Tinnitus

Dr. Karuturi Subrahmanyam
Apr 22
2 min read

Introduction

Tinnitus is the perception of noise or ringing in the ears when no external sound is present. It is a common condition that affects about 15-20% of people, especially older adults. While it is usually not a sign of something serious, it can be annoying or even interfere with daily life.

Causes of Tinnitus

Tinnitus can have various causes, including:

Hearing Loss: Most common in age-related or noise-induced hearing loss.
Ear Infections or Blockages: Wax buildup or ear infections can cause pressure changes and tinnitus.
Exposure to Loud Noises: Prolonged exposure to loud music, machinery, or explosions.
Ototoxic Medications: Some antibiotics, diuretics, or high-dose aspirin can trigger tinnitus.
Head or Neck Injuries: Trauma can affect nerves or hearing structures.
Medical Conditions: High blood pressure, diabetes, thyroid disorders, or Meniere’s disease.
Jaw Disorders: TMJ (temporomandibular joint) problems may cause ear ringing.

Symptoms

Persistent ringing, buzzing, hissing, or clicking sounds in one or both ears.
The noise may be constant or intermittent.
It may worsen in quiet environments or at night.
In some cases, it may be associated with hearing loss, ear pain, or dizziness.

Diagnosis

Hearing Test (Audiometry): To evaluate hearing loss.
Physical Examination: To check for wax blockage or ear infections.
Imaging Tests: MRI or CT scan if structural problems are suspected.
Blood Tests: To rule out underlying conditions like anemia or thyroid issues.

Treatment Options

Treating the Cause: Removing earwax, managing high blood pressure or changing medications.
Hearing Aids: Helpful in cases of hearing loss.
Sound Therapy: Background noise or white noise machines can help mask tinnitus.
Cognitive Behavioral Therapy (CBT): Helps reduce the emotional impact of tinnitus.
Medications: Antidepressants or anti-anxiety drugs in severe cases.

Natural Home Remedies

Reduce Exposure to Loud Noises: Use earplugs in noisy environments.
Avoid Stimulants: Reduce caffeine, alcohol, and nicotine which may worsen tinnitus.
Relaxation Techniques: Yoga, meditation, or deep breathing can reduce stress-related tinnitus.
Ginkgo Biloba: Some studies suggest it may improve blood flow and reduce symptoms.
Zinc and Magnesium Supplements: May benefit people with low levels of these minerals.
Stay Hydrated and Maintain a Healthy Diet: Helps support overall ear and nerve health.

When to See a Doctor

Tinnitus occurs suddenly or after a head injury.
It is accompanied by hearing loss, dizziness, or pain.
It interferes with your sleep or daily activities.

Summary

Tinnitus is often manageable, especially when the underlying cause is treated. If you experience persistent ringing in your ears, consult your doctor for proper evaluation. Lifestyle changes and natural remedies can also help improve quality of life.

Dr. Karuturi Subrahmanyam, MD, FRCP (London), FACP (USA)

Internal Medicine Specialist

Kify Hospital

Danavaipeta

Rajahmundry

Phone : 85000 23456