Tinnitus
Definition
Tinnitus is ringing sound or noise in the ear or it is the perception of sound when no corresponding external sound is present.[1][2]
The perception of sound when no external sound is present, is often described as ringing in the ears, but it can also manifest as other sounds like buzzing, hissing, whistling, swooshing, or clicking.
There are no direct synonyms for tinnitus, but it can be described using the following terms:
- Ringing in the ears
- Buzzing in the ears
- Hissing in the ears
- Whistling in the ears
- Swooshing in the ears
- Clicking in the ears
- Ear noise
- Phantom noise
- Head noise
The specific type of sound perceived can vary from person to person, and the intensity can range from mild to severe.
Overview
Epidemiology
Causes
Types
Risk Factors
Pathogenesis
Pathophysiology
Clinical Features
Sign & Symptoms
Clinical Examination
Diagnosis
Differential Diagnosis
Complications
Investigations
Treatment
Prevention
Homeopathic Treatment
Diet & Regimen
Do’s and Don'ts
Terminology
References
Also Search As
Overview
Overview of Tinnitus
In general, The characteristic feature is that the origin of this sound is within the patient. Usually, it is unilateral but may also affect both ears.
Furthermore, It may vary in pitch and loudness and has been variously described by the patient as roaring, hissing, swishing, rustling or clicking type of noise.
This disease is more annoying in quiet surroundings, particularly at night, when the masking effect of ambient noise from the environment is lost. It may be intermittent or continuous in nature.[2]
Epidemiology
Epidemiology of Tinnitus in India
The prevalence of tinnitus in the Indian adult population has been reported to be 6.7%, according to a study published in 2023 titled "Prevalence of It and its Characteristics Among Indian Adult Population".
- Reference: Aryal, P., Shrestha, B., & Bista, S. (2023). Prevalence of Tinnitus and its Characteristics Among Indian Adult Population. Annals of Otology, Rhinology & Laryngology, 132(03), 230-234.
This study also highlighted that most participants (76%) reported as intermittent, and 15% reported associated sleep problems.
It’s important to note that studies on it prevalence can vary across countries due to differences in research methodologies. However, this 2023 study provides valuable insights into the prevalence and characteristics of It among Indian adults.
Please note: This information is based on a single study. Further research is needed to fully understand the epidemiology of It in India, including variations across different regions, age groups, and socioeconomic factors.[6]
Causes
Causes of Tinnitus
- Subjective tinnitus may have its origin in the external ear, middle ear, inner ear, VIII th nerve or the central nervous system.
- Systemic disorders like anemia, arteriosclerosis, hypertension and certain drugs may act through the either inner ear or central auditory pathways.
- In the presence of conductive hearing loss, the patient may hear abnormal noises in the head during eating, speaking or even respiration. [2][1]
- Objective tinnitus is seen less frequently. Vascular lesions, e.g., glomus tumor or carotid artery aneurysm cause swishing tinnitus synchronous with pulse. It can be temporarily abolished by pressure on the common carotid artery.
- Venous hum can sometimes be stopped by pressure on the neck veins.
- It synchronous with respiration may occur due to abnormally patent eustachian tube.
- Palatal myoclonus produces clicking sound due to clonic contraction of the muscles of soft palate also can be easily diagnosed.
- Clonic contraction of muscles of middle ear (stapedius and tensor tympani) may cause it which is often difficult to diagnose.
- Sometimes,it is psychogenic and no cause can be found in the ear or central nervous system.
- It should be differentiated from auditory hallucinations in which a person hears voices or other organized sounds like that of music. Lastly, It is seen in psychiatric disorders.[1][2]
Types
Types
Classification:
Subjective tinnitus
- Subjective tinnitus can only be heard by the patient. It has also been called "tinnitus aurium", "non-auditory" or "non-vibratory" tinnitus.
- Subjective tinnitus is the most frequent type of It.
- It may have many possible causes, but most commonly it results from hearing loss.
- When It is caused by disorders of the inner ear or auditory nerve it can be called otic.
- These ontological or neurological conditions include those triggered by infections, drugs, or trauma.
- A frequent cause is traumatic noise exposure that damages hair cells in the inner ear.
- When there does not seem to be a connection with a disorder of the inner ear or auditory nerve, It can be called non-otic.
- In some 30% of Its cases, it is influenced by the somatosensory system, for instance, people can increase or decrease their tinnitus by moving their face, head, or neck.
- This type is called somatic or cranio-cervical, since it is only head or neck movements that have an effect.
- There is a growing body of evidence suggesting that some tinnitus is a consequence of neuro-plastic alterations in the central auditory pathway.
- These alterations are assumed to result from a disturbed sensory input, caused by hearing loss.
