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14.08.2014
TweetTinnitus is the perception of a sound or noise, usually described as a ringing noise in the ears, in the absence of any external noise source (lack of acoustic stimulus). Ask a Doctor Online Now!Tinnitus itself is not a disease but is a common symptom associated with many ear disorders. Some sufferers may experience and describe more complex sounds as a combination of one or more sounds. Intermittent – episodes of ringing sounds in the ears that come and go with no clear contributing factors. In cases where the pulsating or beating noise can be heard by your doctor during examination, the cause may be linked to a bruit. A bruit is a verifiable sign of a specific vascular disorder or abnormality and should not be confused with the symptom of a ringing sound in the ear associated with tinnitus. Common complaints from tinnitus sufferers is that the ringing in the ears affects sleep, concentration when focusing on reading, studying or other mental activities and communication with others during a conversation. Obstruction of the Eustachian tube – the tube connecting the middle ear with the nasopharynx (back of the throat) and responsible for maintaining ear pressure within the middle ear. Otitis externa or otitis media – infection and inflammation of the outer ear canal or middle ear.
Labyrinthitis – inflammation of the labyrinth of the inner ear also referred to as otitis interna. Petrositis – inflammation of the petrous portion of the temporal bone of the skull (at the temples of the head). Syphilis – a sexually transmitted (STD) and congenital disease caused by Treponema pallidum. Noise induced hearing loss or acoustic trauma which may be caused by exposure to excessively loud music especially within a small, closed environment (nightclubs, cars), use of head or earphones, gunshots fired close to the ear. Severe cases of tinnitus can be very disturbing for the sufferer and there is no known cure for tinnitus.
In cases of partial or complete hearing loss (deafness), a hearing aid or cochlear implant may resolve the hearing loss and tinnitus. Using noise devices for creating other, more pleasant sounds may be useful in certain cases.
The drug acamprosate calcium which is used for treatment of alcohol addiction has been reported to provide varying degrees of relief for tinnitus but its use in tinnitus itself has not been verified in clinical trials. Ask a Doctor Online Now!Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. Hi Capapadopoulos This is a difficult one – basically you are saying that your tinnitus is relieved by drinking water. Ear ringing: Together with other abnormal ear noises, ear ringing is medically called tinnitus. 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! Tinnitus is often associated with the elderly but can affect younger persons, especially those exposed to excessively loud sounds (music) on a regular basis. A bruit is an abnormal sound of arterial blood flow usually heard by the sufferer or during auscultation (using a stethoscope) by the examining physician.
However some of these complaints may be due to associated hearing loss that accompanies many cases of tinnitus.
This may involve a CT scan or MRI of the head, audiology tests and testing for sensory and neural (nerve) associated hearing loss.
Medical treatment should be directed at the causative factor if other disorders are diagnosed after further investigation. However a cochlear implant should only be considered as a measure for hearing loss and not as a treatment for tinnitus itself. This can vary from playing music on a radio to using a white noise machine or tinnitus masking device.
Even if you were dehydrated, it is unlikely that one glass of water alone would do the trick. 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.
In most cases of tinnitus is accompanied by hearing loss of varying degrees, mild to severe. A bruit is usually associated with vascular disorders like atherosclerosis, aneurysm, thromboembolism or certain physical abnormalities of the arteries or veins.


A cardiovascular examination and relevant tests should be conducted to identify or exclude cardiovascular causes of tinnitus.
Conservative management should be the focus of dealing with tinnitus and self resolution is possible in certain cases, especially in young persons or noise induced trauma. It can be due to many causes including ear infection, fluid in the ears, Meniere syndrome, medications such as aspirin and other nonsteroidal antiinflammatory drugs (NSAIDs), aging, and ear trauma (such as from the noise of planes, firearms, or loud music). Effectively treat your tinnitus and ringing in the ears.Ringing of Ears: An Annoyance You Want To AvoidHave you ever experienced a ringing sound in one or both ears? 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 cases of suspected drug induced tinnitus, the medication may be changed by your medical practitioner .
You should consult with an otolaryngologist (ENT specialist) who may be able to shed more light on the matter.
These patients have to be distinguished from a more common group of patients who suffer from schizophrenia. If drug therapy is not essential, it may be stopped altogether to exclude drug induced tinnitus. Another group of patients hear repeated tapping noises because of middle ear myoclonus, a condition that results from twitching of the middle ear muscles. The presence of concomitant symptoms like dizziness or vertigo with tinnitus may be indicative of an inner ear disorder.
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.



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