Tinnitus Treatment Blog

Archive for the ‘Loud Noise’ Category

Tinnitus is an auditory disorder in which different types of sounds can be heard by the patients in the absence of any actual noise in the environment.  A swooshing sound in the ear is experienced by people who suffer from tinnitus or rather pulsatile tinnitus, to be more specific. A pulse can be produced if a tumor in the head or neck region pressurizes a blood vessel. If the ear perceives this pulse then it may lead to pulsatile tinnitus. Once the problem area gets identified accurately then the chances of a successful treatment of pulsatile tinnitus become quite high.

There are above 120 kinds of brain tumors and acoustic neuroma is one of them. The symptoms of an acoustic neuroma include tinnitus. The symptoms usually show up after the age of 30 since the tumor grows gradually. Due to the slow growth of these tumors the smaller tumors that have little or no symptoms can be safely observed with frequent MRI scans. They are usually left untreated until they grow in a dangerous fashion. In certain cases the elderly patients die because of other natural factors before the tiny, slow-growing tumor display symptoms.

If surgical method is used then its goal is to remove the tumor and avoid paralysis of the face. Preserving hearing is quite a daunting task and may be possible only if the tumor is removed during its early stages of growth. A patient cannot recover his or her hearing that was lost prior to the surgery.

Big tumors can be removed safely but the surgery often causes paralysis of some facial muscles. The goals of surgery in case of exceptionally large tumors are to treat the hydrocephalus and alleviate the pressure over the brainstem.

Strereotactic radio surgery is a type of radiation therapy that is done in cases of elderly or sick patients who are unable to endure a brain surgery. The patients those who suffer from an acoustic neuroma have various treatment options that include observation, Strereotactic radio surgery, surgical resection and fractionated radiotherapy.

Since the whooshing sound in the ears occurs mainly due to the brain tumor so once the tumor is treated successfully the whooshing noise also comes to an end.

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With the growth in industrialization the environmental noise pollution has increased manifolds. Prolonged ringing in the ears can imply two things:

• The ears have been exposed to potentially dangerous levels of noise for a prolonged period.
• There is some undetected disorder that has triggered ringing in the ears.

Our hearing system is quite sensitive and delicate. Awareness about the noise levels that are dangerous to our hearing system is essential.

A noise of 85 dB or above is risky and should be avoided at all costs. Prolonged ringing in the ears is usually the outcome of loud explosions, noisy workplaces such as construction sites, factories, war-torn areas and rock concerts.

There have been instances in which people practice gun shooting without using safety measures, namely ear plugs. Attending rock concerts is also quite a hip thing to do but the outcome can be a prolonged ringing in the ears coupled with some loss of hearing.

The following measures can be taken to prevent a prolonged ringing in one’s ears:

• Firstly, if the prolonged ringing in the ears is a noise-induced then one should avoid rock concerts, headphones and loud music to prevent any further damage.
• Magnesium supplements are helpful in minimizing the damage caused by loud noise.
• Ringing in the ears becomes prominent at night due to the silence. Lack of sleep can lead to stress. Hence, in order to get a good night’s sleep one should consider using a pillow or bedside masker.
• Using earplugs in noisy places is a sensible thing to do.
• Ototoxic medications such as aspirin and antibiotics can also cause ringing in the ears. Hence, one should check the medications that are being taken and ask one’s doctor for a substitute.
• Prolonged ringing in the ears can also occur if the root cause of tinnitus has not been detected. Hence, it is essential to increase one’s level of awareness about the plethora of causes of ringing in the ears and then try to find out the cause of one’s own problem.

Once the root cause is found and treated then a person can get relief from prolonged ringing in the ears.

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Exposure to loud noise can cause acoustic trauma which may lead to tinnitus. The steriocilia or tiny hair cells found in the inner ear are responsible for converting the sound energy into electrical impulses which then travels to the brain and gets processed there. When there is an acoustic trauma the steriocilia get destroyed. Although research is being done to find out ways of regeneration of the damaged hair cells yet, as of now, once they get destroyed they can not be regenerated. When the steriocilia are destroyed through prolonged exposure to loud sounds, it leads to deafness to some sound frequencies. The damaged hair cells relay random signals to the brain which the brain interprets as sound. This is the most plausible theories regarding the onset of tinnitus due to damaged steriocilia.

If case of noise-induced tinnitus the first priority of the person suffering from it should be to prevent any further damage to the hearing system. For this it is essential that loud noise should be avoided. Incase of loud-noise induced tinnitus it is often suggested that one should avoid listening to any loud noise till a few days after the acoustic trauma. This gives the auditory system a chance to relax and recover from the damage.

