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27.05.2014

What is the ringing noise in your ear, depression orsakar tinnitus - Reviews

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These conditions can include ear infections, an obstruction of the ear canal (either wax or foreign objects like earwigs), age-related hearing loss, stress, nasal infections, abnormal growth of the ear bones, blood vessel disorders, a wide variety of neurological disorders such as multiple sclerosis or Meniere's disease. The most common cause, though, is prolonged exposure to excessive noice (above 70 dB; think vacuum cleaner and louder) without sufficient hearing protection.
Your inner ear's cochlea is lined with thousands of fine, hair-like cells that vibrate when exposed to sound waves.
Quinine and some of the other anti-malarial drugs can occasionally cause damage to the ear when given in high or prolonged doses, such as in the treatment of malaria. Outside of avoiding ototoxic medications and quinine, the best treatment for tinnitus is prevention. For those that already suffer from Tinnitus, there is no FDA-approved medication available to treat it, though treating the underlying cause often relieves the ringing. Please note: If you have a promotional code you'll be prompted to enter it prior to confirming your order. If you subscribe to any of our print newsletters and have never activated your online account, please activate your account below for online access. Constant stress — whether from a traffic-choked daily commute, unhappy marriage, or heavy workload — can have real physical effects on the body. If you find daily tasks difficult to do because you suffer from stiffness, swelling, or pain in your hands, the right exercises can help get you back in motion. When you are caring for someone who is ill, elderly, or disabled, it's important to consider how you'll handle those times when you can't be with your loved one in person. If a growth or mole looks like a melanoma, the doctor will take a biopsy to confirm the diagnosis. Some people don't have a health care power of attorney or living will because they don't realize how important these documents are. When you think of risk factors for hearing loss, over-the-counter pain relievers probably aren't among them. Erectile dysfunction (ED) becomes more common in men in middle age, but the range of treatments means most men can find something that works for them. A study found that one in 10 people who take protective aspirin may not really qualify, because the risk of heart attacks and strokes wasn't great enough to justify the risk of unwanted bleeding associated with aspirin.
When shopping for shoes, you want to have more than fashion in mind — you'll also want to consider function and keeping your feet in good shape. 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. Almost everyone has had tinnitus for a short time after being exposed to extremely loud noise. While there's no cure for chronic tinnitus, it often becomes less noticeable and more manageable over time. 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. Tinnitus can arise anywhere along the auditory pathway, from the outer ear through the middle and inner ear to the brain's auditory cortex, where it's thought to be encoded (in a sense, imprinted).
Most tinnitus is "sensorineural," meaning that it's due to hearing loss at the cochlea or cochlear nerve level.
Tinnitus that's continuous, steady, and high-pitched (the most common type) generally indicates a problem in the auditory system and requires hearing tests conducted by an audiologist. Your general health can affect the severity and impact of tinnitus, so this is also a good time to take stock of your diet, physical activity, sleep, and stress level — and take steps to improve them. If you're often exposed to loud noises at work or at home, it's important to reduce the risk of hearing loss (or further hearing loss) by using protectors such as earplugs or earmuff-like or custom-fitted devices.
In addition to treating associated problems (such as depression or insomnia), there are several strategies that can help make tinnitus less bothersome.
There is no FDA-approved drug treatment for tinnitus, and controlled trials have not found any drug, supplement, or herb to be any more effective than a placebo.
The most effective approaches are behavioral strategies and sound-generating devices, often used in combination. Not all insurance companies cover tinnitus treatments in the same way, so be sure to check your coverage. 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. Tinnitus can worsen in some people if they drink alcohol, smoke cigarettes, drink caffeinated beverages, or eat certain foods. The British Tinnitus Association (BTA) is a world leader, with a trained team of friendly and experienced advisers for anyone who experiences tinnitus or those simply seeking guidance or information about the condition. This information has been written to help you understand more about the effect of noise on your ears and the connection with tinnitus. The intensity of a noise can be measured by comparing its sound pressure (the change in air pressure caused by the sound) to that of the quietest sound that can be heard. If you have to shout to be heard by somebody around a metre away, the background noise is loud enough to be potentially damaging. If you find your hearing is dulled after exposing yourself to noise, then your hearing has been damaged. If you find a ringing or buzzing in your ears (tinnitus) after exposing yourself to noise, then the noise is likely to have been damagingly loud.
Exposure to loud noise can have consequences for your ears, the most obvious of which is hearing loss. The hearing loss can be temporary, and recover within a day or two, or permanent, and not recover at all. To avoid such damage, simple steps can be taken to reduce the risk posed by loud noise exposure. There are several practical steps you can take to minimise your risk of damage to your ears caused by loud noise exposure. If removing yourself from the source of noise isn’t possible or practical, make sure you take frequent breaks from the loud noise.
If you are going to be in a noisy environment (eg clubbing) wear hearing protection to reduce the intensity of the noise. If you are going out, for example to a noisy pub or club, try to limit alcohol consumption and remain well hydrated.


