Tinnitus: What is it? Why do I have it? And What to do about it?

People who experience tinnitus know that it can be very bothersome. Tinnitus (pronounced ten / ih / tus) is the perception or sensation of hearing sound when no external sound is present. These sounds are typically described as ringing, buzzing, roaring, chirping, or hissing.

The noises may vary in pitch from a low roaring sound to a high-pitched squeal. You can experience tinnitus in one ear, or both ears.

Tinnitus can significantly affect quality of life. Although it affects people differently, if you have tinnitus, you also may experience:

  • -Fatigue
  • -Stress
  • -Sleep problems
  • -Trouble concentrating
  • -Memory problems
  • -Depression, anxiety, and/or irritability

What causes tinnitus? Are there risk factors?

A number of health conditions can cause or worsen tinnitus. In many cases, an exact cause is never found.

A common cause of tinnitus is inner ear cell damage. Tiny, delicate hairs in your inner ear move in relation to the pressure of sound waves. This triggers ear cells to release an electrical signal through a nerve from your ear (auditory nerve) to your brain. Your brain interprets these signals as sound. If the hairs inside your inner ear are bent or broken, they can “leak” random electrical impulses to your brain, causing tinnitus.

Anyone can experience tinnitus, but these factors may increase your risk:

  • -Loud noise exposure. Prolonged exposure to loud noise can damage the tiny sensory hair cells in your ear that transmit sound to your brain. People who work in noisy environments — such as factory and construction workers, musicians, and soldiers — are particularly at risk.
  • -Age. As you age, the number of functioning nerve fibers in your ears declines, possibly causing hearing problems often associated with tinnitus.
  • -Gender. Men are more likely to experience tinnitus.
  • -Smoking. Smokers have a higher risk of developing tinnitus.
  • -Cardiovascular problems. Conditions that affect your blood flow, such as high blood pressure or narrowed arteries (atherosclerosis), can increase your risk of tinnitus.

 How is tinnitus diagnosed?

Because tinnitus is a perception, there is no way to truly test for tinnitus. Your doctor will diagnose tinnitus based on your symptoms, your medical history, and exam findings. A hearing test will likely be ordered to rule out any underlying conditions and to assess if any hearing loss is present. Your doctor may also may want you to have an x-ray, a CT scan, or MRI of your head.

How is tinnitus treated?

To treat your tinnitus, your doctor will first try to identify any underlying, treatable condition that may be associated with your symptoms. If tinnitus is due to a health condition, your doctor may be able to take steps that could reduce or eliminate the noise. Examples include:

  • -Earwax removal. Removing impacted earwax can decrease tinnitus symptoms.
  • -Treating a blood vessel condition. Underlying vascular conditions may require medication, surgery or another treatment to address the problem.
  • -Changing your medication. If a medication you’re taking appears to be the cause of tinnitus, your doctor may recommend stopping or reducing the drug, or switching to a different medication.

In some cases white noise may help suppress the sound so that it’s less bothersome. Your doctor may suggest using an electronic device to suppress the noise. Devices include:

  • -White noise machines. These devices, which produce simulated environmental sounds such as falling rain or ocean waves, are often an effective treatment for tinnitus. You may want to try a white noise machine with pillow speakers to help you sleep. Fans, humidifiers, dehumidifiers and air conditioners in the bedroom also may help cover the internal noise at night.
  • -Hearing aids. These can be especially helpful if you have hearing problems as well as tinnitus.
  • -Tinnitus retraining. A wearable device delivers individually programmed tonal music to mask the specific frequencies of the tinnitus you experience. Over time, this technique may accustom you to the tinnitus, thereby helping you not to focus on it. Counseling is often a component of tinnitus retraining.

There’s little evidence that alternative medicine treatments work for tinnitus. However, some alternative therapies that have been tried for tinnitus include acupuncture, hypnosis, ginkgo biloba, zinc supplements, and B vitamins.

Bottom Line:

If your tinnitus gets worse with stress, make sure to do things that decrease the stress in your life and help you to relax. Try to get enough sleep. Cut down on the amount of alcohol and caffeine you drink, and stop smoking if you smoke. These things can make your tinnitus worse. Avoid listening to loud noises. If you cannot avoid loud noises, use silicone earplugs or earmuffs to protect your ears.

