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01.05.2015
1 in 5 people in Northern Ireland suffer from tinnitus – a ringing, buzzing, humming or whistling sound in the ear. Around 9,000 are affected by the condition so badly that many have said that it made their life unbearable and had significant impact on their mental health.
Statistics suggest that at least 178,900 people in Northern Ireland have tinnitus of varying severity. For many, tinnitus is a condition that they learn to live with but for others, it can have a significant impact on day-to-day life including concentration problems, sleep problems and depression. Tinnitus can improve over time and although there is currently no single treatment that works in the same way for everyone, if an underlying cause can be established it can often be effectively treated.
Some people find their tinnitus is worse when they're stressed or anxious and improves when they're calm and relaxed. Optique Eye and Ear Care offer a speedy service to help improve the quality of hearing with audiology tests and access to the latest hearing aids on the market. At the moment there's no single treatment for tinnitus that works in the same way for everyone. If a specific cause can't be established, the focus will be on helping you manage the condition on a daily basis. Tinnitus is most noticeable in quiet environments, background noise such as music or the television can help distract you from the sound of tinnitus.
Listening to natural relaxing sounds, such as the sound of rain or the ocean, can also help. Tinnitus (pronounced ti-ni-tis), or ringing in the ears, is the sensation of hearing ringing, buzzing, hissing, chirping, whistling, or other sounds.
Although tinnitus is often associated with hearing loss, it does not cause the loss, nor does a hearing loss cause tinnitus. Some instances of tinnitus are caused by infections or blockages in the ear, and the tinnitus can disappear once the underlying cause is treated. Certain drugs -- most notably aspirin, several types of antibiotics, anti-inflammatories, sedatives, and antidepressants, as well as quinine medications; tinnitus is cited as a potential side effect for about 200 prescription and nonprescription drugs. Tinnitus can worsen in some people if they drink alcohol, smoke cigarettes, drink caffeinated beverages, or eat certain foods. If you're not brushing and flossing regularly, you are at risk for gum disease and potential health problems. Therapist Steven Sultanoff explains the utility of humor in counseling, and Jeffrey Briar leads a session of Laughter Yoga on Laguna Beach. Most of us would expect to feel at our best first thing in the morning - refreshed and ready for a new day. One theory is that the drug stops the breakdown of a protein called bradykinin, which can make the coughing reflex more sensitive. An allergy to house dust mites - found in mattresses, bedding and carpets - can also trigger a morning cough, as this causes a build-up of excess mucus in the night, leading to sometimes violent coughing on waking. Half of migraines start in the morning - and other headaches, including tension headaches, often wake people from sleep, according to Migraine Action.
DEPRESSIONPeople suffering from depression often wake up with feelings of gloom and anxiety that are worst in the morning and lift as theA  day progresses.


One person in three experiences back and neck pain after a night's sleep, according to a recent study of 2,400 people for the British Chiropractic Association. STROKE Studies show that you are more likely to have an ischaemic stroke - the most common type of stroke, which happens when a clot lodges in a blood vessel in the brain - between 6am and noon.
At Optique we can provide ear wax management which can sometimes be the cause of tinnitus and also offer hearing aids which are known to reduce the condition in suitable people. They'll also look at your medical history and ask about the type and severity of the noises you hear. In fact, some people with tinnitus experience no difficulty hearing, and in a few cases they even become so acutely sensitive to sound (hyperacusis) that they must take steps to muffle or mask external noises.
For reasons not yet entirely clear to researchers, stress and fatigue seem to worsen tinnitus. Yet many people find the opposite, suffering from health complaints that tend to be worse as dawn breaks. As well as trying to reduce the dust in your home, nasal sprays such as beconase, a steroid that decreases inflammation in the nasal passages, can help.Asthma may cause a persistent morning cough, particularly in the winter, when changes of temperature and humidity exacerbate symptoms. In most cases the pain is caused by poor posture or sleeping on a mattress that is too soft. This may be because platelets, the tiny cells that help the blood to clot, are stickier at this time of day, so they are more likely to form a clot inside a blood vessel, explains Joe Korner, director of external affairs at the charity Stroke Association.'Fluctuation of blood pressure is also another risk factor,' he says.
It is often worse when background noise is low, so you may be most aware of it at night when you're trying to fall asleep in a quiet room.
In severe cases, however, tinnitus can cause people to have difficulty concentrating and sleeping. In such a case, other therapies -- both conventional and alternative -- may bring significant relief by either decreasing or covering up the unwanted sound. The noise causes permanent damage to the sound-sensitive cells of the cochlea, a spiral-shaped organ in the inner ear. Here, experts identify the illnesses that are at their worst first thing - and what you can do to reduce the symptoms.COUGHSIrritation caused by acid reflux is a common cause of early morning cough.
One is that between 4am and 8am, levels of natural painkillers called endorphins and enkephalins are at their lowest.
Those with depression may not have this surge and instead their cortisol levels flatline.'It might help people with depression if they stick to routines to help their body find its natural rhythm again,' says Dr Bolton. It may eventually interfere with work and personal relationships, resulting in psychological distress.
Carpenters, pilots, rock musicians, street-repair workers, and landscapers are among those whose jobs put them at risk, as are people who work with chain saws, guns, or other loud devices or who repeatedly listen to loud music.
Lying down while you sleep allows acid to travel up from the stomach into the oesophagus and upper airways. It occurs when uric acid - created by the breakdown of substances called purines, found in certain food and drink - forms needle-like crystals that settle in the joints, leading to pain and swelling.Studies show that a gout attack is most likely to occur late at night or in the early morning. At the same time, adrenaline, which regulates the contraction of blood vessels, is released in larger quantities and may help to bring on migraines, which are linked to constricted blood supply.
People with osteoarthritis in the spine often find that in the morning their backache is so debilitating it can take them hours to become fully mobile and pain-free.