If you are at work, your employer has a responsibility to protect your hearing and make sure you are not exposed to excessively loud noise. If you are concerned in any way about the effect of noise exposure on your hearing, or about tinnitus, get medical advice. This has been only a brief explanation of what loud noise is, its effects on your ears, and how to minimise the risk posed by loud noise exposure. The Health and Safety Executive have lots of information about noise and hearing protection, including advice for employers and employees.
In fact, an estimated 90 percent of tinnitus sufferers also experience some degree of noise-induced hearing loss. These vibrations are then converted to electrical signals by cells at the hair's base, form a neural feedback loop which is regulated by the brain. This damage can cause hearing loss and a small number of the affected people develop tinnitus as a consequence of this hearing loss. For many, it's a ringing sound, while for others, it's whistling, buzzing, chirping, hissing, humming, roaring, or even shrieking.
You can help ease the symptoms by educating yourself about the condition — for example, understanding that it's not dangerous. When hair cells are damaged — by loud noise or ototoxic drugs, for example — the circuits in the brain don't receive the signals they're expecting. 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.
Pulsatile tinnitus calls for a thorough evaluation by an otolaryngologist (commonly called an ear, nose, and throat specialist, or ENT) or neurotologist, especially if the noise is frequent or constant.
You may also be able to reduce the impact of tinnitus by treating depression, anxiety, insomnia, and pain with medications or psychotherapy. No single approach works for everyone, and you may need to try various combinations of techniques before you find what works for you.
CBT uses techniques such as cognitive restructuring and relaxation to change the way patients think about and respond to tinnitus. Masking devices, worn like hearing aids, generate low-level white noise (a high-pitched hiss, for example) that can reduce the perception of tinnitus and sometimes also produce residual inhibition — less noticeable tinnitus for a short time after the masker is turned off.
Other treatments that have been studied for tinnitus include transcutaneous electrical stimulation of parts of the inner ear by way of electrodes placed on the skin or acupuncture needles, and stimulation of the brain using a powerful magnetic field (a technique called repetitive transcranial magnetic stimulation, or rTMS). 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.
They are remarkable organs that allow us to hear, and we must take care that the sounds that we expose ourselves to will not cause them harm. Such noise can be unwanted (for example, noise from loud machinery at work) or it could be desired (like listening to music with the volume turned up).
This is the visible part of the ear on the side of the head (called the pinna) and the external ear canal that goes inside the head, ending at the eardrum. This is composed of the eardrum and the three smallest bones in the human body (called the hammer or malleus, the anvil or incus and the stirrup or stapes), which are held in an air filled space in the head.
Most international regulations for noise exposure at work state that the loudest noise someone should be exposed to for an 8-hour working day is 85dB - roughly equivalent to a blender, or a milling machine. If you can only hear or be heard above the noise when shouting right next to the ear, the intensity is very loud indeed and is even more likely to be damaging your hearing. This may be temporary, but if you expose yourself repeatedly to these situations, the damage may become permanent. Avoiding further exposure is strongly advised, as is speaking to your GP if you are concerned.
Even if the hearing loss is temporary, it should be taken as a warning that permanent damage is likely if this exposure is repeated.
Stopping your exposure to a noise that you think may be damaging is the best way to avoid problems.
This gives your ears a chance to recuperate, and reduces the effect of the loud noise a little.
Even if you are going to be exposed to a loud noise once (eg a concert), strongly consider wearing hearing protection because you will be exposed for a damaging amount of time. Both alcohol and dehydration can make your hair cells in the cochlea more vulnerable to damage. As earbuds are placed directly into the ear this can boost the audio signal by as many as 9dB. You should be issued with hearing protection if the noises you are exposed to are loud enough to be damaging. This neural loop normally allows us to pick up very faint and distant sounds by detecting subtle changes in the vibrations of various hairs. In the rare cases where people on these low doses of quinine do report tinnitus it is temporary and ceases as soon as they discontinue the medication.
This group is known as the aminoglycoside antibiotics and includes streptomycin and gentamicin (Selimoglu 2007).
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. In about 10% of cases, the condition interferes with everyday life so much that medical help and psychotherapy are needed.
This stimulates abnormal activity in the neurons, which results in the illusion of sound, or tinnitus. Tinnitus can also be a symptom of Mnire's disease, a disorder of the balance mechanism in the inner ear. 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. The aim is to habituate the auditory system to the tinnitus signals, making them less noticeable or less bothersome.
Today, the term TRT is being used to describe modified versions of this therapy, and the variations make accurate assessment of its effectiveness difficult. A specialized device isn't always necessary for masking; often, playing music or having a radio, fan, or white-noise machine on in the background is enough.


