How to get rid of tinnitus?

Question:

I listen to a lot of music and it's causing this really loud whistling in my ear. I'm pretty sure it's tinnitus. I'm really young - if I stop listening to music for a while, at least in headphones, will it ease off, will my ears heal themselves? If not, is there anything I can do, at least to ease it?

Answer：

Tinnitus is the term for noises heard ‘in the ear or ears’ or ‘in the head’ when no obvious source of sound is apparent. The noises are usually described as ringing, whistling, hissing, buzzing or humming. Tinnitus is not a disease or an illness, it is a non-specific symptom, that can be brought on by a mental or physical ‘change’, not necessarily related to hearing. In a mild form, tinnitus is extremely common. Almost everyone gets the occasional ringing in the ears, either without any clear trigger or after exposure to loud sounds, be it at work or socially. About 10% of us experience tinnitus frequently and approximately 5% of the adult population in the UK experience persistent or troublesome tinnitus.

Occasionally people have tinnitus that takes the form of recognisable musical sounds or even complete tunes rather than the more common ringing, hissing, buzzing, etc, sounds. This is referred to as musical imagery tinnitus or auditory imagery tinnitus. It usually occurs in older people who also have a hearing loss and quite often these people have a strong musical interest. The exact mechanism by which this form of tinnitus occurs is unknown but probably involves the auditory memory parts of the brain. Unfortunately, this form of tinnitus is sometimes initially mistaken for mental illness. However, once it has been recognised as tinnitus rather than a psychiatric condition it can be treated in the same way as other forms of tinnitus. Helping hearing loss with appropriate hearing aids is particularly important with musical imagery tinnitus.

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Tinnitus Signs and Symptoms

Tinnitus Facts

Tinnitus Signs and Symptoms

Tinnitus is one of the most elusive conditions that health care professionals face. It is an auditory perception not directly produced externally.

It is commonly described as a hissing, roaring, ringing or whooshing sound in one or both ears, called tinnitus aurium, or in the head, called tinnitus cranii.

The sound ranges from high to low pitch and can be a single tone, multi-tonal, or noise-like, having no tonal quality. Tinnitus may be constant, pulsing or intermittent. It may begin suddenly or progress gradually.

Tinnitus can be broadly classified into two categories: objective and subjective.

 

Objective Tinnitus

This form is audible to an observer either with a stethoscope or simply by listening in close proximity to the ear. Objective tinnitus accounts for less than 5 percent of overall tinnitus cases and is often associated with vascular or muscular disorders. The tinnitus is frequently described as pulsatile, or synchronous with the patient's heartbeat. In many instances, the cause of objective tinnitus can be determined and treatment, either medical or surgical, may be prescribed.

 

Subjective Tinnitus

This form is audible only to the patient and is much more common, accounting for 95 percent of tinnitus cases. Subjective tinnitus is a symptom that is associated with practically every known ear disorder and is reported to be present in over 80 percent of individuals with sensorineural hearing loss, which is caused by nerve and/or hair cell damage.

Because tinnitus, like pain, is subjective, two individuals may demonstrate identical tinnitus loudness and pitch matches yet be affected in significantly different ways. The severity of the tinnitus is largely a function of the individual's reaction to the condition. That said, many tinnitus sufferers:

• Have difficulty sleeping or concentrating

• Feel depressed or anxious

• Report additional problems at work or at home that may contribute to the distress caused by tinnitus

• Describe a correlation of tinnitus perception with stress

• It is often difficult to determine whether a patient's emotional state pre-existed, or is a result of the tinnitus. 

Causes

Although the exact mechanism underlying tinnitus is unknown, it is likely that there are many related factors. Tinnitus usually, but not always, has to do with an abnormality of the hearing or neural system.

