Tinnitus - Symptoms and causes (2024)

Overview

Tinnitus

Tinnitus - Symptoms and causes (1)

Tinnitus

Tinnitus can be caused by a number of things, including broken or damaged hair cells in the part of the ear that receives sound (cochlea); changes in how blood moves through nearby blood vessels (carotid artery); problems with the joint of the jaw bone (temporomandibular joint); and problems with how the brain processes sound.

Tinnitus is when you experience ringing or other noises in one or both of your ears. The noise you hear when you have tinnitus isn't caused by an external sound, and other people usually can't hear it. Tinnitus is a common problem. It affects about 15% to 20% of people, and is especially common in older adults.

Tinnitus is usually caused by an underlying condition, such as age-related hearing loss, an ear injury or a problem with the circulatory system. For many people, tinnitus improves with treatment of the underlying cause or with other treatments that reduce or mask the noise, making tinnitus less noticeable.

Symptoms

Tinnitus 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, or tinnitus that only you can hear. 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. Tinnitus 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 your tinnitus when he or she does an examination (objective tinnitus).

When to see a doctor

Some people aren't very bothered by tinnitus. For other people, tinnitus disrupts their daily lives. If you have tinnitus that bothers you, see your doctor.

Make an appointment to see your doctor if:

  • You develop tinnitus after an upper respiratory infection, such as a cold, and your tinnitus doesn't improve within a week.

See your doctor as soon as possible if:

  • You have hearing loss or dizziness with the tinnitus.
  • You are experiencing anxiety or depression as a result of your tinnitus.

Mayo Clinic Minute: Is tinnitus causing that ringing in your ear?

About 1 in 5 people experience the perception of noise or ringing in the ears. It's called tinnitus.

Dr. Gayla Poling says tinnitus can be perceived a myriad of ways. "Ninety percent of those with tinnitus have hearing loss." Hearing loss can be age-related, come from a one-time exposure, or exposure to loud sounds over a lifetime. Dr. Poling says the tiny hairs in our inner ear may play a role.

"Those little hair cells in our inner ear are really delicate structures. That's what is actually damaged with noise exposure."

Dr. Poling says there's no scientifically proven cure for tinnitus, but there are treatment and management options.

"Something as simple as getting a hearing aid to really treat the hearing loss." Other options include using a sound generator or using a fan at night.

"There's something called 'tinnitus retraining therapy.'" There are more ear-level masking devices where you can hear sounds throughout the day, too, that are more distracting."

If ringing in your ears bothers you, start by seeing your health care provider for a hearing test.

For the Mayo Clinic News Network, I'm Ian Roth.

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Causes

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

Common causes of tinnitus

In many people, tinnitus is caused by one of the following:

  • Hearing loss. There are tiny, delicate hair cells in your inner ear (cochlea) that move when your ear receives sound waves. This movement triggers electrical signals along the nerve from your ear to your brain (auditory nerve). Your brain interprets these signals as sound.

    If the hairs inside your inner ear are bent or broken — this happens as you age or when you are regularly exposed to loud sounds — they can "leak" random electrical impulses to your brain, causing tinnitus.

  • Ear infection or ear canal blockage. Your ear canals can become blocked with a buildup of fluid (ear infection), earwax, dirt or other foreign materials. A blockage can change the pressure in your ear, causing tinnitus.
  • Head or neck injuries. Head or neck trauma can affect the inner ear, hearing nerves or brain function linked to hearing. Such injuries usually cause tinnitus in only one ear.
  • Medications. A number of medications may cause or worsen tinnitus. Generally, the higher the dose of these medications, the worse tinnitus becomes. Often the unwanted noise disappears when you stop using these drugs.

    Medications known to cause tinnitus include nonsteroidal anti-inflammatory drugs (NSAIDs) and certain antibiotics, cancer drugs, water pills (diuretics), antimalarial drugs and antidepressants.

Other causes of tinnitus

Less common causes of tinnitus include other ear problems, chronic health conditions, and injuries or conditions that affect the nerves in your ear or the hearing center in your brain.

