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21.01.2015

What causes ringing sound in ears, pulsatile tinnitus neck - PDF Review

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Tinnitus (pronounced ti-ni-tis), or ringing in the ears, is the sensation of hearing ringing, buzzing, hissing, chirping, whistling, or other sounds. Although tinnitus is often associated with hearing loss, it does not cause the loss, nor does a hearing loss cause tinnitus. Some instances of tinnitus are caused by infections or blockages in the ear, and the tinnitus can disappear once the underlying cause is treated. Constant noise in the head -- such as ringing in the ears -- rarely indicates a serious health problem, but it sure can be annoying.
Tinnitus (pronounced tih-NITE-us or TIN-ih-tus) is sound in the head with no external source. Sound waves travel through the ear canal to the middle and inner ear, where hair cells in part of the cochlea help transform sound waves into electrical signals that then travel to the brain's auditory cortex via the auditory nerve. Most people who seek medical help for tinnitus experience it as subjective, constant sound, and most have some degree of hearing loss.
Musculoskeletal factors — jaw clenching, tooth grinding, prior injury, or muscle tension in the neck — sometimes make tinnitus more noticeable, so your clinician may ask you to tighten muscles or move the jaw or neck in certain ways to see if the sound changes. The most effective approaches are behavioral strategies and sound-generating devices, often used in combination. Tinnitus is the perception of an insistent, unpleasant ringing, buzzing or other consistent noise, located in or near the skull but without a definable external source. Tinnitus is often perceived as a ringing or persistent high tone very close to or within the ear. Tinnitus related to otitis media may be improved by surgery to correct damage caused by this inflammation. In fact, some people with tinnitus experience no difficulty hearing, and in a few cases they even become so acutely sensitive to sound (hyperacusis) that they must take steps to muffle or mask external noises. But ringing in the ears that does not get better or go away is an ear condition called tinnitus.


For many, it's a ringing sound, while for others, it's whistling, buzzing, chirping, hissing, humming, roaring, or even shrieking. Things that cause hearing loss (and tinnitus) include loud noise, medications that damage the nerves in the ear (ototoxic drugs), impacted earwax, middle ear problems (such as infections and vascular tumors), and aging. One of the most common causes of tinnitus is damage to the hair cells in the cochlea (see "Auditory pathways and tinnitus").
She or he will take a medical history, give you a physical examination, and do a series of tests to try to find the source of the problem.
No single approach works for everyone, and you may need to try various combinations of techniques before you find what works for you. In severe cases, however, tinnitus can cause people to have difficulty concentrating and sleeping. In such a case, other therapies -- both conventional and alternative -- may bring significant relief by either decreasing or covering up the unwanted sound. The noise causes permanent damage to the sound-sensitive cells of the cochlea, a spiral-shaped organ in the inner ear. Some medications (especially aspirin and other nonsteroidal anti-inflammatory drugs taken in high doses) can cause tinnitus that goes away when the drug is discontinued. For example, if you have a heart murmur, you may hear a whooshing sound with every heartbeat; your clinician can also hear that sound through a stethoscope.
This stimulates abnormal activity in the neurons, which results in the illusion of sound, or tinnitus. Our bodies normally produce sounds (called somatic sounds) that we usually don't notice because we are listening to external sounds. She or he will also ask you to describe the noise you're hearing (including its pitch and sound quality, and whether it's constant or periodic, steady or pulsatile) and the times and places in which you hear it. If you have age-related hearing loss, a hearing aid can often make tinnitus less noticeable by amplifying outside sounds.


Others have found associations between increased activity in further brain regions, age of tinnitus onset and distress caused by the syndrome.
The sound may keep time with your heartbeat, it may keep pace with your breathing, it may be constant, or it may come and go.
The main components of TRT are individual counseling (to explain the auditory system, how tinnitus develops, and how TRT can help) and sound therapy. The most common cause of tinnitus is hearing loss that occurs with aging, but it can also be caused by living or working around loud noises. Pulsatile tinnitus may be more noticeable at night, when you're lying in bed, because more blood is reaching your head, and there are fewer external sounds to mask the tinnitus.
The resulting electrical noise takes the form of tinnitus — a sound that is high-pitched if hearing loss is in the high-frequency range and low-pitched if it's in the low-frequency range.
Tinnitus can be a side effect of many medications, especially when taken at higher doses (see "Some drugs that can cause or worsen tinnitus"). A 2010 review of six studies by the Cochrane Collaboration (an international group of health authorities who evaluate randomized trials) found that after CBT, the sound was no less loud, but it was significantly less bothersome, and patients' quality of life improved. A device is inserted in the ear to generate low-level noise and environmental sounds that match the pitch, volume, and quality of the patient's tinnitus.
Hearing loss treatments depend on the cause and include hearing aids, sound-amplifying devices, and antibiotics if the cause is an infection. There are a variety of causes of hearing loss besides congenital hearing loss, including ear infections, genetic disorders, illnesses that trigger hearing loss, head injuries, medications, and more.



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