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What Can An Ent Do For Tinnitus

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What Vitamins Help Tinnitus

ENT vs Sound Relief for Tinnitus Treatment by Dr. Lindsay Collins

Research studies have shown that people with tinnitus experienced improvement in symptoms after undergoing vitamin B12 supplemental therapy. Vitamin B12 can be found in foods such as meat, fish and dairy products; it can also be produced in a Lab. It is often taken in combination with other B vitamins.

What Are The Treatment Options

When you are evaluated for tinnitus, the first thing the doctor will do is obtain a complete history and perform a thorough, targeted physical examination. If your tinnitus is one-sided , associated with hearing loss, or persistent, a hearing test, or audiogram, should be ordered. There is typically no need for radiologic testing unless your tinnitus is pulsatile or associated with uneven, asymmetric hearing loss or neurological abnormalities. Your doctor will determine how bothersome your tinnitus is by asking you certain questions or having you complete a self-assessment questionnaire.

Although there is no one cure for tinnitus, there are several options available that can help patients with tinnitus. Because tinnitus is relatively common and not always worrisome, not all patients need an evaluation. 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. For many patients who have experienced tinnitus for less than six months, its natural course is to improve over time, and most people do not go on to have persistent, bothersome tinnitus.

What Is The Main Cause Of Tinnitus

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.

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Treating Dysfunctions And Obstructions

According to the American Tinnitus Association, most cases of tinnitus are caused by hearing loss. Occasionally though, tinnitus is caused by an irritation to the auditory system. Tinnitus can sometimes be a symptom of a problem with the temporomandibular joint . If your tinnitus is caused by TMJ, then a dental procedure or realignment of your bite may alleviate the problem.

Tinnitus can also be a sign of excess earwax. Removal of an earwax blockage may be enough to make mild cases of tinnitus disappear. Foreign objects lodged against the eardrum can also cause tinnitus. An ear, nose, and throat specialist can perform an exam to check for obstructions in the ear canal.

Tinnitus Patient Finds Treatment To Help Regain Control Of Her Life


In December 2008, Nancy C. suddenly awoke in the middle of the night with pain in the right side of her head and a sensation of “ringing” in her ears. At first, Nancy attributed her symptoms to a bad migraine, but after days of feeling no relief, she began to seek help from numerous ear, nose and throat specialists throughout the Baltimore-Metropolitan area. Nancy was eventually referred to UMMC, which helped her regain control of her symptoms. Read her story below.

On December 21, 2008, I awoke at 3:00 am with pain in the right side of my head. My ears were “ringing,” and I also experienced what felt like internal quivering throughout my head. At first, I thought the pain was related to some kind of bad migraine, but three days later it still hadn’t gone away. I couldn’t concentrate and I couldn’t sleep.

I first saw an internal medicine doctor in Washington, D.C. She dismissed my symptoms as holiday stress. I insisted I wasn’t under any stress, but she wouldn’t listen. The quality of my life significantly diminished. I had difficulty concentrating, which had an impact on my ability to do my job as a writer. I was finally given a hearing test and diagnosed with borderline hearing loss and tinnitus. I immediately saw a neurologist, who ordered an MRI to rule out possible causes such as a brain tumor, and blood tests to rule out infection. All tests came back normal. That was just the beginning of my search for relief.

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Sinusitis & Tinnitus: Finding Sinus Ear Ringing Treatment

Fortunately, sinusitis-related tinnitus tends to go away with treatment of the sinus infection. As a minimally-invasive procedure, balloon sinuplasty can be performed in-office in less than 20 minutes on patients with a medical sinus obstruction.

During this procedure, your otolaryngologist uses an endoscope to place a tiny balloon within your sinus cavity. Once inflated, this balloon can expand your sinuses, restoring drainage to areas that were previously blocked or too small for mucus to flow properly.

The procedure has the added benefit of requiring little-to-no recovery time, and the majority of balloon sinuplasty before and after testimonies speak to patients finding years of much-needed sinus relief.

How Can A Sinus Infection Affect Your Ears

Most sinusitis-related ear problems, including tinnitus, are caused by the congestion that occurs during a sinus infection. To better understand this phenomenon, lets take a second to review a few facts about sinusitis.

Sinusitis most frequently occurs when a virus or bacteria irritates the tissues of your sinus cavities. This irritation can lead to swelling which, in turn, can lead to mucus buildup and congestion.

Your sinus cavities and ears are interconnected systems, so congestion in the sinuses can create ear congestion, as well. Congestion in the ear may block the tube known as the Eustachian Tube that connects the middle ear to the outer ear and helps regulate pressure within the ear. When the Eustachian Tube is blocked, the pressure is allowed to build up around the eardrum, which is ultimately what causes ringing in the ears, aka tinnitus.

Whether you have an acute sinus infection or a sinus infection that wont go away, so long as the congestion is severe enough, it can cause tinnitus.