- Hearing loss could indeed cause a homeostatic response of neurons in the central auditory system, and therefore cause It.
Objective tinnitus
- The specific type of It called objective tinnitus is characterized by hearing the sounds of one’s own muscle contractions or pulse, which is typically a result of sounds that have been created by the movement of muscles near to one’s ear, or sounds related to blood flow in the neck or face, which can even be heard by the examiner with the use of a stethoscope.[1][2]
Pulsatile tinnitus
- If the examination reveals a bruit (sound due to turbulent blood flow), imaging studies such as transcranial doppler (TCD) or magnetic resonance angiography (MRA) should be performed.
Risk Factors
Risk factors
Noise exposure:
- This is a major risk factor. Prolonged exposure to loud noises, such as those encountered in industrial settings or from recreational activities like concerts or shooting, can damage the auditory system and increase the likelihood of developing It.
Age-related hearing loss (presbycusis):
- As people age, their hearing naturally declines. This age-related hearing loss is often associated with It.
Ototoxic medications:
- Certain medications, such as some antibiotics, chemotherapeutic agents, and high doses of aspirin, can have toxic effects on the inner ear and lead to tinnitus.
Head and neck trauma:
- Injuries to the head or neck can damage the auditory system and contribute to the development of tinnitus.
Temporomandibular joint (TMJ) disorders:
- Problems with the TMJ, the joint that connects the jaw to the skull, can sometimes be associated with tinnitus.
Cardiovascular disease:
- Some studies suggest a link between cardiovascular disease and tinnitus. Conditions that affect blood flow or blood pressure may contribute to tinnitus.
Metabolic disorders:
- Certain metabolic disorders, such as diabetes and thyroid problems, have been associated with an increased risk of tinnitus.
Stress and anxiety:
- While not a direct cause, stress and anxiety can exacerbate tinnitus and make it more noticeable and bothersome.
It’s important to note that having one or more of these risk factors does not guarantee that a person will develop tinnitus. However, they increase the likelihood of experiencing this condition. If you have concerns about tinnitus, it’s advisable to consult with a healthcare professional for evaluation and guidance. [7]
Pathogenesis
Pathogenesis
Peripheral auditory damage:
- Damage to the cochlea (the hearing organ in the inner ear) or the auditory nerve is a common trigger for It. This damage can result from noise exposure, ototoxic medications, age-related hearing loss, or other factors.
Central auditory plasticity:
- Following peripheral damage, the central auditory system (the brain regions involved in hearing) undergoes plastic changes in an attempt to compensate for the loss of input. These changes can lead to abnormal neural activity and the perception of tinnitus.
Neural hyperactivity:
- Increased spontaneous firing rates of neurons in the auditory pathway are often observed in patients. This heightened neural activity is thought to contribute to the phantom sound perception.
Altered tonotopic organization:
- The tonotopic map in the auditory cortex, which represents different frequencies of sound, can become distorted in It. This reorganization may lead to the perception of specific tinnitus frequencies.
Non-auditory factors:
- While primarily an auditory phenomenon, tinnitus can also be influenced by non-auditory factors. These include the limbic system (involved in emotions), the autonomic nervous system (regulating bodily functions), and the somatosensory system (processing touch and body position).
The complex interplay of these factors contributes to the generation and maintenance of the Disease. The specific mechanisms involved can vary depending on the underlying cause and individual characteristics. Understanding the pathogenesis of tinnitus is crucial for developing effective treatments and interventions. [7]
Pathophysiology
Pathophysiology
Peripheral Auditory Damage:
- Damage to the cochlea (the hearing organ in the inner ear) or the auditory nerve often triggers tinnitus.
- This damage can arise from various factors, including noise exposure, ototoxic medications, age-related hearing loss, or other insults.
Central Auditory Plasticity:
- In response to peripheral damage, the central auditory system (the brain regions responsible for processing sound) undergoes plastic changes.
- These changes aim to compensate for the reduced input from the damaged peripheral auditory system but can lead to abnormal neural activity and the perception of tinnitus.
Neural Hyperactivity:
- Tinnitus is often associated with increased spontaneous firing rates of neurons in the auditory pathway.
- This heightened neural activity is believed to generate the phantom sound perception.
Altered Tonotopic Organization:
- The tonotopic map in the auditory cortex, representing different sound frequencies, can become distorted in individuals with tinnitus.
- This reorganization may contribute to the perception of specific tinnitus frequencies.
Non-auditory Factors:
- While primarily an auditory phenomenon, tinnitus can also be influenced by non-auditory factors.
- These include the limbic system (involved in emotions), the autonomic nervous system (regulating bodily functions), and the somatosensory system (processing touch and body position).