  • Meniere's disease. Tinnitus can be an early indicator of Meniere's disease, an inner ear disorder that may be caused by abnormal inner ear fluid pressure.
  • Eustachian tube dysfunction. In this condition, the tube in your ear connecting the middle ear to your upper throat remains expanded all the time, which can make your ear feel full.
  • Ear bone changes. Stiffening of the bones in your middle ear (otosclerosis) may affect your hearing and cause tinnitus. This condition, caused by abnormal bone growth, tends to run in families.
  • Muscle spasms in the inner ear. Muscles in the inner ear can tense up (spasm), which can result in tinnitus, hearing loss and a feeling of fullness in the ear. This sometimes happens for no explainable reason, but can also be caused by neurologic diseases, including multiple sclerosis.
  • Temporomandibular joint (TMJ) disorders. Problems with the TMJ, the joint on each side of your head in front of your ears, where your lower jawbone meets your skull, can cause tinnitus.
  • Acoustic neuroma or other head and neck tumors. Acoustic neuroma is a noncancerous (benign) tumor that develops on the cranial nerve that runs from your brain to your inner ear and controls balance and hearing. Other head, neck or brain tumors can also cause tinnitus.
  • Blood vessel disorders. Conditions that affect your blood vessels — such as atherosclerosis, high blood pressure, or kinked or malformed blood vessels — can cause blood to move through your veins and arteries with more force. These blood flow changes can cause tinnitus or make tinnitus more noticeable.
  • Other chronic conditions. Conditions including diabetes, thyroid problems, migraines, anemia, and autoimmune disorders such as rheumatoid arthritis and lupus have all been associated with tinnitus.

Risk factors

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

  • Loud noise exposure. Loud noises, such as those from heavy equipment, chain saws and firearms, are common sources of noise-related hearing loss. Portable music devices, such as MP3 players, also can cause noise-related hearing loss if played loudly for long periods. 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.
  • Sex. Men are more likely to experience tinnitus.
  • Tobacco and alcohol use. Smokers have a higher risk of developing tinnitus. Drinking alcohol also increases the risk of tinnitus.
  • Certain health problems. Obesity, cardiovascular problems, high blood pressure, and a history of arthritis or head injury all increase your risk of tinnitus.

Complications

Tinnitus affects people differently. For some people, tinnitus can significantly affect quality of life. If you have tinnitus, you may also experience:

  • Fatigue
  • Stress
  • Sleep problems
  • Trouble concentrating
  • Memory problems
  • Depression
  • Anxiety and irritability
  • Headaches
  • Problems with work and family life

Treating these linked conditions may not affect tinnitus directly, but it can help you feel better.

More Information

  • Tinnitus and antidepressants

Prevention

In many cases, tinnitus is the result of something that can't be prevented. However, some precautions can help prevent certain kinds of tinnitus.

  • Use hearing protection. Over time, exposure to loud sounds can damage the nerves in the ears, causing hearing loss and tinnitus. Try to limit your exposure to loud sounds. And if you cannot avoid loud sounds, use ear protection to help protect your hearing. If you use chain saws, are a musician, work in an industry that uses loud machinery or use firearms (especially pistols or shotguns), always wear over-the-ear hearing protection.
  • Turn down the volume. Long-term exposure to amplified music with no ear protection or listening to music at very high volume through headphones can cause hearing loss and tinnitus.
  • Take care of your cardiovascular health. Regular exercise, eating right and taking other steps to keep your blood vessels healthy can help prevent tinnitus linked to obesity and blood vessel disorders.
  • Limit alcohol, caffeine and nicotine. These substances, especially when used in excess, can affect blood flow and contribute to tinnitus.

By Mayo Clinic Staff

Nov. 30, 2022

Tinnitus - Symptoms and causes (2024)

FAQs

How do I find out what is causing my tinnitus? ›

If you have tinnitus, first see your primary care doctor, who will check for earwax or fluid from an ear infection that could be blocking your ear canal. Your doctor will also ask about your medical history to find out if an underlying condition or a medication may be causing your tinnitus.

What are the worst symptoms of tinnitus? ›

If you have tinnitus, you may also experience:
  • Fatigue.
  • Stress.
  • Sleep problems.
  • Trouble concentrating.
  • Memory problems.
  • Depression.
  • Anxiety and irritability.
  • Headaches.
Nov 30, 2022

What are four possible causes of tinnitus? ›

There are several causes of tinnitus, including:
  • normal aging,
  • hearing loss,
  • loud noise (for example, from construction work such as jackhammers, gunfire, loud music at concerts, etc.),
  • medications (including some antibiotics, anti-seizure medicines, and painkillers),
  • head or neck injuries, and.
  • certain diseases.

How do you deal with severe tinnitus? ›

If tinnitus is especially noticeable in quiet settings, try using a white noise machine to mask the noise from tinnitus. If you don't have a white noise machine, a fan, soft music or low-volume radio static also may help. Limit alcohol, caffeine and nicotine.

