Comprehensive Guide to Understanding Tinnitus: Symptoms Causes and Treatment

Dr. Anita Bhandari
3 min readSep 20, 2023

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Tinnitus

Tinnitus is characterized by the perception of ringing or other sounds unrelated to external stimuli in one or both ears. While this condition typically lasts a few months for most individuals, it can become a chronic issue for some. It affects approximately 15% to 20% of the adult population and can be improved through treatments targeting its underlying causes or the reduction of associated noise.

What Causes Tinnitus, and What Are Its Symptoms?

Tinnitus can manifest as phantom sounds in the ears, including buzzing, roaring, clicking, hissing, or humming. These sounds may persist without external noise and sometimes disrupt one’s ability to concentrate or hear external sounds. Tinnitus can be constant or intermittent; in some cases, it syncs with the heartbeat, a condition known as pulsatile tinnitus, which a doctor can identify during an examination.

Common causes of tinnitus include:

1. Hearing loss

2. Exposure to loud noises causes stress

3. Head injuries

4. Medication side effects

5. Blood pressure fluctuations

6. Earwax buildup

7. Fluid accumulation in the eardrum

8. Issues with blood vessels, the heart, the jaw, the neck, or teeth

When to seek medical attention for Tinnitus

If you experience the following symptoms, it’s advisable to consult an otolaryngologist (ear, nose, and throat specialist):

1. Pulsatile tinnitus (sounds like your heartbeat)

2. Rapid or fluctuating hearing loss associated with tinnitus

3. Tinnitus causes imbalance or dizziness

4. Tinnitus emerges after an upper respiratory illness and persists for more than a week.

Risks and complications associated with Tinnitus

While tinnitus can affect anyone, certain factors may increase the risk:

1. Exposure to loud noises, such as in construction or music-related professions

2. Age-related hearing changes

3. Higher prevalence in males

4. Health conditions like obesity, cardiovascular issues, arthritis, or head injuries

Complications that individuals with tinnitus may face include fatigue, stress, sleep disturbances, concentration difficulties, memory problems, depression, anxiety, irritability, headaches, and challenges in both family and work life.

Preventing Tinnitus

Although not always preventable, some measures can reduce the risk of specific types of tinnitus:

1. Use hearing protection when exposed to loud noises.

2. Limit the volume of music and use ear protection when listening through headphones.

3. Maintain cardiovascular health through regular exercise, a balanced diet, and a healthy lifestyle.

4. Reduce caffeine, alcohol, and nicotine consumption, as they can affect blood flow and contribute to tinnitus.

Diagnosing and treating Tinnitus

Doctors use various tests to diagnose tinnitus, including audiology tests, imaging studies like CT & MRI scans, blood tests to check for underlying conditions.

Treatment options depend on the underlying cause and may include:

1. Removing earwax obstructions.

2. Addressing underlying blood vessel disorders through surgery, medication, or other therapies.

3. Using hearing aids to manage tinnitus associated with hearing loss.

4. Adjusting or discontinuing medications that could trigger tinnitus.

Conclusion

Tinnitus varies in its impact on individuals but can significantly affect their quality of life. Early identification of symptoms is essential to prevent them from worsening. The most common type of tinnitus is a persistent, high-pitched ringing, which, while uncomfortable, is typically not a cause for concern.

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