There are a number of causes linked with tinnitus including:

•      Disorders in the outer ear, such as ear wax, a hair touching the eardrum, a foreign body or a perforated eardrum

•      Disorders in the middle ear, such as negative pressure from eustachian tube dysfunction, fluid, infection, otosclerosis, allergies or benign tumors

•      Disorders in the inner ear, such as sensorineural hearing loss due to noise exposure, aging, inner ear infection or Meniere's disease often accompanied by hearing loss and dizziness

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Tinnitus also can temporarily result from certain medications, such as:

•      Anti-inflammatories such as aspirin, ibuprofen, nonsteroidal anti-inflammatories and quinine

•      Sedatives

•      Antidepressants

•      Certain antibiotics and chemotherapeutic agents

Other causes include:

•      Systemic disorders such as high or low blood pressure, anemia, diabetes, thyroid dysfunction, glucose metabolism abnormalities, vascular disorders, growth on jugular vein, acoustic tumors and head or neck aneurysms

• Non-auditory disorders such as trauma to the head or neck, temporomandibular (jaw joint) disorders and neck misalignment

Current research suggests that even though tinnitus may initially be caused by an injury to the ear, ultimately an auditory pattern is established in the brain. Therefore, many treatment approaches are directed at the brain, not the ear.

Although the majority of tinnitus sufferers also have hearing loss, the presence of tinnitus does not indicate that one is losing hearing.

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What Is Tinnitus? What Causes Tinnitus?

What Is Tinnitus? What Causes Tinnitus?

Tinnitus (from the Latin tinnitus or "ringing") is a condition characterized by ringing, swishing, or other noises that appear to be originating in the ear or head. Not normally a dangerous or serious problem, tinnitus is usually a symptom of some other underlying condition and most often considered a nuisance. Age-related hearing loss, ear injury, foreign objects in the ear, and circulatory system problems, for example, may cause the condition.

Tinnitus may be subjective or objective. In subjective tinnitus, only the patient can hear the noises. In objective tinnitus, a physician may hear the noise while doing an examination. 

Tinnitus tends to improve with direct treatment or treatment of an underlying cause. Though it rarely progresses into a serious problem, the condition is linked to fatigue, stress, sleep problems, concentration difficulty, memory problems,depression, anxiety and irritability.

Who gets tinnitus?

Although anyone can get tinnitus, some people are more likely to develop the condition. This includes men, white people, older adults (over the age of 65), and those with age-related hearing loss. In addition, people who have been exposed to loud noises for extended periods of time and those with post-traumatic stress disorder (PTSD) are known to have higher rates of tinnitus.

What causes tinnitus?

Tinnitus is a symptom of a variety of health conditions, blood vessel disorders, and effects from medications. The most common causes of tinnitus are age-related hearing loss, exposure to loud noises, earwaxblockage in the ear canal, and abnormal bone growth in the ear. Less common causes include an inner ear disorder called Meniere's disease, stress and depression, head or neck injuries, and a benign tumor of the cranial nerve called acoustic neuroma. 

Blood vessel disorders that cause tinnitus include head and neck tumors, atherosclerosis (buildup ofcholesterol in the blood vessels), high blood pressure, turbulent blood flow, and a malformation of capillaries. Medications known to cause tinnitus include antibiotics, cancer treatments, diuretics, quinine and chloroquine for malaria, and aspirin.

What are the symptoms of tinnitus?

Symptoms of tinnitus include hearing sounds when no external sound is present. The ears may sense ringing, buzzing, roaring, clicking, whistling, hissing, or squealing. Noises may appear low or high in pitch and may interfere with a person's ability to concentrate.

How is tinnitus diagnosed?

To diagnose tinnitus, physicians will request a medical history, conduct a physical examination, and present a series of special tests. A doctor will check for ear wax, foreign objects, or hair that may be rubbing against the eardrum. It is important to let the physician know if the noises are constant, intermittent, or pulsating and if you suffer from age-related hearing loss or vertigo. Tests such as an audiogram (hearing test), auditory brain stem response (ABR), computerized tomography (CT) scan, or magnetic resonance imaging (MRI) scan may be used to find potential causes of tinnitus or to locate tumors.

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