Archive for the ‘Tinnitus’ Category
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:
- They should request the employer to go through a complete noise assessment.
- They should wear ear muffs for protection.
- The employer should be informed about any problem in the noise control equipment or the ear muffs.
- 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:
- Awareness about its various facets, including its types, causes and natural remedies by the patients.
- A proper medical check-up to find out its root cause.
- 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.
- Stress reduction.
- Keeping the blood pressure under control.
- Lifestyle changes such as exercising and avoiding exposure to loud noise.
- 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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The Eustachian tube is a narrow tube that acts like a bridge or link between the middle ear and the back of the nose. This tube remains closed most of the time except during yawning and swallowing. However, sometimes it remains opened abnormally and this condition is referred to as a patulous Eustachian tube. This condition may lead to pulsatile tinnitus. The patulous Eustachian tube occurs because of a defect in the normally convex anterior-lateral wall. This can be due to a loss of volume with the Ostmann’s fat pad, mucosa, sub mucosa, cartilage, or tensor veli palatini muscle.
The medical treatment for a patulous Eustachian tube consists of drugs as well as surgery. However, the surgical treatment is done only if the patients suffer from continual significant otologic symptoms in spite of the medical therapy. Moreover, surgical therapy for a patulous Eustachian tube is contraindicated in pregnant women and patients who have mild symptoms. Only informative reassurance is required by such patients.
The surgical treatment for a narrow lumen caused by an extrinsic compression is as follows:
- Eustachian tube diathermy
- Occlusion of the Eustachian tube
- Myringotomy and insertion of a ventilating tube
- Surgical scar tissue removal in nasopharynx
There may be certain complications in the surgical treatment. The Eustachian tube diathermy has been linked with complications such as trigeminal nerve damage, intermittent secretory otitis media and middle cranial fossa dural burns. Teflon injections can result in total blockage of the Eustachian tube. The patients who had undergone tensor veli palatini transection developed middle ear effusions.
Eustachian tuboplasty is an advanced and promising type of treatment that is still in the early stages of implementation. Eustachian tuboplasty is also being used to treat a patulous Eustachian tube.
For a patulous Eustachian tube the surgeons augment the Eustachian tubal walls, tapering the passageway, with the help of auto graft cartilage. The surgical process mostly needs general anesthesia and is an outpatient process.
Till date, none of the patients have had any significant complications after undergoing Eustachian tuboplasty for a patulous Eustachian tube. Research data related to the treatment of patulous Eustachian tubes is in the being collected.
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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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Herbs are being used since time immemorial in curing various ailments. They provide relief to the tinnitus suffers because quite a few of them can improve blood circulation.
The following are the best herbs that are used in the tinnitus treatment:
- Gingko biloba has proven to be effective in curing many cases of tinnitus. It increases the flow of blood towards the brain. The right dosage is 40 milligram of the dry herb or 120 milligram daily of the concentrated and standardized liquid extract. This extract is also called GBE or gingko biloba extract.
- A 3 ml of the tincture or else 2 capsules of the crushed roots of black cohosh are used 2-3 times daily for curing tinnitus.
- Sesame seeds are used to cure tinnitus by the Chinese herbalists. They can be added to the food. They are also available in the form of halawa which is a popular sesame seed preparation.
- Lesser periwinkle contains vincamine which is a compound used in Germany for curing tinnitus. However, this herb should be used under the guidance of a professional as it can cause some side-effects if taken incorrectly.
- Goldenseal is used in conjunction with black cohosh in the ratio of 1:1. It should be avoided during pregnancy.
- Sunflower seeds tea that has been brewed from the hull is a popular Chinese remedy for curing tinnitus.
- Fenugreek seed tea when taken in the morning, noon and night can help in curbing the tinnitus noise.
- Onion juice treatment is done by putting a drop 3 times weekly till one gets relieved. Then the dosage can be reduced to one drop once in week for preventing recurrence.