A visit to a loud music concert or working at a noisy workplace can trigger tinnitus. If even after such an experience the affected  person does not behave cautiously and does not protect his or her ears from loud noise exposure then the tinnitus gradually becomes more clear and longer lasting.

Hence, it is evident that the best way to prevent tinnitus from worsening is to protect the ears from loud noise in the environment. For this one may use earplugs or earmuffs in places where exposure to loud noise is unavoidable. Special plugs such as motorcycle plugs are also available and can be worn conveniently beneath the helmet by the motorcyclists.

Listening to loud music may seem to be quite entertaining for some but the aftermath can be quite painful because the sound is directed towards the ear drum for maximum impact and hence it may cause irrevocable damage. Therefore, in case of tinnitus, one should listen to music on ipods at low volumes.

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What is the effect of hearing aids on tinnitus and Meniere’s disease?

Meniere’s disease is a combination of tinnitus, hearing loss, fullness in the affected ear, and dizziness caused due to the abnormal fluctuation in the fluid levels in the inner ear.

The hearing loss is one of the initial symptoms of Meniere’s disease but it is usually overlooked because it is the tinnitus that is considered to be more irksome.

There is a mistaken belief that hearing aids are of no help for those suffering from Meneire’s disease. However, with the introduction of digital sound processing integrated with the hearing aid technology, there is an increased chance of an enhanced hearing in Meneire’s disease. The modern hearing aids can amplify sounds to match the hearing loss very accurately and they can also reduce loud sounds to a more comfortable level.

When a hearing aid is successfully fitted the patients of Meniere’s disease can obtain the following benefits:

• The every-day sounds become clearer,
• The discomfort of recruitment gets reduced by compressing distressingly loud sounds to a more bearable volume,
• Reduction in the tinnitus perception to a less agonizing level.

The following facts should be kept in mind before choosing a hearing aid for Meniere’s disease:

• First and foremost it should be kept in mind that a hearing aid is a medical gadget and not a fashion accessory.
• The quality of the hearing aid is very important for those with Meniere’s disease.
• A suitable hearing aid should be selected only after the fluctuating hearing loss has been established on the basis of a series of hearing tests.

Tinnitus is an auditory disorder that is often found to be associated with a hearing loss. A study showed that 60% of the tinnitus patients who were surveyed experienced some amount of relief due to hearing aids whereas 22% indicated a major relief by using hearing aids.

The hearing aids apparently provide the following benefits to the tinnitus patients:

• Improvement in attention span
• The helps in focusing better.
• There is less fatigue, stress and tension.
• There is less irritability and anger
• There are lesser chances of social avoidance due to awkwardness.

Thus, we find that the hearing aids play an important role in the treatment of tinnitus and Meniere’s disease.

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What is the treatment for extremely loud tinnitus?

At times, tinnitus may cause less distress and is not too distracting. However, some people have to face extremely loud tinnitus that is discomforting enough to throw anyone off balance. This may happen in cases when a person is subjected to stress till long durations. In such cases extremely loud bouts of tinnitus are experienced. This happens due to the fact that the hypothalamus, which is an important part of the brain, stops producing certain essential trace elements that the body requires to function normally.

If the doctor can pinpoint the exact underlying cause of extremely loud tinnitus then the subsequent treatment can help one get rid of the tinnitus. Unfortunately, sometimes the root cause eludes everybody and the problem becomes more or less persistent. In such cases the internal treatment may become impossible and the only option left will be the management of the symptoms.

If the tinnitus noise is extremely loud then it goes without saying that it may be extremely unbearable too. The technique of masking comes to one’s rescue at such critical moments. This technique employs other sounds to subdue or mask tinnitus noise. This is a safe and useful method and is so effective in certain cases that the people can hardly hear their tinnitus noise.

At night when there is silence in the environment the tinnitus noise becomes too distracting to let a person sleep peacefully. At such moments the pillow or bedside maskers are of great help. These novel devices help one ignore the tinnitus and fall asleep.

Besides using the masking techniques there are a few other suggestions that one may follow to keep the extremely loud tinnitus under control. They are the following:

• Avoid alcohol and smoking as they can worsen tinnitus.
• Regular exposure to loud noise can cause further damage to the auditory system. Hence, one should wear earplugs or earmuffs
• It has been found that stress can trigger tinnitus or else it may aggravate the already existing tinnitus. Hence, stress management becomes imperative to keep tinnitus under control. This can be done by various methods like music therapy, yoga and meditation.

These practical suggestions can help one in taming the extremely loud tinnitus.

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The problem of tinnitus or ringing ears can occur after a plane ride due to a disorder known as airplane ear. If the airplane ear lasts for several hours then it may cause tinnitus, vertigo, vomiting or bleeding through the ear.

