Psychological effectsĪlthough it is an annoying condition to which most people adapt, persistent tinnitus may cause anxiety and depression in some people. Generally, prevalence increases with age in adults, and the ratings of annoyance decreases with duration. Courseĭue to variations in study designs, data on the course of tinnitus shows few consistent results. In some individuals, its intensity may be changed by shoulder, neck, head, tongue, jaw, or eye movements. It may be soft or loud, low- or high- pitched, and may seem to come from either one or both ears, or from the head itself. Tinnitus is often described as ringing, but it may also sound like clicking, buzzing, hissing, or roaring. Sound generators or hearing aids may help. Otherwise, typically, tinnitus management involves psychoeducation or counseling, such as talk therapy. If there is an underlying cause, treating that cause may lead to improvements. Measures to prevent tinnitus include avoiding chronic or extended exposure to loud noise, and limiting exposure to ototoxic drugs and substances. Rarely, the sound may be heard by someone other than the patient by using a stethoscope, in which case it is known as "objective tinnitus." Occasionally, spontaneous otoacoustic emissions, sounds produced normally by the inner ear, may result in tinnitus. Other tests are suitable when tinnitus occurs with the same rhythm as the heartbeat. If certain problems are found, medical imaging, such as magnetic resonance imaging (MRI), may be performed. How much tinnitus interferes with a person's life may be quantified with questionnaires. Such a diagnosis is commonly supported by an audiogram, and an otolaryngological and neurological examination. The diagnosis of tinnitus is usually based on a patient's description of the symptoms they are experiencing. It is more common in those with depression. It can suddenly emerge during a period of emotional stress. Other causes include ear infections, disease of the heart or blood vessels, Ménière's disease, brain tumors, acoustic neuromas (tumors on the auditory nerves of the ear), migraines, temporomandibular joint disorders, exposure to certain medications, a previous head injury, and earwax. The most common causes are hearing damage, noise-induced hearing loss, or age-related hearing loss, known as presbycusis. Rather than a disease, tinnitus is a symptom that may result from a variety of underlying causes and may be generated at any level of the auditory system as well as outside that system. It can trigger a fight-or-flight response, as the brain may perceive it as dangerous and important. Most tolerate it well, and it is a significant problem in only 1–2% of people. It is common, affecting about 10–15% of people. Tinnitus is usually associated with hearing loss and decreased comprehension of speech in noisy environments. In some people, it interferes with concentration, and can be associated with anxiety and depression. The word tinnitus comes from the Latin tinnire, "to ring". Nearly everyone experiences faint "normal tinnitus" in a completely quiet room but it is of concern only if it is bothersome, interferes with normal hearing, or is associated with other problems. Tinnitus is a variety of sound that is heard when no corresponding external sound is present.
Noise-induced hearing loss, ear infections, disease of the heart or blood vessels, Ménière's disease, brain tumors, inner ear tumors, emotional stress, traumatic brain injury, excessive earwax īased on symptoms, audiogram, neurological exam Ĭounseling, sound generators, hearing aids Hearing sound when no external sound is present / ˈ t ɪ n ɪ t ə s/ or / t ɪ ˈ n aɪ t ə s/.
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