Tinnitus Treatment Blog

Archive for the ‘Ringing Ears’ Category

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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The ear canal is lined with glands and hair follicles that produce waxy oil known as cerumen.

This wax traps the bacteria, dust, micro-organisms and other foreign particles from entering into the ears, thereby shielding them.

In some individuals there is an over-production of ear wax by the glands. The amount of wax becomes too much for the ears too handle. This extra wax can become hard in the ear canal and this leads to ear blockage.

Wax build up is one of the most common causes of a hearing loss. Wax build-up can lead to the following problems:

1. Tinnitus
2. Compromised hearing
3. Itching of the ear
4. Ear ache
5. Dizziness

Such problems occur because the otic canal has to be completely clear to let the sound vibrations to create an impact on the tympanic membrane. Any kind of obstruction restricts one’s hearing to some level. Wax impaction can obstruct the free swinging movement of the cilia. When the cilia are unable to detect and translate external stimuli through the auditory nerve no impulse heads towards the brain. This implies that the brain will not have anything to translate into sound. Due to this factor the hearing ability gets affected. A total cerumen occlusion or blockage can lead to a conductive hearing loss that can be as severe as that experienced by those individuals who intentionally insert wax hearing protectors for preserving their hearing in the presence of unsafe levels of sounds.

Excessive ear wax can block the auditory nerve, thereby stopping the transference of impulses from the cilia to the brain. The lump of wax may create its own noise, thereby confusing the brain. The brain misinterprets this noise as sound, thereby causing tinnitus.

Excessive ear wax should be removed by an otolaryngologist (ENT specialist) or a qualified physician. Ear wax should not be removed oneself or else the cochlea can be damaged by the object that is inserted into your ear.

This goes on to show that wax build up can lead to ringing and sound loss in the ears.

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What is the Best Therapy to Cure Ear Diseases?

Ear diseases can be quite painful and they cause a lot of discomfort. They can cause a hearing loss which reduces the productivity of a person. Children may lag behind in academics due to hearing problems.

If the problem gets complicated then meningitis, facial nerve paralysis etc may occur. Such complications can be avoided through a timely and proper treatment. The ear diseases that may affect us are as follows:

• Otitis media
• Otosclerosis
• Meniere’s disease
• Accoustic trauma/ tumors.

Ageing and noise induced hearing loss or NIHL can also cause ear problems. These result in the damaging of the hair cells in our inner ear.

Since drugs such as antibiotics can cause side-effects so the natural therapy is considered to be the best method for curing ear diseases.

The following strategies can be followed to cure ear diseases:

• Pomegranate juice is effective in curing Meniere’s disease when taken regularly for 2 weeks.
• If our body is not deficient in any vitamin or mineral then the immune system becomes strong. This helps the body in tackling the diseases. Supplements can be helpful if the diet lacks some nutrients.
• Reducing salt intake helps in overcoming acoustic trauma.
• Studies show that vitamin A when registered in high dosage for a short time period can improve the hearing loss problem.
• Vitamin B12 supplements are also helpful in regaining hearing.
• One can put a few drops of garlic juice to cure earache.
• If the cause of the earache is a rise in altitude then one can chew gum or yawn.
• To deal with a swimmer’s ear put some mineral oil into the ear before swimming.
• A few drops of hydrogen peroxide can help reduce the pain in the ears.
• 2 drops of holy basil leaf juice can also provide relief to ear pain.
• Zinc should be added to one’s daily diet as it helps in controlling infections.
• Have your ears cleaned professionally.
• Vitamin C helps in strengthening the immune system which in turn makes the body more efficient in fighting off the ear infections.

Thus, we find that natural therapy is the best option to cure ear diseases as it is safe and effective.

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Ear ringing or tinnitus has been divided into several groups such as vibratory and non-vibratory, pulsatile and non-pulsatile, objective and subjective, vascular and non-vascular etc just to name a few. In case of a pulsatile tinnitus the sound of the pulse can be heard in the ears. This type of tinnitus is also known as vascular tinnitus because of its vascular origin.

