Tinnitus
Also known as: Ringing in the ears
Tinnitus is the perception of ringing, buzzing, hissing, or other sounds in the ears when no external sound is present. It is not a disease itself but a symptom of an underlying condition such as hearing loss, ear injury, or circulatory problems. While tinnitus can be bothersome, various management strategies can significantly reduce its impact on daily life.
Symptoms
Causes
- Age-related hearing loss (presbycusis)
- Noise-induced hearing damage from loud environments
- Earwax blockage
- Changes in the ear bones from otosclerosis
- Meniere's disease
- TMJ disorders
Risk Factors
- Prolonged exposure to loud noise
- Age over 60
- Male sex
- Smoking
- Cardiovascular conditions
- Ototoxic medications
Diagnosis
- Audiological examination and hearing tests
- Physical examination of the ears, head, and neck
- Imaging such as CT or MRI to rule out structural causes
- Blood tests if vascular or metabolic cause is suspected
Treatment
- Hearing aids if hearing loss is present
- Sound therapy using white noise or masking devices
- Cognitive behavioral therapy to manage emotional impact
- Tinnitus retraining therapy
- Treating underlying conditions such as earwax removal or medication changes
- Medications for associated anxiety or depression
Prevention
- Using hearing protection in loud environments
- Limiting exposure to loud music and noise
- Maintaining cardiovascular health
- Avoiding ototoxic medications when possible
When to See a Doctor
- Tinnitus that develops suddenly or in one ear only
- Tinnitus accompanied by hearing loss or dizziness
- Pulsatile tinnitus that sounds like a heartbeat
- Tinnitus that significantly affects daily life or sleep
Frequently Asked Questions
Related Conditions
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