- Stress, anxiety, and other emotional states can modulate the perception of tinnitus. [7]
Clinical Features
Clinical Features
Core Feature:
- Phantom Sound Perception: The hallmark of Desease is the perception of sound in the absence of an external acoustic source. This phantom sound can take on various forms, including:
- Ringing
- Buzzing
- Hissing
- Clicking
- Roaring
- Other sounds
Additional Features:
- Laterality: It can be perceived in one ear (unilateral) or both ears (bilateral).
- Pitch and Loudness: The perceived pitch (frequency) and loudness of tinnitus can vary widely among individuals.
- Temporal Pattern: It can be constant or intermittent, fluctuating in intensity over time.
- Associated Symptoms: It can be accompanied by other symptoms, including:
- Hearing loss
- Hyperacusis (increased sensitivity to sound)
- Sleep disturbances
- Concentration difficulties
- Emotional distress (anxiety, depression)
Impact on Quality of Life:
- The severity of tinnitus and its impact on daily life can vary considerably.
- In some cases, can significantly impair quality of life, affecting sleep, work, and social interactions.[7]
Sign & Symptoms
Sign & Symptoms of Tinnitus
- It is most often described as a ringing in the ears, even though no external sound is present.
- However, tinnitus can also cause other types of phantom noises in your ears, including:
- Buzzing
- Roaring
- Clicking
- Hissing
- Humming
- Most people who have tinnitus have subjective tinnitus.
- The noises of tinnitus may vary in pitch from a low roar to a high squeal, and you may hear it in one or both ears.
- In some cases, the sound can be so loud it interferes with your ability to concentrate or hear external sound.
- It may be present all the time, or it may come and go.
- In rare cases, tinnitus can occur as a rhythmic pulsing or whooshing sound, often in time with your heartbeat. This is called pulsatile tinnitus.
- If you have pulsatile tinnitus, your doctor may be able to hear It when they does an examination (objective tinnitus).
- Psychological effects-Besides being an annoying condition to which most people adapt, persistent tinnitus may cause anxiety and depression in some people. Psychological problems such as depression, anxiety, sleep disturbances, and concentration difficulties are common in those with strongly annoying. 45% of people with tinnitus have an anxiety disorder at some time in their life.[2]
Clinical Examination
Clinical Examination
Detailed History:
- Description of Tinnitus: The patient is asked to describe the nature of their tinnitus (e.g., ringing, buzzing, hissing), its laterality (unilateral or bilateral), pitch, loudness, and temporal pattern (constant or intermittent).
- Associated Symptoms: The presence of hearing loss, hyperacusis, sleep disturbances, concentration difficulties, and emotional distress is assessed.
- Medical and Otologic History: A comprehensive medical and otologic history is obtained, including previous ear infections, noise exposure, head trauma, ototoxic medication use, and systemic diseases.
- Psychosocial History: The impact of tinnitus on the patient’s quality of life, sleep patterns, and emotional well-being is evaluated.
Physical Examination:
- Otoscopic Examination: The ear canal and tympanic membrane are examined for any abnormalities, such as wax impaction, middle ear effusion, or signs of infection.
- Cranial Nerve Examination: The function of cranial nerves relevant to hearing and balance is assessed.
- Head and Neck Examination: The head and neck are examined for any signs of trauma, temporomandibular joint (TMJ) dysfunction, or vascular abnormalities.
Audiological Evaluation:
- Pure-Tone Audiometry: Hearing thresholds are measured to determine the presence and degree of hearing loss.
- Tympanometry: The middle ear function is evaluated.
- Otoacoustic Emissions: The integrity of the outer hair cells in the cochlea is assessed.
- Auditory Brainstem Response: The neural pathways involved in hearing are evaluated.
Additional Tests:
- Imaging Studies: In specific cases, imaging studies like MRI or CT scans may be indicated to rule out underlying structural abnormalities in the ear or brain.
- Laboratory Tests: Blood tests may be performed to assess for systemic diseases that could contribute to tinnitus. [7]
Diagnosis
Diagnosis
- The diagnostic approach is based on a history of the condition and an examination of the head, neck, and neurological system.
- Typically, an audiogram done, and occasionally medical imaging or electronystagmography.
- Treatable conditions may include middle ear infection, acoustic neuroma, concussion, and otosclerosis.
- Evaluation of it can include a hearing test (audiogram), measurement of acoustic parameters of the tinnitus like pitch and loudness, and psychological assessment of comorbid conditions like depression, anxiety, additionally stress that associate with severity of the It.
- One definition of tinnitus, as compared to normal ear noise experience, is lasting five minutes at least twice a week.
- However, people with It often experience the noise more frequently than this.
- Tinnitus can be present constantly or intermittently.
