Tinnitus (Ringing in the Ears)

Tinnitus (Ringing in the Ears) | What to do about it? | ENT

What is tinnitus?

Tinnitus is a medical term for ringing or ringing in the ears. Many people call tinnitus “ringing in the ears.” However, you can hear more than a ringtone. If you have this disease, you may also hear:

  • Roar
  • Noise
  • Whistles

Even if you hear sounds in your ears, there is no external sound source. This means that there is nothing near your head that causes the sounds you hear. For this reason, the sounds of tinnitus are sometimes called phantom sounds.

Tinnitus is frustrating. Sometimes the sounds you hear interfere with hearing the real sounds around you. Tinnitus occurs with depression, anxiety, and stress. You may experience tinnitus in one or both ears. People of all ages can develop tinnitus, but it is more common in adults.

Tinnitus can be objective or subjective. Objective tinnitus means that you and other people can hear certain sounds in your ears. This is usually due to abnormal blood vessels in and around your ears. When your heart beats, you and others may hear a different pulsing sound.

Objective tinnitus is very rare. Subjective tinnitus is very common. Only you can hear the roars, chimes, and other sounds of subjective tinnitus. 

Symptoms of tinnitus

Tinnitus involves the sensation of hearing a noise when there is no external noise. Symptoms of tinnitus can include these types of phantom sounds in your ears:

  • Sonar
  • noise
  • Roar
  • Clicking
  • Whistle
  • Buzzer

Phantom noise can range in pitch from a low roar to a high burst and you can hear it in one or both ears. In some cases, the sound may be so loud that it interferes with your ability to concentrate or hear outside sounds. It can be present at all times or it can come and go.

There are two types of tinnitus.

  • Subjective tinnitus: This means that you can only hear. This is the most common type of tinnitus. It can be caused by an ear problem in the outer, middle, or inner ear. It can also be caused by the auditory (auditory) nerves or by parts of my brain that interpret nerve signals as sound (auditory pathways).
  • Target tinnitus: Tinnitus is something your doctor can hear when testing. This rare type of this disease can be caused by a vascular problem, a condition of the middle ear bone, or a muscle contraction.

What causes tinnitus?

Prolonged exposure to loud noise is the most common cause of tinnitus. Up to 90% of people with this disease have some degree of noise-induced hearing loss. Noise causes permanent damage to the sound-sensitive cells of the spiral-shaped cochlea in the inner ear. Carpenters, pilots, rock musicians, street repair workers, and landscapers were among those who worked, worked with chainsaws, guns, or other large equipment, or repeatedly listened to loud music. Sudden exposure to loud noises can also cause tinnitus.

Many other conditions and diseases can lead to this disease, including:

  • Wax, ear infection or, more rarely, ear blockage is a benign tumor of the nerve that allows us to hear (auditory nerve)
  • Some medications, especially aspirin, include a variety of antibiotics, anti-inflammatory medications, loop diuretics, and antidepressants, as well as quinine medications; It has been reported to be a side effect of approximately 200 prescription and non-prescription medications.
  • The natural aging process causes atrophy of the cochlea or other parts of the ear.
  • Meniere’s disease affects the inner part of the ear.
  • Otosclerosis, a disease that causes the small bones of the middle ear to harden.
  • Other medical conditions such as high blood pressure, cardiovascular disease, circulatory problems, anemia, allergies, thyroid gland dysfunction, autoimmune diseases, and diabetes.
  • Neck or jaw problems, such as temporomandibular joint syndrome (TMJ)
  • Head and neck injuries
  • Some people develop this disease from things like drinking alcohol, smoking cigarettes, drinking caffeinated beverages, or eating certain foods. Stress and fatigue can make this disease worse for reasons that are completely unknown to researchers.