It is often worse when background noise is low, so you may be most aware of it at night when you're trying to fall asleep in a quiet room. 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. The middle ear helps to boost the vibrations at the eardrum into stronger vibrations that can be better detected by the inner ear. This is a fluid filled spiral structure that is pushed on by the stirrup or stapes of the middle ear.
Decibels are what’s called a logarithmic unit, and this means that an increase of 3dB in a sound means that the sound intensity is doubled.
Now, as we saw before, a 88dB sound is twice as intense as a 85dB sound, so it follows that the maximum exposure duration should be half as much, so 4 hours. You should speak to your GP if concerned (and your human resources if the noise is work related) as you may need a hearing test.
If you find you are getting a headache, feel uncomfortable, or are at all concerned about the intensity of the noise, remove yourself from the situation and the noise exposure. Exposure to loud noise can damage the hair cells in your cochlea, resulting in a hearing loss at certain frequencies. Such hearing loss makes it harder to hear the quieter sounds encountered in daily life, and can make it harder to understand speech, particularly in background noise. By mitigating the risks fewer people will experience noise-induced hearing loss and tinnitus. But when these hairs are damaged or killed by repeated loud noise exposure, the underlying neurons remain active, sending a false signal to the brain that there is incoming sound when there really isn't. These drugs are not available as tablets, syrups or other oral preparations and are generally given by injection in hospital for severe, life threatening infections. Many people can hear their heartbeat — a phenomenon called pulsatile tinnitus — especially as they grow older, because blood flow tends to be more turbulent in arteries whose walls have stiffened with age.
If the auditory pathways or circuits in the brain don't receive the signals they're expecting from the cochlea, the brain in effect "turns up the gain" on those pathways in an effort to detect the signal — in much the same way that you turn up the volume on a car radio when you're trying to find a station's signal. Your clinician will review your medical history, your current and past exposure to noise, and any medications or supplements you're taking. The main components of TRT are individual counseling (to explain the auditory system, how tinnitus develops, and how TRT can help) and sound therapy.
Although there's not enough evidence from randomized trials to draw any conclusions about the effectiveness of masking, hearing experts often recommend a trial of simple masking strategies (such as setting a radio at low volume between stations) before they turn to more expensive options. Electrodes attached to the skin feed information about physiological processes such as pulse, skin temperature, and muscle tension into a computer, which displays the output on a monitor. In two small trials, rTMS compared with a sham procedure helped improve the perception of tinnitus in a few patients. Carpenters, pilots, rock musicians, street-repair workers, and landscapers are among those whose jobs put them at risk, as are people who work with chain saws, guns, or other loud devices or who repeatedly listen to loud music.
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. It is important to identify which noise can be damaging to hearing, and how to go about reducing the risk of damage. The stapedial reflex causes one of the ligaments in the middle ear to tense which helps reduce the intensity of very loud sound. The vibrations that are delivered to it are turned into electrical signals by specialised cells called hair cells. This rule of halving the maximum exposure duration for every 3dB increase (so doubling) in sound intensity is true for noises up to around 110-120dB. There is also evidence that noise exposure can damage the nerve fibres that go from the cochlea to the brain, and that this damage doesn’t necessarily show up in hearing tests such as an audiogram. However, sometimes it can persist for weeks, years, or even indefinitely, especially if you have a noise-induced hearing loss. As many as 50 to 60 million people in the United States suffer from this condition; it's especially common in people over age 55 and strongly associated with hearing loss. 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. 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.
In a Cochrane review of the one randomized trial that followed Jastreboff's protocol and met the organization's standards, TRT was much more effective in reducing tinnitus severity and disability than a technique called masking (see below). Patients learn how to alter these processes and reduce the body's stress response by changing their thoughts and feelings.
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. You can also get noise-cancelling headphones which will allow you to listen to music for a longer extension of time, at a much lower decibel level. Many people worry that tinnitus is a sign that they are going deaf or have another serious medical problem, but it rarely is.
This kind of tinnitus resembles phantom limb pain in an amputee — the brain is producing abnormal nerve signals to compensate for missing input. For those who enjoy loud music, go clubbing or who are musicians, you can buy specially moulded earplugs that do not affect the balance of the sound. However, if sounds are very loud, these hair cells can be overwhelmed and may end up permanently damaged.
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.
Some children may develop hearing loss because of listening to loud music or other loud noises.



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