- Some people with constant tinnitus might not be aware of it all the time, but only for example during the night when there is less environmental noise to mask it.
- Chronic tinnitus can define as duration of six months or more. [2]
Differential Diagnosis
Differential Diagnosis
- Meniere’s disease
- Acoustic neuroma
- Glomus jugular tumor
- Cerumen (ear wax) impaction
- Otitis media
- Ear or hearing trauma
- Head injuries [2]
Complications
Complications
Sleep Disturbances:
- The persistent or intrusive nature of It can make it difficult to fall asleep or stay asleep, leading to insomnia and fatigue.
Concentration and Memory Problems:
- The constant presence of tinnitus can impair concentration and memory, affecting work, study, and daily activities.
Emotional Distress:
- It can trigger or exacerbate anxiety, depression, and other emotional problems. The constant sound and its impact on daily life can lead to frustration, irritability, and social withdrawal.
Reduced Quality of Life:
- The cumulative effect of these complications can significantly reduce a person’s overall quality of life. It can interfere with social interactions, work productivity, and enjoyment of leisure activities.
Hyperacusis:
- Some individuals with tinnitus may also develop hyperacusis, an increased sensitivity to sound. This can make everyday sounds seem unbearably loud and further restrict their activities and social participation.
It’s important to note:
- While these complications are common, not everyone with tinnitus experiences them to the same degree. The severity of complications can vary depending on the individual’s characteristics, coping mechanisms, and available support systems. [7]
Investigations
Investigations
Detailed History and Physical Examination:
- Thorough History: A comprehensive medical and otologic history is obtained, including details about the tinnitus (onset, characteristics, associated symptoms), previous ear problems, noise exposure, medication use, and systemic illnesses.
- Physical Examination: The ears, head, and neck are examined to identify any abnormalities that might contribute to tinnitus, such as earwax impaction, middle ear effusion, or signs of temporomandibular joint (TMJ) dysfunction.
Audiological Evaluation:
- Pure-Tone Audiometry: This test measures hearing thresholds to determine the presence and degree of hearing loss, which is commonly associated with tinnitus.
- Tympanometry: This test evaluates the function of the middle ear, which can be affected by conditions that contribute.
- Otoacoustic Emissions: This test assesses the integrity of the outer hair cells in the cochlea, providing information about the health of the inner ear.
- Auditory Brainstem Response: This test evaluates the neural pathways involved in hearing, helping to identify any abnormalities in the auditory system.
Additional Investigations (if indicated):
- Imaging Studies: MRI or CT scans may be recommended to rule out structural abnormalities in the ear or brain that could be causing It.
- Laboratory Tests: Blood tests may be performed to assess for systemic diseases that could contribute to tinnitus, such as thyroid dysfunction or autoimmune disorders.
- Balance Assessment: If the patient experiences dizziness or balance problems in addition to tinnitus, further testing may be conducted to assess vestibular function. [7]
Treatment
Treatment
It is a symptom and not a disease. Where possible, its cause should be discovered and treated. Sometimes, even the treatment of cause may not alleviate It.
When no cause is found, Its management includes:
- Reassurance and psychotherapy. Many times, the patient has to learn to live with it.
- Techniques of relaxation and biofeedback.
- Sedation and tranquillizers. They may be needed in initial stages till patient has adjusted to the symptom.
- Masking of tinnitus. It is more annoying at bedtime when the surroundings are quite.
Instrument
- It is a combination of a hearing aid and a masker in one device. Looks like a hearing aid.
- Both hearing aid and masking device have independent volume controls.
Tinnitus retraining therapy (TRT)
It occurs at two levels-
- Habituation of reaction. It is uncoupling of brain and body from negative reactions to It.
- Habituation of tinnitus. It is blocking the tinnitus-related neuronal activity to reach level of consciousness. With this therapy patients suffering from tinnitus lose awareness of tinnitus and also do not get annoy even when they do have tinnitus. Therapy consists of two major components:
(I) Counselling
It is important to educate the patient about this disease, its mechanism of generations, perception of tinnitus at subcortical and cortical levels and the plasticity of brain which can habituate any sensory stimuli.
(ii) Sound therapy
Patient expose to environmental sounds, music radio, television, or use of hearing aids In general, he should avoid silent environment. To produce external sound for habituation, sound generators use which produce continuous low-level, broad-band noise for at least 8 h a day.
Sound, here is used not for masking but is adjusted to remain at a low level, for habituation.
TRT needs a long period of 18–24 months but gives a significant improvement in more than 80% of patients. [2]
Prevention
Prevention of Tinnitus
Prolonged exposure to loud sound or noise levels can lead to tinnitus. Custom made ear plugs or other measures can help with prevention. Employers may use hearing loss prevention programs to help educate and prevent dangerous levels of exposure to noise. Government organizations set regulations to ensure employees, if following the protocol, should have minimal risk to permanent damage to their hearing.