Helpful Resources:

Mayo Clinic: http://www.mayoclinic.org/diseases-conditions/tinnitus/home/ovc-20180349

American Tinnitus Association: https://www.ata.org

Check out our blag regarding Noise Induced Hearing Loss if you suspect you have hearing loss as well.

What is noise induced hearing loss and how to prevent it?

Over the next few weeks, here at Andros Audiology and Andros ENT & Sleep Center, we are focusing our conversation on noise induced hearing loss. Our patient often ask:

What is noise induced hearing loss?

Noise induced hearing loss is hearing loss that is permanent in nature. Long-term exposure to loud sounds over a prolonged period of time can cause noise induced hearing loss.  Sounds louder than 85 decibels can be damaging to your hearing.  The louder the sound, the less amount of time it takes before damage occurs. For more information regarding how loud is too loud, check out this article by the American Speech-Language and Hearing Association.

So, in the very noisy world we live and work in, what can we do about dangerously loud noises? The good news is that noise induced hearing loss is preventable.  Wearing hearing protection helps to decrease the intensity of noise and ultimately protect your hearing.

Types of hearing protection

There are two different types of hearing protection available.  Earplugs protect hearing by creating an airtight seal in the ear canal.  This type of protection can be purchased very inexpensively at drug stores or sporting goods stores. You can purchase them in bulk through amazon. Custom-fit earplugs can also be a good option. You will need to see an audiologist for custom hearing protection.

The second type of hearing protection is the over-the-ear style.  This style fits over the entire ear and must create a tight seal with adjustable headbands in order to provide sufficient protection.  This type of hearing protection can also be purchased fairly inexpensively at sporting goods stores or through amazon. Some earmuffs even allow normal sounds, like conversation, though but block out loud, dangerous sounds. These can be very useful and can be purchased at sporting good stores like Cabela’s. 

Take home!

The important part of both types of hearing protection is how much, when appropriately fit, the earplug or muff reduces noise.  The better the noise reduction, the more protected you are from harmful noises.

For more information, schedule a hearing evaluation at Andros Audiology at 651-888-7888.

Help! I have high frequency hearing loss.

Two very common types of hearing loss include noise induced hearing loss and presbycusis, or age related hearing loss. Both of these are permanent in the fact that once our inner ear hair cells are damaged, we have no way in restoring their function to normal. Both conditions frequently result in something call high frequency hearing loss.

What is high frequency hearing loss?

Our ears hear a wide range of tones or frequencies. These range from low or bass tones, to high or treble tones. Often times, only part of the hearing range is damaged. For people who have high frequency hearing loss, it is not uncommon to have normal hearing for the bass or low pitch tones, but to have lost the ability to hear the high pitches. If you picture a radio that has all of the treble tuned out of it, this is what it can be like with high frequency hearing loss. You will still hear, but often times people complain of a lack of clarity.

How can high frequency hearing loss affect me?

Clarity in our hearing comes from the ability to hear high frequency sounds. We have many valuable speech sounds in the high frequency region that are important for distinguishing words. These include the “s” “f” “t” “th” sounds to name a few. Somebody who has high frequency hearing loss may hear the word “wife” and “white” the same, and this often leads to a misunderstanding. We will hear patients with high frequency hearing loss say, “I can hear the voice, I just don’t understand what they’re saying.”

Missing out on these valuable speech cues and having misunderstanding can be very frustrating. This frustration can lead to the listener giving up, or possibly isolating themselves because they don’t want to put in the extra effort to communicate.

Hearing aids can help with high frequency hearing loss

Hearing aid technology allows for the important speech information to be amplified to a point that the individual ear can use the information again. It is important that individuals don’t go too long without hearing the high frequencies because the longer the brain goes w/out hearing certain tones, the harder it is to introduce them back at a later time. Remember, the brain is a muscle, and you have to keep it exercised to keep it strong.

Take home

The first step in identifying whether or not hearing loss exists, is to visit an audiologist for a hearing test. If you think you may have hearing loss come meet with one of our Doctors of Audiology. Together we work with our medical doctors to come up with the best treatment options for your needs. Call us at 651-888-7800 to schedule an appointment.

In the meantime, here is some information about why our hearing is so important.