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How Do You Ignore Tinnitus

Avoid loud noises: If you cant stay away from loud events like concerts, sporting events, or noisy machinery, at least protect your hearing. Wear earplugs or earmuffs. If you use headphones to listen to music, keep the sound turned down low. Catch some ZZZs: When youre tired, the ringing could seem worse.

Medications That Can Cause Tinnitus

Can Hearing Aids Help Tinnitus?

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 or worsen tinnitus include:

  • Antibiotics including polymyxin B erythromycin vancomycin and neomycin
  • Cancer medications including mechlorethamine and vincristine
  • Water pills such as bumetanide ethacrynic acid or furosemide
  • Quinine medications used for malaria or other health conditions
  • Certain antidepressants may worsen tinnitus
  • Aspirin taken in uncommonly high doses

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Causes Of A Stiff Neck

A stiff neck is usually caused by a soft tissue sprain or muscle strain. The levator scapulae muscle, in particular, is susceptible to injury. And is located on the side and back of your neck. The levator scapulae muscle is what connects your neck’s cervical spine to your shoulder. The third and fourth cervical nerves control this muscle . The levator scapulae muscle can get strained doing many regular daily activities like:

  • A sudden impact that moves the head to the side like whiplash during a vehicular accident and sports injuries.
  • Sleeping with your neck in a bad position.
  • Moving your head from side-to-side consistently during an activity like swimming.
  • Sitting with bad posture while using a computer or a smartphone for extended periods. This is sometimes called “text neck.
  • Experiencing excessive anxiety or stress, which leads to neck tension.
  • Keeping your neck in an awkward position for extended periods, such as holding your phone between your shoulder and neck.

If the symptoms of a stiff neck start right away, you can easily tell what caused it, for instance, falling during sporting activity. However, if the stiff neck comes out of the blue, it’s a lot harder to know where it’s coming from.

What Can I Do About Tinnitus

While tinnitus isnt life-threatening, it can have a major impact on your daily life. People with tinnitus perceive an unpleasant ringing sound or other noise in their ears. For some, the sound is continuous, while others experience tinnitus that comes and goes.;

If you hear an unusual noise in one or both ears, seek proper diagnosis and treatment to manage your condition. At Southern ENT, our team of experts can help. To start, here is some information to help you understand that annoying sound in your ears.

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Can Tinnitus Be Cured Naturally

There is no cure for tinnitus. However, it can be temporary or persistant, mild or severe, gradual or instant. The goal of treatment is to help you manage your perception of the sound in your head. There are many treatments available that can help reduce the perceived intensity of tinnitus, as well as its omnipresence.

Neck And Head Injuries


Neck and head injuries are usually caused by upper neck misalignment. So it makes sense to relieve the misalignment to help the symptoms that result due to the injury. And tinnitus is just one of numerous symptoms that occur after a whiplash, concussion, or any other type of neck or head injury. Other symptoms include vertigo, dizziness, neck pain, headaches, migraines, and much more.

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Ringing In The Ear Treatment

Treatment for ringing in the ear will be different depending on the type and cause of the condition. Its important to talk to your doctor about any concerns you have about ringing in the ear.

An ENT doctor may use one or more of the following treatments to help manage your tinnitus:

  • Treating the underlying health condition;;If an underlying condition such as excessive earwax, problem with your blood vessels or side effects from medicine is causing your tinnitus, your doctor will work to treat the underlying issue.
  • Noise suppression;;One of several noise suppression strategies can be used to help you tune out the unwanted noise. There are several devices that can help suppress noise, including white noise machines, hearing aids and masking devices.
  • If your tinnitus is severe, you may be given medicine such as a tricyclic antidepressant to help reduce symptoms. Other medicines can also be used to help manage symptoms.

What Should I Do If I Have Tinnitus

The first thing is to see your primary care doctor, who will check if anything, such as ear wax, is blocking the ear canal. Your doctor will ask you about your current health, medical conditions, and medications to find out if an underlying condition is causing your tinnitus.

If your doctor cannot find any medical condition responsible for your tinnitus, you may be referred to an otolaryngologist . The ENT will physically examine your head, neck, and ears and test your hearing to determine whether you have any hearing loss along with the tinnitus. You might also be referred to an audiologist who can also measure your hearing and evaluate your tinnitus.

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Will A Hearing Aid Benefit Me

The most common cause for tinnitus is age-related hearing loss, which begins as a gradual decreased ability to hear high-pitched noises. Patients with this condition will often perceive a high-pitched sound are firing abnormally). Studies have found that almost two-thirds of tinnitus patients experienced at least some degree of relief when wearing hearing aids. Hearing aids boost sounds that can both cover the sound of tinnitus, but can also actually reduce by providing the misbehaving neurons with the stimulation that they have been missing.