Motorbike riders also advise to wear ear plugs when riding to avoid the risk, caused by overexposure to loud noises such as wind noise.
Several medicines have ototoxic effects, and can have a cumulative effect that can increase the damage done by noise. If ototoxic medications must administer, close attention by the physician to prescription details, such as dose and dosage interval, can reduce the damage done.[2]
Homeopathic Treatment
Homeopathic Treatment of Tinnitus
Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines selected after a full individualizing examination and case-analysis.
which includes
- The medical history of the patient,
- Physical and mental constitution,
- Family history,
- Presenting symptoms,
- Underlying pathology,
- Possible causative factors etc.
A miasmatic tendency (predisposition/susceptibility) also often taken into account for the treatment of chronic conditions.
What Homoeopathic doctors do?
A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’?.
The disease diagnosis is important but in homeopathy, the cause of disease not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness also looked for. No a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.
The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can greatly improved with homeopathic medicines.
Homeopathic Medicines for Tinnitus
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy.
Medicines:
Chininum sulphuricum
- Ringing in the eras; also with deafness. Meniere’s disease.
- Humming in the ears ,Roaring in the ears, during the night.
- The person may also have a tendency toward chills and vertigo, during which the tinnitus is often worse.
Natrum Salicylicum
- Severe headache, ringing in the ears, deafness, and impairment of vision for distant objects.
- Produces marked effect upon the internal ear; with vertigo, deafness, noises in the ears with loss of bone conduction.
- Vertigo when objects seem to move to the right; worse on rising from lying.
- Prostration after influenza.
Belladonna
- Wind rushes out of her ears.
- Furthermore, A disagreeable pressure in the meatus, as if one were boring in it with the finger.
- Pulsation in the ears, with increased sharpness of hearing.
- Very sensitive to loud tones, he starts every time.
- Hardness of hearing.
- Attack of deafness, from congestion of blood, chiefly in the evening.
Salicylicum Acidum
- Vertigo, tendency to fall to the left side, surrounding objects seem to fall to the right; headache. Additionally, Meniere’s disease.
- Simple deafness with tinnitus. Roaring also ringing in the ears.
- Deafness with vertigo.
- Lastly, Effects of suppressed foot sweats.
Graphites
- Hissing ; ringing; rushing; roaring; cracking; or clucking sounds in the ears.
- Violent nocturnal roaring, ears feel stuffed at times.
- Sounds as of rolling thunder before the ears.
- Cracking in the ear : when eating in the evening; on moving the jaw, but only in the morning while lying in bed; when sneezing.
- At every step feels as if a valve in right ear opened and closed. Loss of hearing, with dryness of the ears.
- Acute pressure in the inner ear, like otalgia. Thin, watery, offensive discharge from both ears.
- Gluey, sticky discharge at the external meatus.
Lycopodium
- Over sensitiveness of hearing. Roaring, humming and whizzing in the ears; hardness of hearing.
- Otorrhea purulent, ichorous; after scarlatina; with impaired hearing.
- People needing Lycopodium often have a tendency toward ear infections with discharge, as well as chronic digestive problems or urinary tract complaints.
Calcarea carbonica
- Hardness of hearing, also after suppression of intermittent by quinine.
- Singing and roaring or crackling in the ears.
- Cracking in the ears when chewing. Strange and peculiar noise in the ears when swallowing.
- Pulsating in the ears. Purulent, offensive discharge from the ears.
- People who need this remedy are usually chilly, easily fatigued, crave sweets, and feel overwhelmed and anxious when unwell.
Carbo vegetabilis
- Ringing in ears : buzzing. Something heavy seems to lie before the ears; they seemed stopped, hearing not diminished.
- Deafness after acute skin infection ,abuse of mercury, ears too dry, Offensive otorrhea.
- The person may feel cold and faint, but usually has a craving for fresh and moving air.
- Carbo vegetabilis is also helpful when an illness has prolonged or recovery is slow.
China (Cinchona officinalis)
- This remedy often indicate after fluids have lost through vomiting, diarrhea, heavy sweating, and surgery or other conditions involving blood loss.
- Fine ringing in ears, debility.
- Hardness of hearing; humming in ears. Besides this, Stitches in the ears.
Cimicifuga
- People likely to respond to cimicifuga often have pain and muscle tension in the neck and back.
- They are usually energetic, nervous, and talkative, but become depressed or fearful when not feeling well.
- Headaches and problems during menstrual periods often seen in people who need this remedy. Sensitive to least noise.
- Singing in the left, later in both ears.
China
- RINGING in ears. External ear sensitive to touch.
