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Tinnitus

Tinnitus, or ringing in the ears, is the sensation of hearing ringing, buzzing, hissing, chirping, whistling or other sounds. The noise can be intermittent or continuous, and can vary in loudness. 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 rare cases, the sound beats in sync with your heart.


Incidence

Tinnitus is very common, affecting an estimated 50 million adults in the United States. For most people the condition is merely an annoyance. In severe cases, however, tinnitus can cause people to have difficulty concentrating and sleeping. It may eventually interfere with work and personal relationships, resulting in psychological distress. About 12 million people seek medical help for severe tinnitus every year.

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Symptoms

Symptoms include a noise in the ears, such as ringing, roaring, buzzing, hissing or whistling; the noise may be intermittent or continuous. Tinnitus is also sometimes marked by hearing loss. Although tinnitus is often associated with hearing loss, it does not cause the loss; nor does a hearing loss cause tinnitus. In fact, some people with tinnitus experience no difficulty hearing, and in a few cases they even become so acutely sensitive to sound that they must take steps to muffle or mask external noises.

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Causes

A wide variety of conditions and illnesses can lead to tinnitus. Blockages of the ear due to a buildup of wax, an infection, or rarely, a tumor of the auditory nerve can cause the unwanted sounds, as can a perforated eardrum. But perhaps the most common source of chronic tinnitus is prolonged exposure to loud sounds. The noise causes permanent damage to the sound-sensitive cells of the cochlea, a spiral-shaped organ in the inner ear. Carpenters, pilots, rock musicians and street-repair workers 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. A single exposure to a sudden extremely loud noise can also cause tinnitus.

Certain drugs — most notably aspirin, several types of antibiotics and quinine medications — can contribute to the condition as well. In fact, tinnitus is cited as a potential side effect for about 200 prescription and nonprescription drugs.

The natural process of aging can result in a deterioration of the cochlea or other parts of the ear and lead to tinnitus. Tinnitus is also associated with Meniere's disease, a disorder of the inner ear, and otosclerosis, a degenerative disease of the small bones in the middle ear. Other medical conditions that can cause ringing in the ears include high blood pressure, allergies, anemia and an underactive thyroid. Tinnitus can also be a symptom of a disorder of the neck or jaw, such as temporomandibular joint (TMJ) syndrome.

For reasons not yet entirely clear to researchers, stress seems to worsen tinnitus.

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Reprinted with permission from Onhealth.com.

 

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