What Is The Most Effective Treatment For Tinnitus?
Who gets tinnitus?
Tinnitus (pronounced either “TIN-uh-tus” or “tin-NY-tus”) is a sound in the ears, like ringing, buzzing, whistling, or even roaring. It can come and go or can be continuous. It can also range in pitch from low to high.
With over 45 million Americans experiencing tinnitus, it is a common health condition, especially in men over 40. It is also common in veterans who were exposed to bomb blasts that damaged their brain’s auditory function.
What is tinnitus?
It is not clear why the brain hears sounds that do not exist. There are two forms of tinnitus — subjective and objective. With subjective tinnitus only you can hear the sounds. With objective tinnitus, which is rare, others can also hear the sounds.
Tinnitus usually starts in the inner ear, often from damage to the hair cells in the cochlea.
The subjective variety occurs in over 99% of cases. It usually starts in the inner ear, often from damage to the hair cells in the cochlea. Some tinnitus is chronic (ongoing) while some people experience acute episodes of tinnitus.
Pulsatile tinnitus is where you can hear your heartbeat inside the ear, usually at night when it is quiet.
Tinnitus is not a disease, but rather a symptom of some other underlying health condition such as:
- Ear infection
- Neurological problem or damage
- Heart disease
- Thyroid issue
- Pregnancy
- Pressure in the sinus
- Traumatic brain injury
- Meniere’s disease
The condition can occur anywhere from the outer ear, the inner ear, or even in the brain where it tries to compensate for hearing loss {Harvard Health Publishing: “Tinnitus: Ringing in the ears and what to do about it.”}. It is common in veterans who were exposed to bomb blasts that damaged their brain’s auditory function.
Tinnitus can also be a side effect of taking an ototoxic prescription. Over 200 medications can cause ringing in the ears when beginning or ending a prescription.
Other causes of tinnitus may include:
- Hearing loss due to age
- Excessive noise
- Middle ear obstruction
- Build-up of earwax
- Congestion
- Dirt or foreign objects in the ear canal
- Head or neck trauma
- Scuba diving or snorkeling
- Extreme elevation changes while flying
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Certain antibiotics
- Certain cancer medications
- Diuretics
Of people experiencing tinnitus, 40% have a lower tolerance or dislike for environmental sounds.
Diagnosis for tinnitus
Your doctor can examine you for problems with medications or hypertension or can refer you to a specialist for further testing. Tests for tinnitus can include:
- An audiogram to measure hearing across frequencies
- A tympanogram to measure the eardrum’s flexibility
- An otoacoustic emission test to measure hair cell functionality
- An auditory brainstem response test to measure how sound signals travel to the brain
- An electrocochleography test to measure how sound signals travel to the hearing nerve
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