- Hearing sensitive to noise, Intolerance of noise.
- Shooting, buzzing, inkling, humming also roaring of ears.
- Redness and heat of the external ear, especially of the lobes.
- Worse – from the slightest tough. On the other hand, Better – warmth.
Causticum
- Ringing, roaring, pulsating, with deafness.
- words also steps re-echo: chronic middle ear catarrh: accumulation of ear wax.
- Worse – dry cold winds, in clear fine weather, cold air, from motion of carriage. Whereas, Better – Damp wet weather, warmth, Heat of bed. [3][4]
Diet & Regimen
Diet & Regimen of Tinnitus
What to Eat
Vitamin B12 – Vitamin B12 can help alleviate your symptoms that are a result of noise damage. You can find vitamin B12 in mackerel, salmon, chicken, beef, and eggs.
Bromelain – Tinnitus can have adverse effects on the body, which can lead to inflammation. However, bromelain, which is found in pineapple, can help reduce inflammation in the body, thus lessening the effects of tinnitus.
Potassium – potassium helps regulate the proper flow of fluids throughout the body. Potassium-rich foods that may help alleviate your symptoms include apricots, sweet potatoes, pears, papayas, bananas, yogurt, spinach, mangos, and apples.
Zinc – Sometimes ringing in the ears can be caused by low levels of zinc, which is responsible for healing and cell growth. So make sure you keep your levels up by eating plenty of nuts, dark chocolate, yogurt, chicken, beef, spinach, lamb, and shellfish.
Folate – Folate helps improve blood flow to the inner ear by increasing circulation and can help improve tinnitus, sudden hearing loss, and age-related hearing loss. Get your daily dose of folate by eating plenty of beans, spinach, romaine lettuce, broccoli, turnip greens, asparagus, and bok choy.[5]
What Not to Eat/Consume Less
- Processed/pre-packaged/fast foods
• MSG
• Table salt
• Artificial sweeteners
• Vegetable oils
• Sulfites
• Saturate fats
• Refined carbohydrates
• Trans fats
• Caffeine
• Processed sugar
• Alcohol [5]
Do’s and Don'ts
Do’s:
- Protect your hearing: Avoid exposure to loud noises. Use earplugs or earmuffs in noisy environments.
- Manage stress: Practice relaxation techniques such as yoga, meditation, or deep breathing exercises. Stress can worsen tinnitus.
- Get enough sleep: Aim for 7-8 hours of quality sleep each night. Fatigue can exacerbate tinnitus.
- Seek professional help: Consult an audiologist or otolaryngologist (ear, nose, and throat doctor) for evaluation and treatment options.
- Consider sound therapy: Sound therapy devices or apps can help mask the tinnitus sound and provide relief.
- Stay active and engaged: Pursue hobbies and activities that you enjoy. Staying active can help distract from the tinnitus and improve overall well-being.
- Maintain a healthy lifestyle: Eat a balanced diet, exercise regularly, and avoid smoking and excessive alcohol consumption.
Don’ts:
- Don’t expose yourself to loud noises: Avoid concerts, loud machinery, and other sources of loud noise.
- Don’t isolate yourself: Stay connected with friends and family. Social interaction can help reduce stress and improve coping mechanisms.
- Don’t focus on the tinnitus: Try to distract yourself from the tinnitus by engaging in activities you enjoy.
- Don’t self-medicate: Avoid using over-the-counter medications or supplements without consulting a healthcare professional.
- Don’t give up: Tinnitus can be managed effectively with the right treatment and lifestyle adjustments. [7]
Terminology
Terminology
Here are some terminologies and their meanings commonly used in articles about tinnitus:
Tinnitus:
- The perception of sound (ringing, buzzing, hissing, etc.) in the ears or head without an external source.
Subjective Tinnitus:
- Tinnitus that is only heard by the affected individual and cannot be measured objectively.
Objective Tinnitus:
- Tinnitus that can be heard by both the affected individual and an examiner using specialized equipment (rare).
Pulsatile Tinnitus:
- Tinnitus that is rhythmic and synchronous with the heartbeat.
Non-pulsatile Tinnitus:
- Tinnitus that is continuous or intermittent but not rhythmic.
Somatic Tinnitus:
- Tinnitus that is influenced by movements or pressure changes in the head, neck, or jaw.
Hyperacusis:
- Increased sensitivity to sound, often experienced alongside tinnitus.
Ototoxic:
- Refers to substances or medications that can damage the ear and potentially cause tinnitus.
Tinnitus Masking:
- The use of external sounds to cover up or reduce the perception of tinnitus.
Tinnitus Retraining Therapy (TRT):
- A form of therapy aimed at helping individuals habituate to their tinnitus and reduce its impact on their lives.
