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Author: admin, 23.08.2014. Category: Ring In The Ears

A ringing sound in the ear is a common symptom of tinnitusQ: I have a constant ringing sound in my right ear, which can be annoying, especially when I am in a very quiet room. Our cochlear hair cells emit sounds which can be recorded by advanced hearing test equipment. It can also be related to inner ear disorders resulting from infection, trauma, loud noise exposure, medications and tumours in the pathway of the auditory nervous system. More commonly, acute tinnitus is associated with sudden hearing loss that develops over 72 hours. Others will experience distress, inability to rest, frustration, problems with concentration, fears, worries and even headaches.
About 75 per cent of patients who have acute tinnitus get better with time because of brain plasticity and adaptation. For the majority of these patients with pulsatile tinnitus, the physicians are not able to hear the sound through auscultation of the head and neck with the stethoscope and generally, no cause is found on X-ray imaging.
Another group of patients with audible pulsatile tinnitus (sounds which the physician can hear following auscultation) would require radiographic imaging to exclude small dural arterio-venous fistulas (abnormal connection or passageway between two vessels that normally do not connect) or vascular brain tumours.
For many others for whom the cause of the tinnitus is not found on physical examination and even after various investigations, such as magnetic resonance imaging scans to exclude important treatable inner ear conditions, basic counselling, tips on how to avoid silence and the use of enriched environmental sounds can help. Child Safety and Injury PreventionThis is your chance to get answers to your questions on how to better childproof your home!
Diet: High salt intake may be the cause of fluid retention in ear indirectly causing tinnitus. Most of the times tinnitus is not a serious thing but in certain situations it is better to seek medical care rather than neglecting the sounds. Pulsatile tinnitus that matches with the heart beat of the patient should be checked.
If tinnitus is associated with changes in behavior, loss of balance, difficulty in walking and vertigo, it needs to be checked.
As we have mentioned that tinnitus is a symptom and not a disease, it makes diagnosis a lengthy process. Before starting any treatment at home it is better to get the patient checked from the concerned doctor. Anti anxiety and anti depressant medications are given to the patients to be calm.
If the tinnitus is due to stress, relaxation techniques including yoga is the treatment.
Avoiding caffeine rich products and nicotine is also one of the treatments of treating tinnitus.
If the cause of tinnitus is some brain disorder like tumor, the treatment differs entirely. The best prevention for tinnitus is to protect the hearing organ from loud noise, dust, injury etc. Usually labyrinthitis resolves on its own in one or a few weeks, depending upon the severity of the infection.
Antihistamines help in reducing the swelling from the infection and reduce the severity of symptoms. Syphilitic Labyrinthitis: Bacterial infections of this type can be present at time of birth or it may be acquired.


