Tinnitus Treatment Blog

Archive for the ‘Masking tinnitus’ Category

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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Tinnitus is the medical name for ringing ears syndrome. Different types of noises such as ringing, whooshing, buzzing etc can be heard by the tinnitus sufferers. These noises are not actually produced in the environment but seem to be coming from the ears or the head.

Some of the latest equipments that are being marketed these days for curing tinnitus are:

• Sound generators
• Sound pillows
• Humidifiers
• Relaxation products
• Masking products such as soothing nature sounds, white noise MP3 products etc.

If we analyze the causes of tinnitus then they seem to be varied. Tumors, allergies, neurological problems, noise induced hearing loss, problems in the middle bone etc are some of its causes. This makes it clear that tinnitus does not originate all by itself. Instead, it is a symptom of an undiagnosed ailment.

Keeping this in mind we find that the above-mentioned products manage to solve only one aspect of the tinnitus puzzle.  Hence, they can only give you temporary relief in return of a heavy price. This seems to be a bad bargain.

On the other hand there are some products that offer a holistic approach towards tinnitus. The end result is that they can help one in curing tinnitus completely and permanently.

Such effective and reliable products are:

• Tinnitus miracle is a well written e-book that has been authored by a renowned nutritionist, Thomas Coleman. It contains a unique remedy for tinnitus which he had discovered after years of experimentation and research. He has shared the same solution for tinnitus with his readers that had helped him in curing his own tinnitus in the past.
• Banish tinnitus is another effective e-book that keeps its promise of curing tinnitus naturally. It offers some simple step-by step techniques that can help one in understanding the root cause of tinnitus. The holistic approach offered in this book helps in uprooting tinnitus completely.
• The e-book End your tinnitus is yet another source of rich information and practical suggestions for getting rid of tinnitus forever.

The above mentioned products suggest the dietary modifications that can help one in eliminating tinnitus. Research shows that tinnitus is closely linked with what we eat.

Unlike the other single-dimensional products these products provide the apt way of tackling the multi-faceted tinnitus.

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A hearing loss can occur due to various factors such as excess ear wax, acoustic trauma, age etc. There are different types of hearing loss. A hearing loss that is caused by some mechanical problem in the middle ear or the external ear canal and obstructs the conduction of sound is known as a conductive hearing loss. This type of a hearing is the easiest to treat and can occur either by simple factors such as excess ear wax or due to complex problems such as a tumor. Children who have ear infections usually experience a conductive hearing loss due to the buildup of fluid in their ears.

On the other hand, the sensorineural hearing loss involves the nerve cells or the inner ear. This type of hearing impairment usually implies damage to the inner ear or the acoustic nerve that may lead to nerve deafness. Within the cochlea there are hair cells, nerve endings and fluids which all work in cohesion to process sound. These structures are quite fragile and can get damaged easily. Due to this factor the sensorineural hearing loss is the hardest to treat and is one of the most challenging problems faced by the medicinal practitioners.

Sensorineural hearing loss can occur due to the following factors:

o Aging
o Certain drugs
o Brain tumors
o Congenital abnormality
o Childhood infections
o Congenital infection
o Demyelinating diseases
o Viral infection of the inner ear
o Hereditary
o Loud noise
o Meniere’s disease
o Sudden changes in pressure

The treatment that is used now-a-days for sensorineural hearing loss includes the following:

• A hearing aid, which is a tiny electronic device that can fit into the ear.
• A cochlear implant, which is an electronic gadget that is implanted behind the ear. Unlike a hearing aid that amplifies sounds, the cochlear implant directly stimulates the auditory nerve fibers in the cochlea.

• Vasodilative agents.
• Low-salt diets.
• Instructions in speech reading or lip-reading
• Anti-vertiginous and tranquilizing drugs

The above-mentioned treatments have helped in restoring the hearing levels in specific cases. However, a lot of scope still exists for further research in this area.

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White noise generators or CDs are a boon to the patients suffering from Tinnitus as the abnormal sounds that they tend to hear, get masked by the white noise. This article may prove useful to all those people who would like to not only get a short term relief by masking the ringing in their ears, but also to wipe it off completely by retraining their brains to stop paying attention to these irritating sounds by the process of auditory habituation.

Tinnitus is characterized by ringing in the ears which causes a lot of disturbance and irritation to its patients. A convenient way to protect one self from the side effects of these constant or intermittent annoying sounds is to mask them by some other more pleasing sound.