When To See Your Doctor

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Tinnitus is rarely a sign of a serious medical condition. Talk to your primary care doctor if you are unable to sleep, work, or hear normally. Your doctor will probably examine your ears and then provide you with a referral to an audiologist and otolaryngologist.

However, if you are experiencing facial paralysis, sudden hearing loss, foul-smelling drainage, or a pulsating sound in sync with your heartbeat, you should go to your local emergency department.

Tinnitus can be extremely distressing for some people. If you or someone you love is thinking about suicide, you should go to the emergency room right away.

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What Will Work For Me

Talk to your doctor before trying any of these treatments. Tinnitus is unique to each person, so getting the right treatment may mean trying different options and combinations to find what’s right for you.

If you combine therapies for tinnitus, you’ll be going to more than one health care provider. You’ll need to see a behavioral or mental health specialist along with a hearing professional.

Successful combined treatment also takes commitment. Many forms of therapy — including behavioral therapy and tinnitus retraining therapy — may take several sessions over a few months, depending on your specific circumstances and the types of treatment.

How Can Tinnitus Be Treated

Many people think that there is no treatment for tinnitus. This is not true! The foundation of tinnitus treatment is treating the underlying cause. For instance, tinnitus may be caused by wax obstructing the ear canal or by fluid behind the ear drum. Both of these problems can be corrected and can result in improvement in tinnitus. Tinnitus is also associated with TMJ problems, stress, anxiety, and depression. These underlying factors must also be addressed for proper management of tinnitus.

Sound therapies that involve simple things like background music or specialized ear maskers may be a reasonable treatment option. The effects of tinnitus on quality of life may also be improved by cognitive behavioral therapy counseling, which usually involves a series of weekly sessions led by a trained professional.

If you or someone you love suffers from tinnitus, I encourage you to seek an understanding of why it is there and what options exist for treatment. This begins with a trip to an otolaryngologist , where a thorough ear exam and hearing test can be performed.

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Ways To Manage Your Tinnitus

Studies have shown that tinnitus, or ringing in the ears affects over 35 million Americans. Many are frustrated because they have been told by medical providers that there is nothing that can be done to alleviate the ringing. While we dont have a cure yet for tinnitus, there are several verified steps one can take to manage your tinnitus. Read More

Why Do I Have This Noise In My Ears

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Although we hear tinnitus in our ears, its source is really in the networks of brain cells that make sense of the sounds our ears hear. A way to think about tinnitus is that it often begins in the ear, but it continues in the brain.

Scientists still havent agreed upon what happens in the brain to create the illusion of sound when there is none. Some think that tinnitus is similar to chronic pain syndrome, in which the pain persists even after a wound or broken bone has healed.

Tinnitus could be the result of the brains neural circuits trying to adapt to the loss of sensory hair cells by turning up the sensitivity to sound. This would explain why some people with tinnitus are oversensitive to loud noise.

Tinnitus also could be the result of neural circuits thrown out of balance when damage in the inner ear changes signaling activity in the auditory cortex, the part of the brain that processes sound. Or it could be the result of abnormal interactions between neural circuits. The neural circuits involved in hearing arent solely dedicated to processing sound. They also communicate with other parts of the brain, such as the limbic region, which regulates mood and emotion.

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Auditory Pathways And Tinnitus

Sound waves travel through the ear canal to the middle and inner ear, where hair cells in part of the cochlea help transform sound waves into electrical signals that then travel to the brain’s auditory cortex via the auditory nerve. When hair cells are damaged by loud noise or ototoxic drugs, for example the circuits in the brain don’t receive the signals they’re expecting. This stimulates abnormal activity in the neurons, which results in the illusion of sound, or tinnitus.

Key Points About Ringing In The Ear

  • Ringing in the ear or tinnitus can cause a variety of noises, including clicking, humming or ringing.
  • There are two main types of tinnitus: subjective tinnitus and objective tinnitus .
  • Treatment for tinnitus may include treating an underlying health condition, using a noise suppression device or taking medicine.

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What Is Tinnitus And Treatment

Many people experience tinnitus, a type of ringing, swooshing, or other type of noise that seems to originate in the ear or head. In most cases, tinnitus is not a serious problem and can be treated, or will often become less bothersome over time.

Tinnitus is not a disease but a symptom of an underlying condition. One of the most common conditions associated with tinnitus is high frequency hearing loss due to age and/or noise exposure. Tinnitus is also associated with conditions such as wax in the outer ear canal, middle ear fluid or infections, Eustachian tube dysfunction, otosclerosis , Meniere’s disease , and problems beyond the inner ear such as acoustic neuroma, . Medications can also cause tinnitus such as aspirin, Naprosyn, Lasix, quinines, aminoglycoside antibiotics, erythromycin, renal transplant and dialysis. If head noises persist, particularly if they are on one side or are associated with loss of hearing or dizziness, medical attention is recommended.

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