Toxic Labyrinthitis: Infection of this type occurs when bacterial agents in middle ear pass to inner ear resulting in loss of balance as well as hearing loss. The labyrinth is a membranous structure surrounded by dense bone which is formed in utero by intramembranous and enchondral ossification. These symptoms can be triggered or worsen by upon moving the head, sitting up, rolling over or looking upward. Some serious causes of vertigo produce symptoms like labyrinthitis such as tumors at the base of the brain or strokes. Medicines such as meclizine (Antivert), diazepam (Valium), promethazine (Phenergan), dimenhydrinate (Dramamine), antibiotics, and antihistamine such as diphenhydramine (Benadryl) are beneficial. It can result from hearing loss due to impacted ear wax in the ear canal, a perforated ear membrane, middle ear effusion (build-up of fluid) due to nose cancer or infection, middle ear bone scarring due to infection or another condition called otosclerosis (an abnormal bone growth in the middle ear) from a childhood measles infection. Some patients can be affected to the point of developing sleep disturbances coupled with anxiety and depression. The remainder of patients will still hear the noise but they get used to this, while a minority (5 per cent) will need medical help to cope. The patient with audible pulsatile tinnitus needs early management and treatment before further complications set in. Removing the ear wax will help those who have tinnitus arising from blocked external ear canals.
It is a directed counselling therapy and utilises enriched environmental sounds or noise generators to train the brain to adapt to the tinnitus. Whenever you hear a sound that seems to be coming from your head, you need to consult a doctor.
In very rare but some cases this type of tinnitus is a symptom of inflamed blood vessels near the ear due to high blood pressure. Such patients are sent for the neurological assessment and then the treatment of tinnitus aims at destroying the underlying cause. Whatever may be the reason, the important thing is to keep a check and a regular follow up to avoid any further complications.
Other causes for labyrinthitis can be bacterial infection, head trauma, severe stress, allergy or a reaction to any medication.
Infections occurring in the middle ear (otitis media) may spread to inner ear and then from there inflammation can spread from inner ear into internal auditory canal. It usually follows a viral illness such as a cold or the flu leading to inflammation and resulting in labyrinthitis. I am a 60-year-old man and I use a hearing aid in my right ear when I conduct training sessions. This has been reported to be present in 17 per cent of the general population and increases to 30 per cent in those more than 65 years old. We generally do not hear these sound energies as our external sound environment will invariably mask them. Most patients in the acute stage of tinnitus will complain of annoyance, impact on their lifestyle and difficulty coping in quiet environments, especially at night, when the tinnitus sound is magnified due to the absence of ambient noise. In this group of patients, they hear simple, pure tone sounds such as buzzing, cricket noises or high-pitched sounds or a combination of these. One patient described hearing Singapore’s national anthem Majulah Singapura, while another described hearing cries of “hallelujah”.


When this is due to sudden hearing loss with no known cause, a trial of steroids, antiviral medications or antioxidant treatments has been reported to improve the hearing and, subsequently, the tinnitus.
In some cases the treatment is not necessary at all as most of the ear infections are not serious and get well on their own. Patients should avoid doing activities such as driving, working at heights, or operating heavy machinery for a minimum of one week after the symptoms have stopped, as the symptoms have a chance of recurring. These patients have to be distinguished from a more common group of patients who suffer from schizophrenia. This mass may wear off surrounding bone within inner ear, thus further exposing it to infections.
Symptoms are acute within first 24 hours and then gradually subside over the ensuing few days. Labyrinthitis usually results in a substantial inflammatory response causing intraluminal fibrosis. In rare situations, this condition may be permanent with tinnitus, hearing loss and vertigo and can be very debilitating. Another group of patients hear repeated tapping noises because of middle ear myoclonus, a condition that results from twitching of the middle ear muscles.
In some cases, the name labyrinthitis may also be referred to other causes of inner ear conditions which have no inflammation, as these conditions also produce similar symptoms. There are other symptoms in congenital syphilis like chronic inflammation of eye (Interstitial Keratitis) along with swelling of forehead and saddle shaped nose.
I have checked with a doctor and he has found nothing wrong with the ear, but has suggested that I see a specialist. To quote Professor Pawel Jastreboff, the founder of Tinnitus Retraining Therapy: it results from the brain over-compensating for the presence of a small irregularity in the functioning of the cochlea or auditory nerve.
Yet others will hear a rhythmic sound, in time with their heartbeat, defined as pulsatile tinnitus.
Human ears have a labyrinth in each of inner ears which are covered in dense bone near the base of the skull. Vestibular suppressant like diazepam, plenty of hydration, and vestibular exercises are first line of treatment.
The pulsatile tinnitus match with the heart beats of the patient and may be subjective or objective.
The other half comprises of 3 semicircular canals connected to an open cavity or vestibule. The vestibule portion of the labyrinth is responsible for sending information to the brain regarding the movement and position of the head.
Eyes are also one of the sense organs that help in sending positioning information to the brain and if the information from the labyrinth and the eyes don't correspond, then the brain has trouble translating what is actually occurring.



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