Tinnitus
(Ringing in the Ears)
Chapter 10. Eye, Ear, Nose & Throat Problems

Imagine hearing a ringing noise in your ears or head that doesn't go away. This maddening noise, called tinnitus, can range in volume from a ring to a roar. It affects nearly 36 million Americans, most of them older adults. Seven million people are bothered so much by tinnitus that living a normal life is not possible. Tinnitus can, in fact, interfere with work, sleep, and normal communication with others.

Causes
Like a toothache, tinnitus isn't a disease in itself, but a symptom of another problem. Examples are:
Earwax blocking the ear canals
Food allergies
Reactions to medications, such as overuse or frequent use of aspirin or aspirin products
Middle-ear trauma or infections
Blood vessel abnormalities in the brain
Ear nerve damage due to exposure to loud noise
Anemia (See Anemia)
Meniere's disease - a disease in which there is excess fluid in the canals of the inner ear, which results in tinnitus, dizziness, gradual hearing loss, etc...
Diabetes (See Diabetes)
Brain tumors (rarely)

And sometimes tinnitus is simply due to advancing age. It often accompanies loss of hearing. Often, tinnitus is temporary and will not lead to deafness. Treatment is aimed at finding and treating the problem that causes the tinnitus.

Questions to Ask

Do you have severe pain in the ears, forehead or over the cheekbones, a severe headache, dizziness, and/or sudden loss of hearing?
Do you have the following problems with ringing in the ears after taking aspirin or other medications that have salicylates, such as Trilisate or Disalcid (which are sometimes used to treat arthritis)?
Nausea
Vomiting
Dizziness
Rapid breathing
Hallucinations
Along with ringing in the ears, do you have one or more of the following?
Dizziness
Vertigo
Unsteadiness in walking
Loss of balance
Vomiting
Sudden hearing loss

Self-Care Tips

For mild cases of tinnitus, play the radio or a white noise tape (white noise is a low, constant sound) in the background to help mask the tinnitus.
Biofeedback or other relaxation techniques can help you calm down and concentrate, shifting your attention away from the tinnitus. Relaxation can reduce stress, which can aggravate tinnitus.
Exercise regularly to promote good blood circulation.
Ask your doctor or a certified audiologist about a recently developed tinnitus masker, which looks like a hearing aid. Worn on the ear, it makes a subtle noise that masks the tinnitus without interfering with hearing and speech.
If the noises started during or after traveling in an airplane, try pinching your nostrils and blowing through your nose. Chewing gum or sucking on hard candy may help prevent the popping and ringing sounds in the ear from happening when you do fly. Also, it is prudent to avoid flying when you have an upper respiratory tract or ear infection.
Limit your intake of caffeine, alcohol, nicotine, aspirin, and aspirin-like medications.
Wear earplugs when exposed to loud noises such as heavy machinery, etc., to prevent damage to the ear.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 04/20/99