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Tinnitus is a terminology in medical practice which means patient is hearing some abnormal noise in the ear, now typically the patient will come to us and say they suddenly started hearing some humming noise in the ear or ringing noise in the air or like waves of sea or like a motor running constantly. In such cases we have to assess in detail one we need to know whether it is one sided or it is both sided. Second is the duration for how long they have been hearing, has it started all of a sudden or been there for a long duration of time continuously or whether it is something which comes and goes, every now and then they keep hearing this town and then goes. All these Wills point as towards a probable diagnosis, again we also ask for associated features like whether they have any hearing loss, whether the ear gets blocked when they have these noise or whether it is in synchrony with their heart beat that means is called pulsatile tinnitus. Now why we ask all these questions is various different problems or pathologies can presents to us with tinnitus. Any problem which can cause hearing loss that means to whatever extent can actually cause noise in the ear. Now all of us can actually do a small experiment we can sit in a very silent room, plug our ears with your thumb or forefinger as hard as possible and then try to concentrate, we will hear a hump in our ear. This is a noise produced in the inner ear, this is what get accentuated when somebody has some amount of hearing loss and can presents as tinnitus.
Now this can occur for a simple cause like wax getting accumulated in the ear and infection in the external skin and eardrum, an infection of fluid accumulation in the middle ear, station to problem that means somebody has a cold and the tube which connects nose to the ear gets blocked can produce noise. It can also be produced by problems affecting the bones of the middle ear. There are 3 form of which if the bone gets thicken and tightened, a condition called as otosclerosis there also the person can have noise in the ear. Also if the cochlea gets damaged because of exposure to loud noise, etc even then noises can be produced. Inner ear pathology is like that of a somebody has meniere disease or inner ear pressure changes can also cause tinnitus.
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