White noise plays an important role in masking the ringing in the ear. It consists of the entire spectrum of the frequencies which are audible to a human ear and works as good masking agent.

By gently stimulating the nerve cells, it programs them in such a way that the Tinnitus sounds are not noticed by the mind. At times when the patients try to sleep at night, the environment is usually peaceful. The silence makes them much more aware of the disturbing sounds arising due to Tinnitus, which otherwise get concealed due to the din during daytime.

At such times, the white noise Tinnitus generators come handy because they minimize the contrast between the Tinnitus sounds and the pin drop silence.

White noise Tinnitus CDs prove to be more effective then home remedies such as a noisy fan or air conditioner which can cause distress due to the unpleasant sounds they produce. The sound of the white noise Tinnitus CDs can be controlled to suit one’s mood.

White noise machines produce pure white noise which helps the patients of Tinnitus to ignore the abnormal sounds they hear which prevents them from focusing or concentrating on any work.

The pure white noise is a soothing sound such as the ocean waves or rainfall. Those persons who suffer from Tinnitus may have a problem in leading a normal life. The less inexpensive white noise Tinnitus CDs come to their rescue, in which the bass and the treble can be changed by the listeners to conceal the high or low background sounds at any place.

Not only do the white noise MP3 recordings and CDs give instant relief to the Tinnitus patients but over a period of time, they also bring about auditory habituation in which the brain does not react in negative way to the unpleasant Tinnitus sounds. It gets retrained to ignore the Tinnitus noise.

Tinnitus retraining therapy or white noise therapy is a recent advancement in the medical field. By exposing the patients to the white noise produced by a generator, till a particular period of time, the brain is forced to listen to the actual sound and ignore the Tinnitus sounds they tend to hear.

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Generally speaking a surgical management of tinnitus has been successful in some cases but it does not provide a valid and consistent form of treatment for subjective tinnitus.

Surgical failures can also occur because the tinnitus may set up a secondary central focus inside the brain. In such cases, the alternate source of the tinnitus, which is located deep within the brain, cannot be treated surgically.

A study showed that the surgical removal of acoustic tumors with an excision of the auditory nerve in 414 patients resulted in the improvement in the tinnitus only in 40% patients.

In another study, out of 68 patients undergoing translabyrinthine eighth nerve section, 80% of them had tinnitus preoperatively. There was an improvement only in 45% whereas 55% reported the condition to be the same or worsen.

Stapedectomy is a surgical treatment of tinnitus that can improve the hearing in most of the cases but it can cure only 50% of the symptoms of tinnitus. On the contrary, most of the patients with cochlear implants report an improvement in the tinnitus by the use of implant and stimulator.

The cochlear implants have proven to be more suitable for the patients who suffer from severe tinnitus.

Some patients had undergone middle cranial fossa section of the vestibular nerve for the treatment of vertigo. Most of them reported the tinnitus to be the same as before but a considerable number felt that it had worsened.

Some cases of tinnitus in which the option of a surgery is considered are as follows:

• Tinnitus caused due to a tumor.
• If the diagnosis is otosclerosis or fistula.
• In case of venous tinnitus the options of occlusion of the sigmoid sinus, jugular vein ligation or closure of a dural fistula may be considered.
• In certain cases the patients of Menire’s disease may get some relief in their tinnitus by a transtympanic gentamicin.

8th nerve sections are done to treat tinnitus in the rarest of cases because although they may be successful in about 50% but there is a risk of losing one’s hearing in almost all the cases.

Hence, we find that surgery is considered only in extreme situations where the tinnitus noise is extremely loud and there is a methodology to decide if tinnitus can be improved by surgery.

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Tinnitus or the ringing ear syndrome is a multi-faceted disorder that can be a symptom of an undiagnosed problem.

In order to pinpoint the root cause of tinnitus one should try to be alert about the various causes that can make the ears ring.

The following easy home remedies can help one in controlling tinnitus effectively:

1. Since tinnitus is often noise-induced so wearing earmuffs and earplugs can help the hearing loss from worsening any further.

2. Masking techniques such as listening to a radio that has not been tuned in to any particular station, the noise of a fan or air-conditioner or white noise CDs can help in subduing tinnitus. Such masking devices can help in sleeping peacefully at night. Lack of sleep can cause stress and stress aggravates tinnitus.

3. Exercising daily is beneficial because it improves the blood circulation. A steady blood supply is required towards the ears for the better functioning of the cells of that region.