Risk factors for tinnitus

Anyone can experience this disease, but these factors increase your risk:

  • Exposure to loud noises: Long-term exposure to loud noises can damage the tiny sensory hair cells in your ear, which transmit sound to your brain. People who work in noisy environments – factory and construction workers, musicians, and soldiers – are at particular risk.
  • Years: As you age, the number of nerve fibres working in your ears decreases, possibly causing hearing problems associated with this disease.
  • Gender: Men are more likely to experience this disease
  • Of smoking: Smokers are at risk for this disease
  • Cardiovascular problems: Conditions that affect your blood flow, such as high blood pressure or narrowing of the arteries (atherosclerosis), increase your risk of this disease.

Tinnitus diagnosis

Anyone experiencing this should visit a doctor for tests and evaluations to determine the root cause. A medical evaluation can rule out rare but fatal causes of this disease. Referral to an otolaryngologist or an ear, nose, and throat specialist may be necessary.

The doctor’s questions include:

  • How or when did it start?
  • Are the sounds consistent, intermittent, or pulsating?
  • Do you have hearing loss or dizziness?
  • Is there any pain or clicking in the jaw?
  • Have you had a recent illness or injury?
  • Has there been any exposure to loud noises like rock concerts or explosives?

Exams may include:

  • A comprehensive examination of the ear, head, neck, and torso
  • Hearing tests
  • Laboratory blood tests
  • Imaging studies

Tinnitus treatment

Treatment for the underlying health condition

To treat this disease, your doctor will first try to identify any underlying treatable conditions associated with your symptoms. If this is due to a health problem, your doctor can take steps to reduce the noise. Examples:

  • Wax removal: Removing the affected ear wax will reduce the symptoms of this disease.
  • Treatment for vascular conditions: Underlying vascular conditions require medication, surgery, or other treatment to fix the problem.
  • Change your medications: If your medicine seems to cause this disease, your doctor may recommend stopping or reducing the stopping of medicine or switching to another medicine.

Noise suppression

In some cases, white noise helps suppress sound, making it less annoying. Your doctor may suggest the use of an electronic device to suppress the noise. Devices include:

  • White noise machines: These devices, which produce simulated ambient sounds like rain or ocean waves, are often an effective treatment for this disease. You can try a white noise machine with pillow-like speakers to help you sleep. Bedroom fans, humidifiers, dehumidifiers, and air conditioners can also help cover indoor noise at night.
  • Headphones: These are especially helpful if you have hearing problems in addition to this disease.
  • Masking equipment: Used in the ear and similar to hearing aids, these devices produce a continuous low-level white noise that suppresses the symptoms of this disease.
  • Tinnitus retraining: The portable device provides individually programmed tonal music to mask the specific tinnitus frequencies you experience. Over time, this technique will get you used to this disease, thus helping you avoid concentrating on it. Counselling is often part of tinnitus retraining.


Ugs medications do not cure this disease, but in some cases, they can help reduce the severity of symptoms or problems. Possible medications include:

  • Tricyclic antidepressants, such as amitriptyline and nortriptyline, have been used with some success. However, these medications are generally only used for severe tinnitus because they can cause troublesome side effects, such as dry mouth, blurred vision, constipation, and heart problems.
  • Alprazolam (Ganax) helps reduce these symptoms, but side effects include drowsiness and nausea. It also becomes a habit.

Complications of tinnitus

It can significantly affect the quality of life. Although it affects people differently, if you have this disease, you may also experience:

  • Fatigue
  • Stress
  • Trouble sleeping
  • Concentration problems
  • Memory problems
  • Depression
  • Anxiety and irritability

Treating these connecting conditions may not directly affect this, but it may make you feel better.

Prevention of tinnitus

In many cases, it is an inevitable result. However, some precautions can help prevent certain types of disease.

  • Wear hearing protection: Over time, exposure to loud noise can damage the nerves in the ears and lead to hearing loss and tinnitus. If you use chainsaws, musicians, work in an industry that uses noisy machines or uses guns (especially pistols or shotguns), always wears ear protection.
  • Use Low volume: Prolonged exposure to unprotected music or listening to large amounts of music through headphones can cause hearing loss and tinnitus.
  • Take care of the health of your heart: Exercising regularly, eating a proper diet, and taking other steps to keep your blood vessels healthy can help prevent this disease associated with vascular disorders.

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