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Tinnitus is a very common problem that could afflict people with normal hearing or with hearing loss.
At CGH, our tinnitus management team runs a successful treatment programme known as the Tinnitus Evaluation-Rehabilitation Programme (TERP). The focus of the tinnitus service is to provide information on hearing physiology and to educate the patient on tinnitus information, tools and coping strategies.
At the counselling session, the patient is given a questionnaire to answer and the answers are discussed.
Different types of coping strategies using environmental sounds, music therapy, non-wearable and wearable sound devices are explained. Patient who are unable to manage tinnitus despite initial counselling, will be offered the Tinnitus Retraining Therapy (TRT) concept. Over a six month treatment programme, the patient would have undergone a full ENT (Ear Nose Throat) evaluation by the Otologist, received counselling and gained insights on tinnitus, clarified expectations of recovery and developed sufficient coping strategies, addressing any emotional or sleep issues and received technical inputs on any wearable sound devices. For more information and details on the Tinnitus Service, please contact Changi General Hospital at 6850 3333. Most tinnitus comes from damage to the microscopic endings of the hearing nerve in the inner ear. Tinnitus may also be caused by allergy, high or low blood pressure (blood circulation problems), a tumor, diabetes, thyroid problems, injury to the head or neck, and a variety of other causes including medications such as anti-inflammatories, antibiotics, sedatives, antidepressants, and aspirin.
Avoid routine or excessive use of aspirin and non-steroidal anti-inflammatory agents such as Ibuprofen. Concentration and relaxation exercises can help to control muscle groups and circulation throughout the body. Herbal Remedies: Some studies have shown that certain substances may help improve tinnitus.
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Patients with tinnitus have much fear and anxiety and they are worried it is a sign of serious disease. This is a multi-disciplinary programme initiated in 2008 and aims to look at every aspect of the treatment process. An interview then takes place to find out the history of their tinnitus, localisation, intensity and temporal variability.
Detecting trigger factors and cognitive behavioural therapy, and how our brain’s interpretation of auditory signals is connected with our perception and thinking processes and how habituation works are explained. The health of these nerve endings is important for acute hearing, and injury to them brings on hearing loss and often tinnitus. Some causes are not serious (a small plug of wax in the ear canal might cause temporary tinnitus). If you take aspirin and your ears ring, talk to your doctor about dosage in relation to your size.
It is important to see an otolaryngologist to investigate the cause of your tinnitus so that the best treatment can be determined. If your otolaryngologist finds a specific cause of your tinnitus, he or she may be able to eliminate the noise.
The increased relaxation and circulation achieved by these exercises can reduce the intensity of tinnitus in some patients. If you have a hearing loss, a hearing aid(s) may reduce head noise while you are wearing it and sometimes cause it to go away temporarily. Illinois researchers are conducting a study to determine whether magnetic therapy can help people who suffer from this debilitating condition and depression. Pictures, models and diagrams are used to help the patient understand the auditory pathway in correlation with their audiometric results. All patients are given a three-month appointment to review the outcome of their tinnitus management.

Patients can select a noise generator, hearing aids, music CDs, bedside sound device or use environmental sounds.
If you are older, advancing age is generally accompanied by a certain amount of hearing nerve impairment and tinnitus.
But, this determination may require extensive testing including X-rays, balance tests, and laboratory work.
A competing sound at a constant low level, such as a ticking clock, radio static (white noise), or a fan may mask the tinnitus and make it less noticeable. It is important not to set the hearing aid at excessively loud levels, as this can worsen the tinnitus in some cases. Some people find that a tinnitus masker may even suppress the head noise for several hours after it is used, but this is not true for all users. If you are younger, exposure to loud noise is probably the leading cause of tinnitus, and often damages hearing as well. Products that generate white noise are also available through catalogs and specialty stores. However, a thorough trial before purchase of a hearing aid is advisable if your primary purpose is the relief of tinnitus. Depending on their profile and condition, the patient would be referred to the psychologist for evaluation. It can vary in pitch from a low roar to a high squeal or whine, and you may hear it in one or both ears. More than seven million people are afflicted so severely that they cannot lead normal lives.

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