Nearly a fifth of people suffer from ringing in the ears at some point. But, when should you worry?
Understanding Tinnitus: When is it a Concern?
Tinnitus, popularly known as ringing in the ears, is a widespread auditory condition that affects nearly a fifth of the population worldwide. Characterised by sounds like buzzing, humming, ringing, static or whooshing, tinnitus can vary greatly in intensity and occur in one or both ears.
But when should you seek help if you are experiencing symptoms?
While tinnitus is often not indicative of a serious health issue, some underlying causes should be noted. For instance, if tinnitus coincides with new or worsening hearing loss and vertigo, it may be a symptom of Menière's disease, a disorder affecting the inner ear. In this case you should seek medical treatment.
Medications and Underlying Conditions
Certain medications have also been identified as potential triggers for the condition. Notably, high doses of non-steroidal anti-inflammatory drugs — such as aspirin, ibuprofen (found in brands like Nurofen), and naproxen — can induce tinnitus, particularly when taken over extended periods. Other antibiotics, including azithromycin, clarithromycin and erythromycin, can similarly lead to symptoms. If medication is believed to be a contributing factor to the onset of tinnitus, it should be discussed with the prescribing physician.
There is a specific type of tinnitus that warrants immediate medical attention: pulsatile tinnitus. This form of tinnitus is notable for its rhythmic sounds that almost seem to synchronise with the individual's heartbeat, often occurring more prominently on one side.
Pulsatile tinnitus can be caused by turbulent blood flow through arteries or veins near the ear. Contributing factors may include atherosclerosis, which narrows arteries, or the presence of a twisted, or tortuous, vein that can disrupt smooth blood flow. Other serious health considerations linked to pulsatile tinnitus include anaemia, high blood pressure, hyperthyroidism and, in rare instances, an aneurysm.
The Role of Hearing Tests and Treatment Options
Should tinnitus persist, Hearology® strongly recommends a comprehensive evaluation from a healthcare provider, which typically begins with a hearing test to assess any potential underlying issues. Whilst tinnitus cannot be cured, it can be managed to improve quality of life via cognitive behavioural therapy and/or hearing aids.
Regular check-ups with healthcare professionals are crucial not only for diagnosing tinnitus but also for maintaining overall ear health, including ear wax management, which plays a vital role in protecting the ear canal from damage and infection. Proper earwax management can prevent blockage and associated complications, ensuring optimal ear function.
“The perception of a ringing or buzzing sound is a common symptom of excess ear wax and of course it’s always a relief when this is mistaken for persistent tinnitus as it’s so easily resolved. In the absence of earwax, a hearing test is recommended to determine if hearing loss is a contributing factor,” says Micaela Stonestreet, a Clinical Audiologist with a special interest in tinnitus at Hearology®.
“Hearing loss is a common cause of tinnitus, which also means that hearing aids can help reduce the perception of tinnitus. Additionally, cognitive behavioural therapy can be effective in managing the detrimental impact that tinnitus can have on quality of life.”
When to Seek Urgent Medical Attention
Stonestreet adds: “Tinnitus accompanied by a sudden decrease in hearing in one ear should be evaluated urgently as these symptoms are a strong indicator of sudden onset sensorineural hearing loss, a serious but treatable condition that can result in permanent and profound hearing loss if it’s not treated quickly.”
While tinnitus can have a detrimental impact on quality of life, it’s also true that there are tried and tested methods to alleviate symptoms within relatively easy reach – not to mention that tinnitus symptoms can also be the manifestation of underlying causes that have altogether more serious health implications. All which underscore the importance of enlisting the support of a suitably qualified health professional.
References
- Tinnitus Characteristics - Provides insights into the prevalence of tinnitus, which is relevant to understanding the widespread nature of the condition.
- JAMA Network - Contains data concerning the global prevalence and incidence rates of tinnitus, supporting the notion that it affects a significant portion of the population.
- Mayo Clinic Tinnitus - Explains the symptoms and causes of tinnitus, including age-related hearing loss and exposure to loud noises.
- Healthline - Provides detailed information on tinnitus, including its causes and types, such as pulsatile tinnitus.
- Tinnitus Triggers - Discusses the potential effects of medications like NSAIDs on tinnitus, highlighting their role as triggers.
- Mayo Clinic Menière's - Explains Menière's disease, which can cause tinnitus along with other symptoms like vertigo and hearing loss.