What does ENT do for tinnitus? ›

If your ENT specialist finds a specific cause for your tinnitus, they may be able to offer specific treatment to eliminate the noise. This may include removing wax or hair from your ear canal, treating middle ear fluid, treating arthritis in the jaw joint, etc.

Can tinnitus be a symptom of something else? ›

Sometimes, tinnitus is a sign of high blood pressure, an allergy, or anemia. In rare cases, tinnitus is a sign of a serious problem such as a tumor or aneurysm. Other risk factors for tinnitus include temporomandibular joint disorder (TMJ), diabetes, thyroid problems, obesity, and head injury.

When should you worry about tinnitus? ›

You may need to see your doctor if: You have tinnitus that sounds like a heartbeat (pulsatile tinnitus) You also have dizziness, vertigo, or hearing loss. Your tinnitus comes on suddenly.

What is the last stage of tinnitus? ›

Late stage: During the late stages of Meniere's disease, patients will not suffer from vertigo as often, and some people will be relieved from it forever. However, tinnitus and hearing loss will likely get progressively worse, and people will likely experience unsteady balance regularly.

What are the 2 types of tinnitus? ›

Most people experience tinnitus in both ears, called bilateral tinnitus. Less commonly it develops in only one ear, called unilateral tinnitus.

What are the top 5 conditions secondary to tinnitus? ›

Secondary Conditions

Not only can tinnitus be a secondary condition that develops after service as a result of TBIs, hearing loss, head and neck trauma, etc., but it can also lead to other conditions such as depression, anxiety, migraines, and sleep apnea.

What deficiency causes tinnitus? ›

Tinnitus has been linked to vitamin B12 and vitamin D deficiencies.

What are the two most common causes of tinnitus? ›

Tinnitus is often associated with: age-related hearing loss. inner ear damage caused by repeated exposure to loud noises.

Can B12 cured my tinnitus? ›

Participants in Group A with a vitamin B12 deficiency showed a significant improvement in their tinnitus severity index scores after receiving six weeks of B12 therapy.

What is the fastest home remedy for tinnitus? ›

10 Tinnitus Remedies to Try at Home
  1. Manage stress levels. ...
  2. Quit smoking. ...
  3. Take time to relax each day. ...
  4. Reduce alcohol consumption. ...
  5. Take time to relax each day. ...
  6. Download a sound therapy app. ...
  7. Mask the noise. ...
  8. Try hearing protection products.

What makes tinnitus worse? ›

Loud sounds can make your tinnitus even more bothersome. Traffic, loud music, construction – all of these can worsen tinnitus. Be sure to wear earplugs or another type of ear protection in order to prevent noise from making your tinnitus worse.

Is it better to see an ENT or audiologist for tinnitus? ›

If you are suffering from tinnitus, hyperacusis, misophonia, or other common hearing afflictions, visiting an experienced audiologist at a local hearing center will be your best recourse. Audiologists are trained to identify these issues and many have chosen to specialize in treating these symptoms.

What are the new treatments for tinnitus? ›

Americans will be able to use Lenire starting in April 2023, when it will become widely available. Currently, tinnitus treatment is extremely limited; a product like Lenire will provide much-needed relief for millions of people who deal with the condition.

What disease is similar to tinnitus? ›

Ménière's disease is a disorder of the inner ear that causes severe dizziness (vertigo), ringing in the ears (tinnitus), hearing loss, and a feeling of fullness or congestion in the ear. Ménière's disease usually affects only one ear.

What neurological conditions cause tinnitus? ›

Neurologic causes include head injury, whiplash, multiple sclerosis, vestibular schwannoma (commonly called an acoustic neuroma), and other cerebellopontine-angle tumors.

What illness is like tinnitus? ›

Ménière's disease is a rare disorder that affects the inner ear. It can cause vertigo, tinnitus, hearing loss, and a feeling of pressure deep inside the ear.

How long is too long for tinnitus? ›

See an audiologist if it persists more than two weeks

Most temporary tinnitus cases will last for two weeks, so if your symptoms last longer than that and things aren't getting better, it makes sense to take action.

Does tinnitus show up on MRI? ›

Imaging Tests

Unilateral tinnitus may indicate a structural problem or medical condition on one side of the head that can be viewed using imaging techniques. Doctors at NYU Langone may use one or more tests, such as an MRI scan, CT scan, or ultrasound, to assist with diagnosis.

Is tinnitus a precursor to dementia? ›

However, unlike hearing loss, which has been reported to be an independent risk factor for dementia, the link between tinnitus and cognitive impairment remains unclear [1].