- Passion flower extracts helps in curing tinnitus as it improves the blood circulation and regulates the neurotransmitters.
- If tinnitus is caused due to bowel problem then 1 tablespoon of ramson juice should be taken daily to get rid of the constipation.
There are some herbs that can aggravate tinnitus and should therefore be avoided. Such herbs include:
- Black haw
- Ura ursi
- Cinchona
- Meadowsweet
- Wintergreen
Herbs provide a natural cure for tinnitus. They can do wonders when taken along with a nutritious diet.
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Tinnitus is a common problem that can be best described as the perception of ringing in the ears without an external sound. A mild ringing in the ears till a brief period is experienced by almost each one of us at some point or the other. However, some people suffer from severe bouts of tinnitus that occur over a prolonged period of time.
About one-third of the adult population suffers from some form of tinnitus at some juncture. Reports show that nearly 10-15% of the adult population suffers from prolonged tinnitus that needs a medical examination. This may happen if tinnitus is not treated on time.
Tinnitus, whether mild or severe and whether brief or prolonged is a symptom of some undiagnosed ailment. Hence, if one suffers from loud and prolonged tinnitus so a medical examination is essential to detect its root cause.
The medical check-up can give us a clue whether the tinnitus is caused due to some ailment such as an allergy, high blood pressure etc or due to the intake of some medications such as ototoxic drugs that can cause tinnitus as a side-effect. One should also have the hearing tested by an audiologist because a hearing loss is often associated with tinnitus.
The history of the patient and the physical examination may help the doctor in understanding whether the tinnitus is objective or subjective.
In order to understand the nature and severity of tinnitus the patient is usually enquired about the following facts related to his or her tinnitus:
- Whether the onset is acute, sub-acute or chronic.
- Whether the quality is intermittent or continuous and bilateral or unilateral.
- Whether the aggravating factors are a quite environment or stressful conditions.
- If the background noise can alleviate it.
- If the tinnitus affects the normal functioning of a person by causing sleeplessness or distraction.
- The hearing status of the person.
- Whether the patient has been taking ototoxic drugs such as quinine, salicylates, cisplatin etc.
The tuning fork test can distinguish between a conductive hearing loss and a sensorineural hearing loss.
Some home remedies can also help in alleviating tinnitus. Applying hot compresses on the neck area or massaging the ear before sleeping can alleviate tinnitus that is caused due to an improper blood circulation in the ears.
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What are the remedies for an instant relief for ringing in the ears?
Though constant ringing in the ears can make a person feel utterly hopeless but instant relief for ringing in the ears is definitely possible. It would not be an over-statement to say that an instant relief for ringing in ears or tinnitus depends on how instantly one finds out the root cause of tinnitus.
This is simply because ringing in the ears can occur due to several reasons. Our body has a complex system with various sub-systems that work in tandem with each other. Hence, because our auditory system does not function in isolation with the other systems like the circulatory or nervous system so a disorder that arises somewhere else can manifest itself in the ear region.
Once the root cause is identified then half the battle is almost won. Otherwise a particular remedy that can be helpful for one patient of tinnitus may not help another patient who might be suffering from tinnitus due to some other reason. There is no general remedy for tinnitus that may help every patient equally. The tinnitus sufferers have to make an effort of finding out the root cause. This also implies that one may have to consult a doctor for a thorough medical examination to find out if one has some deficiency, high blood pressure, tumor etc.
For instant relief for tinnitus one may follow these remedies:
- Stop taking any ototoxic medicine such as aspirin, for instant relief.
- Have your blood pressure checked. Avoid stress, caffeine and alcohol to keep the blood pressure normal.
- Remove any extra wax from the ear by dissolving it with hydrogen peroxide for quick relief.
- Trapped middle ear fluid can also cause tinnitus. By adding 2-3 drops of onion juice into each ear the fluid can be dried up. This gives an instant relief from ringing ears.
- If tinnitus occurs due to an exposure to loud noise or music as in a rock concert then wear earplugs and avoiding loud noises as far as possible.