You can also reduce stroke risk by not smoking and keeping to a healthy weight.FIBROMYALGIAThis condition affects just under a million people in Britain, triggering pain and tenderness all over the body. Furthermore, wakefulness is influenced by an area of the brain known as the brain stem, which is also known to be involved in initiating migraines.Hypnic headaches - which occur exclusively at night, waking you from sleep at the same time, usually between 1am and 3am -are nicknamed 'alarm clock headaches'.
This can affect even people who have no health problems.'A sore throat can be caused by hot, dry air in the bedroom. What causes it is not known, although it has been linked to changes in brain chemicals and oversensitivity in the nerves. It can also be caused by having a blocked nose and having to mouth-breathe, which dries the mouth further.'Turning the heat down at night can be helpful, as well as placing a humidifier in the bedroom. Patients often complain of pain and stiffness first thing in the morning, which can last for hours.
To help prevent a morning attack, have a glass of water before sleep and keep a glass of water by the bed.
It can help to lie propped up on cushions - or place a block under the bedposts at the head of the bed to take some pressure off the chest and ease breathing.
Adding extra moisture to the air is one of the best ways to combat morning throat problems.'Otherwise, try decongestants including menthol rubs on the chest. This may be due to a variety of factors such as the muscles stiffening during sleep and the fact that levels of cortisol, which helps to reduce inflammation, drop during the night.
This is probably because dehydration increases the concentration of uric acid in the blood, making it more likely to form crystals in the joints. Smoking, and certain medical conditions such as sleep apnoea (chronic snoring triggered when the tissues in the airways collapse during sleep), can also cause a sore throat on waking in the morning because they dry it out.Sometimes just sipping a glass of water or juice can help by lubricating the throat.
A deficiency means these amino acids are not broken down effectively, leading to worse morning sickness.
The main long-term treatment is a diet low in purines, and drugs that lower uric acid levels.IRRITABLE BOWEL SYNDROME This gut disorder affects around a third of the population at some point in their lives, causing a range of symptoms including stomach cramps, bloating, constipation and diarrhoea. Acid reflux can also cause a sore throat in the morning (see Coughing, on previous page).TINNITUSTHIS condition causes an unexplained ringing in the ears and affects one person in ten in Britain at some point.
Researchers at the University of North Carolina's Centre for Functional GI and Motility Disorders have found that people with IBS often have higher levels of the hormone cortisol in the morning than healthy people, which may somehow make symptoms worsen.The 'morning rush' can be eased in some cases by avoiding alcohol and fizzy drinks at night. Many sufferers complain that the ringing they hear is at its worst first thing in the morning.
Research from the University of Leicester suggests that uncontrolled activity in the brain's cells (neurons) could be one of the causes of tinnitus. A spokesman for the British Tinnitus Association explains: 'When we wake in the morning our brain activity is quite high.



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