Tinnitus – causes, clinical features, investigation, management, treatment

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Tinnitus is a condition characterized by the perception of noise or ringing in the ears when there is no external sound source. The sound can vary, and individuals may describe it as ringing, buzzing, hissing, or clicking. Tinnitus can be temporary or chronic and may affect one or both ears.

There are several potential causes of tinnitus, including:

1. **Exposure to loud noises:** Prolonged exposure to loud sounds, such as loud music, machinery, or firearms, can damage the delicate hair cells in the inner ear, leading to tinnitus.

2. **Age-related hearing loss:** As people age, there is a natural deterioration of the auditory system, which can contribute to tinnitus.

3. **Earwax blockage:** Excessive earwax can cause a blockage in the ear canal, leading to tinnitus symptoms.

4. **Certain medications:** Some medications, such as certain antibiotics, antidepressants, and nonsteroidal anti-inflammatory drugs (NSAIDs), may cause or exacerbate tinnitus as a side effect.

5. **Medical conditions:** Tinnitus can be associated with various medical conditions, including Meniere’s disease, temporomandibular joint (TMJ) disorders, and certain cardiovascular conditions.

6. **Head or neck injuries:** Trauma to the head or neck can impact the auditory system and result in tinnitus.

It’s important to note that tinnitus itself is not a disease but rather a symptom of an underlying issue. If you are experiencing persistent tinnitus, it is advisable to consult with a healthcare professional, preferably an audiologist or an ear, nose, and throat (ENT) specialist, for a thorough examination and proper diagnosis. Treatment options may include addressing the underlying cause, managing stress, using hearing aids, or employing sound therapy techniques to help alleviate the symptoms.

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