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04.02.2014

What causes ringing in your right ear, causes for fatigue and sleepiness - Test Out

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Constant noise in the head -- such as ringing in the ears -- rarely indicates a serious health problem, but it sure can be annoying.
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). 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. 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.
Not all insurance companies cover tinnitus treatments in the same way, so be sure to check your coverage. 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. 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. 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. 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.
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").
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. No single approach works for everyone, and you may need to try various combinations of techniques before you find what works for you. 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). This damage can cause hearing loss and a small number of the affected people develop tinnitus as a consequence of this hearing loss. But ringing in the ears that does not get better or go away is an ear condition called tinnitus. 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. Tinnitus can also be a symptom of Mnire's disease, a disorder of the balance mechanism in the inner ear. In severe cases, however, tinnitus can cause people to have difficulty concentrating and sleeping.
The noise causes permanent damage to the sound-sensitive cells of the cochlea, a spiral-shaped organ in the inner ear. Your clinician will review your medical history, your current and past exposure to noise, and any medications or supplements you're taking. 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. 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.
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 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.
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. 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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