Airplane ear gets triggered by the rapidly changing air pressure due the changes in the altitude during a flight. The normal vibration of the ear drum requires the same air pressure in the middle ear and the environment. The regulation of the air pressure is the function of the narrow passage known as the Eustachian tube.

During an aircraft’s take-off and landing the air pressure of the environment changes rapidly. The pressure at the higher altitudes is quite less as compared to the pressure at sea level. Hence, when the plane is ascending the air pressure in the middle ear becomes higher then the pressure in the aircraft. The balance in between the air pressure can be normalized if the air gets released through the Eustachian tube. The escape of air through this tube is relatively easier. During the flight the air pressure on either side of the eardrums gets normal again. However, when the plane is landing the air pressure in the aircraft is higher then the air pressure in the middle ear. This difference in the air pressure can be equalized if the air enters into the middle ear via the Eustachian tube. This is difficult as air cannot enter the middle ear rapidly. Hence, due to this difference in the air pressure people are more likely to suffer from airplane ear while landing.

The following self-care tips can help in rectifying the imbalance between the air pressures and in avoiding airplane ear:

1. One should yawn and swallow during a take-off and landing.
2. Filtered ear-plugs should be used.
3. Use the Valsalva maneuver during take-offs and landing. For doing this one should blow gently, as though blowing through one’s nose, with the nostrils pinched and the mouth shut tightly.
4. Chewing a gum is also helpful.

In case one has severe and persisting airplane ear symptoms then consulting a doctor is essential.

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Noise induced hearing loss is one of the major causes of tinnitus. Our hearing system can tolerate noise up to a certain level. Unprotected exposure to noise of around 85 decibels can damage one’s hearing system. This type of hearing loss often leads to tinnitus. Once the tiny sensory hair cells in our inner ears get damaged by loud noise then it is not possible to regenerate them or repair them. The damage is usually irreversible.

According to a survey around 1.1 million people are exposed to a dangerous level of noise in their workplace. The survey also shows that the workers who are employed in the traditional industries are not the only ones who are at risk of tinnitus because of power tools and noisy construction machinery. Those who are working in night-clubs, call-center, restaurants etc are equally at risk.

The employers are ordered by the law to provide their workers with a safe working environment. This makes it essential for them to prevent unsafe levels of noise at the workplace. If enough care is not taken then the workers can develop temporary or permanent hearing loss, acoustic trauma and tinnitus. This can reduce their efficiency and hamper the work progress.

Special ear muffs and ear plugs are available in the market for the industrial workers to protect them from a hearing loss and tinnitus.

It is the duty of the employers to make every possible effort to reduce the noise levels by modifying or replacing old, noisy equipment.

At the same time the workers should also be aware about the hazards of noise pollution at their workplace. They should take the following preventive measures to protect themselves from tinnitus:

1. They should request the employer to go through a complete noise assessment.
2. They should wear ear muffs for protection.
3. The employer should be informed about any problem in the noise control equipment or the ear muffs.
4. They should get periodic hearing tests done if their workplace is too noisy.

Moreover, taking regular breaks and job rotation can also reduce the levels of strain on the hearing system of the workers.

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What is the Treatment for Tinnitus Caused by Loud Noise?

Apart from damaging the auditory system loud noise can also lead to tinnitus. The hair cells and the tiny auditory nerve cells in the ears get easily damaged due to exposure to loud noise. Consequently, they start sending random electrical impulses to the brain which are perceived as sound although there is none. This is how tinnitus originates as a result of loud noise.

A medical examination by a doctor followed by further examination by an otolaryngologist and an audiologist is of utmost importance. Depending on the magnitude of the hearing loss different types of treatment will be suggested to control the tinnitus.

The treatment for tinnitus caused by loud noise is as follows:

• Hearing aids make it easier for some patients to hear the sounds they want to hear by amplifying them. The better one hears the sound of other people talking the lesser does a person notice the tinnitus noise.
• Maskers are tiny electronic devices that employ white noise to make tinnitus less apparent. Maskers do not eradicate tinnitus completely but they subdue the tinnitus noise. Maskers have benefited the tinnitus sufferers a lot and some people who use them can barely hear their tinnitus noise. Using bedside maskers or masking pillow helps one to get sound sleep at night. These devices can be placed by the bedside instead of behind your ear.
• Tinnitus retraining therapy is an effective treatment that helps the patients to avoid thinking about the tinnitus noise. It employs the techniques of counseling and masking.
• Stress can worsen tinnitus so relaxation is of utmost importance in controlling tinnitus.
• In order to minimize the damage caused by loud noise or explosion one should avoid listening to any loud sound till several days. This gives the hair cells an opportunity to rest and recover.
• Magnesium supplements, if given soon after the explosion or hearing loss, can reduce the magnitude of the problem.
• Sound absorbing earplugs or earmuffs should be used to avoid further damage to one’s hearing.