What are the three main symptoms of Meniere's disease? ›

Symptoms of Meniere's disease include:
  • Regular dizzy spells. You have a spinning feeling that starts and stops suddenly. ...
  • Hearing loss. Hearing loss in Meniere's disease may come and go, especially early on. ...
  • Ringing in the ear. Ringing in the ear is called tinnitus. ...
  • Feeling of fullness in the ear.
Dec 30, 2022

What autoimmune disease affects the ears? ›

What is AIED? Autoimmune inner ear disease (AIED) is an inflammatory condition of the inner ear. It occurs when the body's immune system attacks cells in the inner ear that are mistaken for a virus or bacteria. AIED is a rare disease occurring in less than one percent of the 28 million Americans with a hearing loss.

What test confirms Meniere's disease? ›

Vestibular evoked myogenic potentials (VEMP) testing.

This test uses sound to make parts of the inner ear active. It records how well muscles react to that sound. It may show common changes in the affected ears of people with Meniere's disease.

What are the 5 sounds of tinnitus? ›

People experience tinnitus as hearing many different and sometimes variably changing and intertwining sounds. People hear ringing, hissing, roaring, crickets, screeching, sirens, whooshing, static, pulsing, ocean waves, buzzing, clicking, dial tones, and even music.

Can tight neck muscles cause tinnitus? ›

When you have tinnitus, you can often experience neck tension as well. This tension starts in your neck (also called the cervical spine) and can affect the function of your cranial nerves, triggering ear ringing. There are many causes of cervical tinnitus; the most common are: Cold snaps resulting in a stiff neck.

What are three symptoms of tinnitus? ›

It makes ringing, chirping, hissing, buzzing, clicking, roaring and maybe even shrieking sounds—or sometimes a combination of sounds at varying degrees of loudness.

Can I claim disability for tinnitus? ›

If you are living with severe tinnitus, you might be eligible for short-term or long-term disability benefits. These insurance policies provide a monthly benefit during periods when you cannot work—but you must meet the requirements of your policy or plan.

Is tinnitus a brain or ear disorder? ›

Ringing in the ears, also called tinnitus, can be a debilitating problem for the millions of people who suffer in the U.S. Some who are affected by tinnitus, however, do not suffer any major symptoms. Recent studies show that a person's experience with tinnitus originates with the brain, not the ears.

What is the rarest tinnitus? ›

Somatic tinnitus is also referred to as conductive tinnitus, meaning it is tinnitus caused by more outer functions, rather than sensory/neurological causes. Sometimes mechanical causes of tinnitus can be heard by others. This is one of the rarest types of tinnitus.

What vitamin helps tinnitus go away? ›

Magnesium. Magnesium is essential in many bodily functions, including hearing. Decreased magnesium levels have been associated with tinnitus, and preliminary studies show that magnesium supplements likely benefit ear functions, suggesting it may help with tinnitus perception, though further research is needed.

What is the key nutrient to fix tinnitus? ›

Vitamin B12 – Vitamin B12 can help alleviate your tinnitus symptoms that are a result of noise damage. You can find vitamin B12 in mackerel, salmon, chicken, beef, and eggs.

Does Flonase help with ringing ears? ›

A doctor may even recommend that a patient use Flonase to soothe allergies and ease sinus pressure, thereby lessening pressure in the ears and possibly improving tinnitus short-term.

Can low vitamin D cause tinnitus? ›

There is increasing evidence that certain nutritional deficiencies, thus including lower levels of Vit D, may play an important role in the risk of developing hearing impairment and related consequences, one of which is indeed tinnitus.

How much B12 should I take to stop tinnitus? ›

Research has shown that most tinnitus sufferers are deficient in vitamin B12. This nutrient can be found in dairy products, meat, and eggs, but it makes more sense to choose a supplement of 1,000mcg strength and take two daily for an accurate therapeutic dose.

Does magnesium help tinnitus? ›

The science is still inconclusive, but many people report that a magnesium supplement reduced their tinnitus symptoms. However, it's not currently listed as a treatment for this condition. Anyone who's ever dealt with tinnitus knows that this ear condition can be frustrating and in some cases disorienting.

What foods to avoid if you have tinnitus? ›

Foods that Trigger Tinnitus Spikes
  • Alcohol. Alcoholic beverages cause dehydration and increase blood pressure, both of which can increase tinnitus symptoms. ...
  • Caffeine. ...
  • Salt. ...
  • Sugar. ...
  • Saturated Fats.