Cognitive Behavioral Therapy (CBT):
- A type of therapy that helps individuals manage the emotional and psychological distress associated with tinnitus.
Neurophysiological Model of Tinnitus:
- A theoretical framework that explains tinnitus as arising from changes in the central nervous system following hearing loss or other damage to the auditory system.
These terms are crucial for understanding the complexity of tinnitus and the various approaches to its diagnosis and management. If you come across any unfamiliar terms in articles about tinnitus, consulting a medical dictionary or reliable online resource can provide further clarification.
Here are some terminologies and their meanings that are commonly used in homeopathic articles about tinnitus:
Homeopathic Concepts
Remedy:
- A substance prepared according to homeopathic principles, used to stimulate the body’s healing response.
Potency:
- The degree of dilution and succussion a homeopathic remedy undergoes during preparation, believed to increase its therapeutic effect.
Similia Similibus Curentur:
- The principle of "like cures like," the foundation of homeopathy, where a substance that causes symptoms in a healthy person can cure similar symptoms in a sick person.
Constitutional Remedy:
- A remedy chosen based on the totality of the patient’s physical, mental, and emotional symptoms, aiming to address the underlying imbalance.
Proving:
- A systematic process of observing the symptoms produced in healthy individuals after taking a homeopathic remedy, used to determine its therapeutic properties.
Materia Medica:
- A comprehensive reference book describing the symptoms and therapeutic indications of homeopathic remedies.
Repertory:
- A tool that lists symptoms and the remedies associated with them, used by homeopaths to select appropriate remedies.
Tinnitus-Specific Terms
- Roaring Tinnitus: Tinnitus characterized by a loud, roaring sound in the ears.
- Buzzing Tinnitus: Tinnitus characterized by a buzzing or humming sound in the ears.
- Hissing Tinnitus: Tinnitus characterized by a high-pitched hissing or whistling sound in the ears.
- Pulsatile Tinnitus: Tinnitus that is rhythmic and synchronous with the heartbeat.
- Aggravation: A temporary worsening of symptoms after taking a homeopathic remedy, often considered a sign of the remedy’s effectiveness.
- Amelioration: An improvement in symptoms after taking a homeopathic remedy.
Examples of Homeopathic Remedies Used in Tinnitus
- Chininum Sulphuricum: Indicated for tinnitus associated with hearing loss, especially after noise exposure or quinine medication.
- Kali Carbonicum: Often used for tinnitus with a sensation of fullness or blockage in the ears, accompanied by anxiety and sensitivity to cold.
- Lycopodium: May be helpful for tinnitus with a roaring or hissing sound, particularly in the right ear, along with digestive issues and low self-esteem.
- Salicylicum Acidum: Considered for tinnitus with a high-pitched ringing or roaring sound, often associated with hearing loss or vertigo.
- Carbo Vegetabilis: May be beneficial for tinnitus accompanied by fatigue, bloating, and a desire for fresh air.
Note: Homeopathic treatment should always be individualized based on the patient’s specific symptoms and constitution. Consulting a qualified homeopathic practitioner is essential for proper diagnosis and treatment.
References
References use for Article Tinnitus
- Diseases_of_Ear_Nose_and_Throat_6Edition
- https://en.wikipedia.org/wiki/Tinnitus#cite_note-74
- Homoeopathic Body-System Prescribing – A Practical Workbook of Sector Remedies
- https://hpathy.com/cause-symptoms-treatment/tinnitus-cure/
- https://www.neilsperlingmd.com/blog/2018/05/foods-for-tinnitus-what-to-eat-and-what-to-avoid-when-you-have-tinnitus
- Aryal, P., Shrestha, B., & Bista, S. (2023). Prevalence of Tinnitus and its Characteristics Among Indian Adult Population. Annals of Otology, Rhinology & Laryngology, 132(03), 230-234.
- Tyler, R. S., Searchfield, G. D., & Rauschecker, J. P. (Eds.). (2014). Tinnitus: Pathophysiology and Treatment (2nd ed.). Springer.
Also Search As
Also Search As
People can search for homeopathic articles on tinnitus using various methods, including:
Online Search Engines:
- Use specific keywords: Try search terms like "homeopathy for tinnitus," "homeopathic remedies for tinnitus," "homeopathic treatment of tinnitus," or "tinnitus homeopathy."
- Include additional details: Add specifics about the type of tinnitus (e.g., pulsatile, high-pitched), associated symptoms, or desired information (e.g., case studies, research articles).
- Utilize advanced search operators: Use quotation marks for exact phrases, the minus sign to exclude specific terms, or site: to search within a specific website.
Websites and Forums:
- Visit reputable homeopathic websites: Many organizations and practitioners have online resources dedicated to homeopathy, including articles on tinnitus.
