Tinnitus


Ringing in the ear


  • In this condition, there is a noise heard in the absence of an actual source for the sound.

  • May be associated with varying degrees of hearing loss.
  • The sounds heard in Tinnitus are of ringing, whooshing, roaring, high-pitched hissing, buzzing, and whistling in one or both ears.
  • May be continuous or periodic

  • Spherical damage to the inner ear structure of tiny nerve endings that carry information to the brain.
  • The majority of cases, especially in the young, are due to the cumulative effect of loud noises higher than 90 decibels.
  • Otosclerosis -- stiffening in the bones of the middle ear
  • Wax build up in the air can give temporarily tinnitus
  • High or Low Blood Pressure
  • Circulatory problems bring about the hardening of arteries due to age
  • Aneurysms
  • Medications -- Antibiotics (e.g., aminoglycosides), Anti-inflammatory medications (e.g. aspirin) and Antidepressants
  • Sinus infections
  • Ear infections
  • Head and neck trauma
  • Temporomandibular joint misalignment of the jaw
  • Diabetes

  • A diagnosis is difficult unless there is evidence for underlying disorders such as aneurysms.
  • An ENT doctor may be consulted
  • A hearing test may be done

  • See causes
  • Old age
  • Factory workers, excessive riding of lawn mowers, or working in night clubs

  • Treat the underlying cause
  • Change the offending medication or reduce the dosage
  • Control blood pressure
  • Correct TMJ problems
  • Hearing aids may be prescribed
  • Hypnosis may help
  • Masking devices can be worn that mask the noise of Tinnitus
  • In severe cases, Cochlear implants may be placed.  This surgical procedure is used as a last resort.
  • Reduce salt, coffee, alcohol, tobacco and increase fluid intake (e.g., water)
  • Supplements such as vitamins (e.g., B), Minerals (e.g., zinc, Magnesium) and herbs (e.g., Gingko biloba) may help.
  • Biofeedback and other relaxation exercises may help.
  • Medications may be prescribed.

  • Avoid events where there may be "blasting" sounds, such as a concert or club.
  • Wear earmuffs at work or in noisy environments
  • Check your blood pressure if you are at risk for High Blood Pressure
    .