How do you calm a tinnitus flare up? ›

Relaxation: Meditation, breathing exercises, reading and journaling are good ways to focus your mind during a spike in your symptoms. Therapy: Discussing the emotional effects of your condition can ease the emotional burden. Therapists can also recommend coping strategies that help ease discomfort.

Does drinking water help tinnitus? ›

Anything you eat, drink, or do, that upsets the fluid level in the body can upset the fluid level in the ear and cause tinnitus. Keeping a moderate intake of caffeine, salt, and alcohol. Reducing your use of tobacco. And staying hydrated by drinking water will help reduce the impact of tinnitus.

What meds make tinnitus worse? ›

Medications that can cause tinnitus
  • Aspirin and other NSAIDs. ...
  • Benzodiazepines. ...
  • Tricyclic antidepressants. ...
  • Certain antibiotics. ...
  • Isotretinoin (Accutane) ...
  • Loop diuretics. ...
  • Beta blockers. ...
  • ACE inhibitors and angiotensin receptor blockers.
Apr 22, 2022

Why is my tinnitus louder some days? ›

Sleep and stress

And, when stress levels go up tinnitus can seem louder. If you have not slept properly one night you might experience higher stress levels, and your tinnitus might seem louder than on a normal day. Not only that but sleeping properly also helps with our ability to handle stress.

Is there a test to diagnose tinnitus? ›

Audiologists use a special high-frequency test to help determine the pitch and intensity of the tinnitus. For many people, tinnitus has a consistent sound, and matching this sound to a frequency or frequencies during a hearing test helps doctors better understand how tinnitus is affecting you.

Should I see an ENT or audiologist for tinnitus? ›

If you are suffering from tinnitus, hyperacusis, misophonia, or other common hearing afflictions, visiting an experienced audiologist at a local hearing center will be your best recourse. Audiologists are trained to identify these issues and many have chosen to specialize in treating these symptoms.

How do you know if tinnitus is caused by hearing loss? ›

Tinnitus usually follows the pattern of your loss. If you have trouble hearing high frequencies, your tinnitus is often a high-pitched ringing or hissing. When your loss is in only one ear, you'll usually only have tinnitus in that ear and it will go away if you get a cochlear implant in that ear.

What helps tinnitus go away naturally? ›

10 Tinnitus Remedies to Try at Home
  • Manage stress levels. ...
  • Quit smoking. ...
  • Take time to relax each day. ...
  • Reduce alcohol consumption. ...
  • Take time to relax each day. ...
  • Download a sound therapy app. ...
  • Mask the noise. ...
  • Try hearing protection products.

Should I get a brain scan for tinnitus? ›

Is an MRI or CT scan better for tinnitus? Both MRI and CT scans can be useful for diagnosing the underlying cause of tinnitus. After their initial evaluation, your doctor might recommend one scan over the other based on your likelihood of certain underlying conditions or to rule out specific conditions.

What does a physical exam look for tinnitus? ›

PHYSICAL EXAMINATION

The external canal and tympanic membrane should be inspected for signs of cerumen impaction, perforation, or infection. The cranial nerves should be examined for evidence of brain-stem damage or hearing loss. Auscultation over the neck, periauricular area, orbits, and mastoid should be performed.

Is vitamin B12 good for tinnitus? ›

Participants in Group A with a vitamin B12 deficiency showed a significant improvement in their tinnitus severity index scores after receiving six weeks of B12 therapy.

Is over ear or in ear better for tinnitus? ›

The best headphones for tinnitus are those least likely to give you hearing loss. Avoid earbuds. Instead, choose over-ear headphones with good noise isolation and active noise cancelling like the Sony WH-1000XM4.

What is the best specialist to see for tinnitus? ›

An otolaryngologist can rule out physical causes of tinnitus, such as excessive ear wax, problems with the middle ear (e.g., fluid, stiffened bones), or benign tumors on the auditory nerve. Otolaryngologists work in private practices, academic medical centers, community health centers, and hospitals.

When should I see a neurologist for tinnitus? ›

However, if you've experienced a constant ringing, static or buzzing sound for at least a week, you should contact a doctor to see if there is an underlying condition. Therefore, even if your tinnitus is bearable, don't hesitate to go to a doctor if your symptoms persist.

Does tinnitus mean I'm losing my hearing? ›

Although severe tinnitus can interfere with your hearing, the condition does not cause hearing loss. Tinnitus is a symptom associated with many ear disorders. A common cause of tinnitus is inner ear damage.

What drink helps tinnitus? ›

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.

References

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