These holistic remedial measures can help one in controlling tinnitus caused by loud noise effectively.

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Viral infections of various types can cause a hearing loss in humans. Such viral infections include:

1. Chronic otitis media or glue ear that can cause a subtle hearing loss.

2. Viral labyrinthitis that is characterized by a sudden, unilateral loss of hearing.

3. Viral meningitis can cause hearing loss and tinnitus.

4. Congenital cytomegalovirus (CMV) infection can cause loss of hearing in the children.

5. Idiopathic Sudden Sensorineural Hearing loss or ISSNHL that can be caused by viral cochleitis.

6. Vestibular neuronitis which is a viral infection of the vestibular nerve can also cause a hearing loss.

Alternative treatments for hearing loss caused due to viral infections provide a holistic solution.

This can be adequately proved by the following natural, home based remedies:

1. Use a blow drier from some distance into the ear to remove any trace of water trapped inside the Eustachian tube.

2. Put a few drops of warm olive oil into each ear.

3. Avoid the smoke from cigarettes as it can choke our Eustachian tubes.

4. Some drops of lobelia extracts should be put into the ears and massaged gently.

Nutritional therapy:

1. Vitamin C intake can strengthen our immune system. This helps the body in combating the viral infections and preventing hear loss.

2. Zinc is found to cure ear infections.

3. Avoid junk and processed foods. Eat healthy.

4. Include calcium in your daily diet.

5. Breast feeding reduces the chances of such infections in infants.

6. Nutritional supplements such as vitamin B- complex vitamins and iron supplements reduce the risk of chronic ear infections that can cause a hearing loss.

7. Vitamin A and C, bioflavonoids and zinc should be used to cure chronic ear infections in kids.

Herbal therapy:

1. Herbs such as echinacea and goldenseal are natural antibiotics that can cure ear infections. They promote a strong immune system and help in controlling viral infections.

2. Chinese herbal therapy is also widely popular in curing ear infections.

3. Put some drops of garlic juice into the ear as it is a powerful and natural antiseptic herb. It kills virus, parasites, bacteria, fungi etc.
Thus we find that there are various alternative therapies that can uproot the viral infections that lead to a hearing loss. They are safe and natural and look into all the aspects of the problem.

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What Causes Non-Pathological Head Noise?

Pathology implies a diseased condition. Apart from pathological causes tinnitus can also occur due to several non-pathological causes such as the following:

1. Toxic substances such as mercury, antibiotics, aspirin, cisplatin etc. can cause tinnitus.

2. Noise-induced hearing loss is often accompanied by hyperacusis, which is a reduced tolerance to noise. Acoustic trauma can destroy the hair cells in the cochlea and the neurons in the dorsal cochlear nucleus and the acoustic nerve. It is believed that the automatic repair process in these nerves is the primary cause of chronic tinnitus.

3. Temporomandibular joint syndrome and whiplash can also cause tinnitus.

4. Neck injury and electrocution that is caused by a direct and blunt neck trauma can trigger tinnitus.

5. Due to aging, the cells that secrete the inhibitory neurotransmitter glycine are lost. Glycine carries the inhibitory signal from one neuron to the next. When glycine-carrying nerve fibers are lost due to old age the inhibitory signal is also lost and some other neurons begin to fire spontaneously leading to tinnitus.

6. Dental problems such as an injury of the nerves during the process of extraction of a wisdom tooth have also been reported to cause tinnitus.

7. Ear-related problems such as ear wax impaction and conductive deafness that is caused by the perforation of eardrum can lead to tinnitus.

8. In around 80% of the tinnitus sufferers muscle spasms in the neck or head are the causal factor.

9. If syphilis is left untreated then it can also cause a fluctuating hearing loss and tinnitus. Migraines and sinus infections are also associated with tinnitus sometimes. Inflammation of the Eustachian tube can also produce tinnitus.

In all of these non-pathological causes of tinnitus the process usually starts with some injury in the ear. Later on, the brainstem gets involved and tinnitus is produced. Conventional medical thinking had suggested that tinnitus arises due to an injury to the middle ear or the vestibulocochlear nerve and hence is difficult to treat.

However, today the researchers have realized that rewiring of an area in the brainstem known as the dorsal cochlear nucleus plays a significant role in tinnitus. Recent breakthroughs based on this theory have lead to effective forms of treatment.

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