Tinnitus

Have you ever experienced a “ringing in your ears” or “noise in your head”? This sound is referred to as tinnitus. Most people have tinnitus at some point in their lives – for some individuals it occurs very infrequently and for others it may be constant; it can also be in both ears or in only one ear. Approximately 40 million people in the U.S. have tinnitus at the present time. The sound of the tinnitus can also vary among people and has been described as ringing, hissing, buzzing, roaring, pulsing, whoosing, chirping, whistling, or clicking.

What causes tinnitus? Tinnitus is a symptom of a problem so it is important to determine the underlying issue in order to determine how to treat it. It may be a sign of hearing loss or may be caused by excessive exposure to noise, which may be occupational, military, or recreational (hunting, target-shooting, concerts). Certain ear diseases, injury involving damage to the ear, wax in the ear, barometric pressure changes (scuba diving), or circulation changes in the inner ear are other auditory causes of tinnitus. It can also be due to medical problems such as allergies, high or low blood pressure, tumors, diabetes, and thyroid issues. In addition, there are several medications that can cause or worsen tinnitus. Caffeine, nicotine, and stress also tend to aggravate tinnitus.

What should you do if you have tinnitus? You should see your physician to determine the cause of the tinnitus. If it is not caused by a medical problem or a medication, it may have an auditory etiology. An audiological evaluation would therefore be necessary to determine if you have a hearing loss or if there is another auditory cause. Unfortunately, there is no cure for tinnitus at this time but there are options available to help reduce the tinnitus. Hearing aids are an option for individuals who have both hearing loss and tinnitus. Masking devices can be used to make the tinnitus less noticeable. Tinnitus retraining therapy is available to help reduce the brain’s focus on the phantom sound and therefore, provide relief. Certain medications can be used if the cause is related to stress or depression. There are also tinnitus support groups in communities to help people cope with the tinnitus.

Tinnitus can be very distracting and cause difficulty concentrating. It is important to determine the cause of the tinnitus and what options you have to help alleviate it. For more information, please visit the American Speech Language Hearing Association website at www.asha.org or contact a hearing health specialist at Coastal Hearing and Balance Center 732-280-7855; www.coastalhearing.com.
Kristen Olsen is a Doctor of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ, and can be contacted at 732-280-7855; kmolsen@coastalhearing.com; http://www.coastalhearing.com