make you queasy but an enema could actually…
maltodextrin sugar
Maltodextrin: What are the hidden health benefits of this food additive? Maltodextrin is one of the few food additives that has been relatively deemed safe. Many experts now have…
Ca 19.9 test
CA19.9 Test CA 19.9 is a cancer antigen that exists on the surface of cancer-causing cells. The levels of CA…
Is bronchitis contagious? And how to prevent this infection? It is acute bronchitis that is contagious which means you can contract it from another person or you…
Vitamin K2: 8 reasons why you need this bone-building & cancer-fighting nutrient Vitamin K2 is claimed to be essential for your bone health, for reducing the risk of cancer, and…
Crossfit with rope
CrossFit: Now get the perfectly sculpted body with this explosive gym routine CrossFit is a fitness regimen that makes use of high-intensity exercises in a shorter period to achieve muscle…
free thyroxine ft4
Free thyroxine test (FT4) The FT4 or free thyroxine test is used to detect the level of free thyroxine of FT4 thyroid…
leptospira Igm test
Leptospira-IgM Test A Leptospira-IgM test is a blood test which is carried out to detect anti-Leptospira IgM antibody. Leptospirosis is…
diverticulitis diet
Diverticulitis diet: The right way to eat if you suffer from the disease Are you suffering from diverticultis but clueless about your diet ? Read this complete plan for diverticulitis diet…
cytomegalovirus iGG
Cytomegalovirus (CMV)- IgG Test The cytomegalovirus IgG is the immunoglobulin protein produced by our immune system when the body is infected by…
Hepatitis A virus infected liver
Hepatitis A Virus (HAV) Total Blood test to look for IgM antibodies to know if you are infected with Hepatitis A virus (HAV),…
low carb diet meal
Low carb diet : Go high on fats and low on carbs for a leaner body! Did you know that sugar is the new fat? Going low on carbs and high on fats &…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
Exercises or diet? Find out the healthiest way to gain weight Tired of being called skinny all the time? Looking for healthy ways to beef up? Why not try…
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.…
Okra: How can this nutrient-dense vegetable help you fight diabetes? Okra is a food which is rich in nutrients and minerals which are extremely essential for a healthy…
Water Fasting: What are the pros and cons of this practice? Fasting is defined as a procedure that involves the restriction of food intake. This practice has been widely…
black seed oil benefits
Black Seed Oil: What secret benefits could it bestow on your health? Black seeds or nigella seeds are tiny packets of health brimming with amazing benefits. Find out why should…
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.
Barium-enema
Barium Enema Barium enema is also known as colon x-ray. Here, the patient is asked to consume small amount of…
lipase test
Lipase Test A lipase test is a blood test performed to quantitatively measure the level of the enzyme lipase in…
Tissue Transglutaminase Antibody (tTG) Test Transglutaminase is an enzyme present in our body and is involved in protein metabolism. A tTg test is…
Paleo snack
Paleo snacks Paleo snacks are healthy diet options that emphasize fresh foods and eliminate processed foods, dairy products, and sugar.
The Shepherd's diet
Facts about the Shepherd’s diet Kristina Wilds promoted Shepherd's diet, a Christian-based diet that highlights Jesus Christ's diet as mentioned in the Bible.
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…

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