The following factors can lead to vascular tinnitus:

1. Infections of the middle ear or chronic inflammation are usually accompanied by an increased blood flow towards the inflamed tissue. Since this tissue is in the ear so some people can hear the increased blood flow.
2. Under normal conditions the middle ear is an air-filled space. However due to inflammations, infections or Eustachian tube dysfunction some fluid accumulates at the rear part of the middle ear and causes vascular tinnitus.
3. Vascular tumors of the middle ear such as the glomus tumors are benign, which implies that they are non-cancerous. However, because of their vigorous blood supply and location they can lead to vascular tinnitus.
4. Arteriovenous malformations or AVMs refer to large abnormal collections of veins and arteries that may sometimes occur inside the skull, close to the auditory nerve. These arteriovenous malformations beat against the auditory nerve and this leads to a vascular tinnitus.
5. The jugular vein traverses the ear while carrying the blood back to the heart from the brain. If there is turbulence in the blood flow anywhere along the course of the jugular vein then it is audible in the middle ear as a humming noise.
6. A carotid artery-cavernous sinus fistula, which is an abnormal link or passage between a very large vein and a very large artery within the skull, can also trigger vascular tinnitus.

If the root cause for vascular tinnitus is detected such as a high blood pressure or glue ear then the treatment is directed towards that particular condition. However, if the root cause cannot be understood, then certain coping strategies have to be used along with sound therapy, tinnitus retraining therapy or TRT and relaxation techniques.

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What are the Problems with Tinnitus Retraining Therapy?

Tinnitus or the ringing ears syndrome is a phantom auditory perception that can be quite unbearable. It is a common disorder that affects nearly 17% of the people throughout the world. Several methods have been developed to deal with it.

Tinnitus Retraining Therapy or TRT is a method of treatment of tinnitus that has gained much popularity in the last decade. The conceptual basis of TRT has been described in 1990 as a form of tinnitus treatment that is based on the neurophysiologic model of tinnitus that was developed by Pawel Jastreboff and JWB Hazell. This model suggested that the treatment of tinnitus should focus on the autonomic nervous systems and the limbic system.

It has been claimed that TRT is currently the most effective therapy for tinnitus which obtains a success rate that exceeds 80%. However, there are some loopholes in the TRT such as the following:

• There are many centers around the world that claim to be treating tinnitus according to the method devised by Hazel and Jastreboff. However, the published literature shows that there are significant differences in the way the Hazel and Jastreboff model is applied in the different centers.

• The authors of the case reports that show the effectiveness of TRT claim to have a success rate ranging between 50-80%. However, the evidence that is provided by this research is inconclusive because of the unclear criteria of patient selection, unavailability of controls and the variability of the tinnitus methods that are implemented.

• The interaction between emotional and neuroacoustic processes that has been emphasized by Jastreboff is neither new nor adequately elaborated in terms of the underlying psychological factors.

• If the current state of evidence is taken into account then one can conclude that there is no realistic empirical support that proves TRT to be superior to other treatments due to lack of comparative studies.

So we find that methodological limitations in the research which has been published so far rule out any claims about the effectiveness of TRT at present.

Suggestions have been made to undertake randomized and controlled studies which include no-treatment and placebo conditions.

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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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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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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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The doctors oft tell their patients to adjust with their ringing ear syndrome or tinnitus. This not only depicts carelessness on their part but also a lack of an in-depth understanding of the disorder. Tinnitus needs to be tackled head on and with a positive attitude.

The main weapons to combat it are some comprehensive measures such as the following:

1. Awareness about its various facets, including its types, causes and natural remedies by the patients.
2. A proper medical check-up to find out its root cause.
3. Dietary changes such as reduction in salt, alcohol caffeine, sugar, Tran’s fats, processed foods and MSG intake. A proper diet is essential because deficiency of certain vitamins, iron, zinc and magnesium have been reported to have been associated with tinnitus.
4. Stress reduction.
5. Keeping the blood pressure under control.
6. Lifestyle changes such as exercising and avoiding exposure to loud noise.
7. Herbal therapy.

Identifying the root cause of tinnitus is akin to hitting the bull’s eye. If this is done then half the battle is almost won. Treatment of the root cause whether it is stress, a high blood pressure, some sort of food allergy, a tumor or a hearing problem, can cure tinnitus as well.

The first step towards a proper cure for tinnitus is a medical diagnosis. The medical evaluation is done with the help of a doctor, an audiometrist or audiologist. Testing one’s hearing is essential because tinnitus is often associated with a hearing impairment. In case there is a hearing loss then cochlear implants and hearing aids may be suggested.

Self-care is also essential because tinnitus requires an active participation on the part of the patient since in this case simply taking some medications may not help.

In many cases people report tinnitus after attending rock concerts or due to prolonged exposure to loud noise. Such people may have a fair idea that their tinnitus is caused due to exposure to potentially dangerous levels of sound. Such people can prevent the problem from aggravating by protecting themselves from further exposure to unsafe levels of noise by using ear plugs.

So we find that to some extent curing tinnitus is in one’s own hands, i.e. by practicing caution and constraint.

In some cases such as in a defect in blood vessels, surgery has been found to be indispensable in curing tinnitus.

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