- Participate in online forums: Connect with other individuals interested in homeopathy and discuss tinnitus treatment experiences.
Libraries and Bookstores:
- Access homeopathic libraries: Many cities have libraries specializing in homeopathy with a wide selection of books and journals.
- Browse homeopathic bookstores: Look for books and publications on homeopathy, including those focused on ear conditions or tinnitus.
Practitioners:
- Consult a homeopath: Ask your homeopathic practitioner for recommendations on reliable articles or resources about tinnitus.
Additional Tips:
- Look for peer-reviewed articles: Prioritize articles published in reputable homeopathic journals or websites.
- Cross-reference information: Verify information from multiple sources to ensure accuracy and reliability.
- Consider the author’s expertise: Look for articles written by qualified homeopathic practitioners or researchers.
- Be critical of anecdotal evidence: While personal experiences can be valuable, rely on evidence-based information for treatment decisions.
By using a combination of these approaches, individuals can access a wide range of homeopathic articles on tinnitus and make informed decisions about their treatment options.
There are several ways people can search for information about tinnitus:
Online Search Engines:
- Using keywords: The most common approach is using search engines like Google, Bing, or DuckDuckGo. Simple keywords such as "tinnitus," "ringing in the ears," or "ear noise" will yield numerous results.
- Specifying the search: To get more focused information, use more specific search terms like "tinnitus causes," "tinnitus treatment," "tinnitus home remedies," or "tinnitus and hearing loss."
Health Websites & Organizations:
- Reputable health websites: Websites of renowned health organizations like the Mayo Clinic, the National Institutes of Health (NIH), or the American Tinnitus Association (ATA) offer reliable and evidence-based information on tinnitus.
- Specialized tinnitus websites: Many websites specifically focus on tinnitus, providing comprehensive information on its causes, symptoms, diagnosis, and treatment options.
Medical Databases:
- PubMed: This database provides access to millions of biomedical literature citations, including research articles on tinnitus.
- Google Scholar: Another valuable resource for finding scholarly articles and research papers on tinnitus.
Social Media & Online Communities:
- Support groups and forums: Many online platforms and social media groups offer support and information for people with tinnitus. These can be great resources for connecting with others facing similar challenges and learning about their experiences.
Healthcare Professionals:
- Consult your doctor or an audiologist: They can provide personalized advice and guidance on managing tinnitus and may recommend specific resources or treatment options.
Additional tips for effective searches:
- Use reliable sources: Stick to reputable websites, medical databases, and organizations.
- Be specific in your queries: Using specific keywords and search terms will help narrow down your search results and yield more relevant information.
- Cross-check information: Verify the information you find across multiple sources to ensure accuracy.
- Consult a healthcare professional: If you have concerns about tinnitus, consult a qualified healthcare professional for personalized advice and treatment options.
Remember, the vast amount of information available online can be overwhelming. Focusing on reliable sources and consulting a healthcare professional will help you navigate this information landscape effectively and make informed decisions about your health.
Frequently Asked Questions (FAQ)
What is tinnitus?
Tinnitus is the perception of sound in the ears or head when no external sound is present.
It can manifest as ringing, buzzing, hissing, or other sounds, varying in pitch and loudness.
What causes tinnitus?
Tinnitus often stems from damage to the inner ear, which can be caused by noise exposure, age-related hearing loss, earwax buildup, or certain medications.
Other potential causes include head or neck injuries, circulatory problems, and temporomandibular joint (TMJ) disorders.
Is tinnitus a sign of a serious problem?
While tinnitus itself is not usually a sign of a serious medical condition, it can significantly impact quality of life.
In some cases, it may be associated with underlying health issues that warrant medical attention.
Can tinnitus be cured?
Currently, there is no definitive cure for tinnitus. However, various treatment options can help manage its symptoms and improve quality of life.
What are the treatment options for tinnitus?
Can homeopathy help with tinnitus?
Yes,
homeopathy offers a holistic approach to tinnitus treatment, aiming to address the underlying causes and alleviate symptoms. Many individuals have reported positive results with homeopathic remedies.
How does a homeopath select the right remedy for tinnitus?
A homeopath conducts a detailed case analysis, considering the nature of the tinnitus, associated symptoms, medical history, and the individual’s overall health and personality.
How long does it take for homeopathic treatment to work for tinnitus?
The response time varies depending on the individual, the severity of the tinnitus, and the underlying cause. Some may experience improvement within weeks, while others may require longer-term treatment.
Are there any side effects of homeopathic remedies for tinnitus?
Homeopathic remedies are generally safe and well-tolerated, with minimal risk of side effects. However, it’s important to consult a qualified homeopath for proper dosage and selection of remedies.