- Use bed side maskers such as masking pillows to get instant relief from tinnitus while sleeping.
- Oral magnesium supplements, if taken within 24 hours of exposure to loud noise or explosion, can reduce permanent hearing loss.
The above-mentioned remedies, if used in conjunction with a healthy diet and lifestyle, will provide not only instant but long-lasting relief too.
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Ringing in the ears syndrome, which is medically referred to as tinnitus, is a symptom in itself because it occurs due to some other problem such as ototoxic drugs, undiagnosed ailments or hearing disorders. However, it has certain signs and symptoms that can help a person to identify its onset. The symptoms of tinnitus are noises in the ears without any external stimulation. The noises may be of various types such as humming, buzzing, clicking, chirping, whistling or roaring.
The predicament of the tinnitus suffers is a little difficult for the others to comprehend. The tinnitus noise may sometimes get unbearably loud. It goes without saying that such a disturbing problem can affect one’s life in more than one ways. The tinnitus patients find it difficult to concentrate and they may find it cumbersome to accomplish any task that is assigned to them.
Here are the illnesses associated with the symptoms of ringing ear syndrome:
1. Insomnia is a common problem in people who suffer from tinnitus. Sleep disorders can further damage the quality of life of those who suffer from tinnitus. The damage correlates with the severity of tinnitus.
2. Depression is a psychological illness that afflicts the people who suffer from tinnitus. When the tinnitus signal is generated in our auditory system, the limbic system, which is another part of the brain, connects an emotional response to it. This is somewhat similar to the feeling that we get when we scratch our fingernails down a blackboard. Tinnitus is much more than a mere perceived sound. It can trigger stress and anxiety responses in the body. Due to this factor some individuals suffering from tinnitus find it quite tormenting. It causes a lot of difficulty in reading, sleeping, concentrating. It can take a toll on familial relationships and day-to-day activities. Several studies have confirmed that there is a strong connection between tinnitus and depression, anxiety and stress disorders.
3. Another psychiatric illness that is prevalent amongst tinnitus patients is a suicidal tendency.
Thus, we find that the frustrating problem of tinnitus can trigger various other illnesses. Hence, one should try to curb tinnitus so that its aftermaths can be avoided.
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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What Safety Precautions should be taken when working in a Noisy Place?
Our auditory system is quite sensitive and delicate and it cannot tolerate noise beyond a particular level. The experts on acoustics state that a prolonged exposure to noise of around 85 decibels and above can damage one’s hearing.
Our ears do not have any pain receptors to warn us about the damage to the auditory system. Hence, it is our own responsibility to understand the capacity of our hearing system and to take safety measures to protect it.
In order to avoid the problem of noise pollution at workplace it is essential to follow some safety measures such as:
•There should be a sound level meter to measure the loudness of sound.
•The noisy machineries should be transferred to a sound proof room.
•Efforts should be made by the company to generate the minimum amount of noise at the workplace. This can be done by preventing a metal-on-metal impact, purchasing less noisy machinery, preventing the machinery from vibrating against some other surface and fitting silencers where ever possible.
•There should be a periodic examination of the machinery to ensure that any extra noise is not being produced.
•Workers should work in less noisy areas. If this is not possible then they should use hearing aids. The companies are obliged to provide its workers with suitable protection for ears.
The following hearing aids can be used by the workers:
1.The ear plugs are available with a noise reduction rating or NRR. This rating indicates how many decibels of noise can be reduced. An ear plug can fit just inside the ears. It should be of a right shape and should be at the right angle so that it can provide proper protection. Customized ear plugs can be a suitable choice for many workers.
2.Semi-aural inserts come on a band that gets fit below the chin or behind the neck. They should be used to protect against noise up to 87 dB only.
3.Ear defenders mostly come on a band that can be fitted across one’s head. For the workers who require head protection also the ear defenders can come attached to a helmet.
If these safety measures are followed then one can protect the precious auditory system that makes our life easier for us.
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