4. Try to ignore the tinnitus noise and indulge in activities that are of one’s interest.

5. Acorus calamus oil has a powerful calming effect on tinnitus. The calamus root is boiled on low fire in sesame oil. 5 drops of this oil are put into each nostril at bedtime and in the morning. The nasal drops should be of the body temperature while they are administered. Though this remedy is administered by an ayurvedic practitioner only but one can learn it from him and use it as a home remedy.

6. If tinnitus gives one sleepless night then the herbal remedy of melatonin combined with Sulodexide helps to sleep well.

7. Tobacco and caffeine should be avoided.

8. Some dietary changes can go a long way in helping one to control tinnitus. They include cutting down on the intake of salt, sugar, saturated and Trans fats and flavor enhancers such as Monosodium Glutamate.

9. If tinnitus is caused due to high blood pressure then taking medications to reduce the blood pressure can cure tinnitus too.

10. Stress can be quite harmful as it aggravates tinnitus. So one should try to compose the mind by deep breathing, meditation, music therapy etc.

If these easy home remedies are followed consistently then one can steer clear of tinnitus.

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Pulsatile tinnitus is also referred to as objective tinnitus. The patients who suffer from this type of tinnitus can hear rhythmical sounds that are in cadence with their heartbeat. These sounds can also be heard by the doctor through a stethoscope.

Pulsatile tinnitus can be caused due to a dysfunction of the Eustachian tube which is a passage between the back part of the nose and the middle ear. The main function of this tube is to ventilate the middle ear space and to ensure that its pressure remains nearly steady at the normal ambient air pressure. The second function of the Eustachian tube is to drain the infection, accumulated secretions or debris from the middle ear. Many tiny muscles that are located at the back of the palate and the throat control the opening and closing of this tube.

Yawning and swallowing make these muscles contract and help to regulate the functioning of the Eustachian tube. The Eustachian tube prevents the middle ear cavity from becoming a secluded air pocket inside the head that would be susceptible to every change in the air pressure.

Under normal conditions, the Eustachian tube remains closed except during yawning and swallowing. When a person swallows there is a clicking sound that can be heard due to the opening of this tube. Sometimes the Eustachian tube becomes blocked due to various factors such as ear-wax, sinus, cold and cough and allergies. If this tube happens to be blocked then yawning can put a stress on the eardrum. This factor can aggravate the tinnitus.

The treatment of tinnitus entirely depends on detecting its root cause and its treatment. Hence, in this particular case, one can make efforts to unblock the Eustachian tube in the following ways:

• A few drops of olive oil can be put inside each ear to unblock the Eustachian tube.
• 1-2 drops of hydrogen peroxide or alcohol can be put into the infected ear for 2-3 minutes after which the ear can be drained by placing it downwards.

Once the Eustachian tube gets back to normal one then can get rid of the pulsatile tinnitus too.

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Can Air Conditioners Cure Ringing Ears?

If we are exposed to noise beyond our normal hearing capacity, then the nerve endings of our ears get damaged. This causes tinnitus. Those who suffer from tinnitus can hear bizarre sounds such as whooshing, ringing etc when there is actually no sound in their surroundings.

Preventing further damage by avoiding exposure to high sound levels is essential.

Managing this problem with the help of sound is quite popular.

Tinnitus sufferers find the ringing in the ears most distracting and obvious at night or when there is silence. Their focus shift towards the ringing ears in silence just like our eyes get attracted towards a burning candle kept in a dark room.

The people suffering from tinnitus are therefore advised to avoid silence. This helps them in minimizing the contrast between the pin drop silence and the ringing ears and reduces their agony. For this such people can take the help of the sound produced by an air-conditioner. This is not a desperate attempt to shield oneself from the ringing ears. Instead it is only meant to reduce the stark contrast between the total silence and the loud ringing ears.

Masking or totally covering up ringing ears noise with external noise is not an effective technique of curing tinnitus. This is because some people may require quite high sound levels to shield oneself from the tinnitus noise. Besides this, masking can delay the process of habituation or tuning it out because our mind cannot get trained into ignoring something that it cannot perceive in the first place.

Hence, listening to low-level sounds of an air-conditioner is much better then total masking. This is evident by the following facts:

• Air-conditioners can prevent the ringing ears from becoming dominant in silence.
• Our attention system gets trained into tuning out such sounds. The low-level air conditioner sounds that do not need any focus help in hastening the habituating or tuning out.
• Air-conditioner sound draws our attention to outside the body. This reduces the internal sound perception.

Air conditioners provide us with low level, neutral sounds that can help us in overcoming the ringing ears syndrome.

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