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Why there is ringing, tinnitus, the main causes and treatment of such discomfort

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When tinnitus is not associated with serious health problems, it is better to fight it using natural remedies.

Tinnitus - an unpleasant symptom in which a person senses phantom or non-existent noise (ringing, buzzing, roaring, clicking or whistling) that does not have an external source. Yet in most cases this disorder is mild and transient, and from tinnitus can be eliminated using some natural remedies.

The cause of this noise may be hearing impairment associated with infections and damage or accumulation of sulfur.

Tinnitus alone is not considered a disease, but it can be associated with hearing damage or impaired circulation.

We will talk about some of the causes of this disorder and about 5 natural remedies that will help get rid of tinnitus.

Causes of Tinnitus

Tinnitus may be associated with certain diseases, but it is difficult to establish its exact cause.

Often it, especially when repeated regularly, is associated with damage to the cells of the internal auditory canal.

Malfunctioning, they generate electrical impulses, which, entering the auditory nerve into the brainare interpreted by them as sounds.

Other possible causes of tinnitus:

  • accumulation of sulfur in the ear canal
  • eardrum irritation
  • changes in the auditory ossicle chain
  • prolonged exposure to loud noise (loud music, etc.)
  • age-related hearing loss
  • ear damage and ear diseases
  • deficiency of certain nutrients
  • circulatory disturbance

Natural Tinnitus Remedies

Often this noise is not too intense and does not cause a person special inconvenience. But sometimes he is too strong and markedly worsens quality of life. Then you have to fight with him.

Fortunately, it is not necessary to take medications for this, usually you can do with natural remedies that will help get rid of tinnitus.

Onion acts as an antibiotic, therefore it is recommended when tinnitus is associated with infectious diseases.

Onion juice cleans the ear canal and reduces irritation.

Mode of application

  • We dig in 2-3 drops of onion juice in the ear with which there are problems, and for 3 minutes we tilt our head in the opposite direction.
  • Then we make rotational movements of the head so that the remaining juice flows out of the ear, and wipe them with a napkin.
  • Repeat the procedure up to 3 times a week.

In its composition, garlic is similar to onion, it also has antibiotic and anti-inflammatory properties. Garlic helps to cleanse the ear canal.

A mixture of crushed garlic with a small amount of sesame oil is used to remove sulfur.

Is the noise in the ears and head a pathology or a variant of the norm?

Noise can be either two-sided or one-sided if it occurs in conditions of complete silence - this is a physiological noise that can be caused by the perception of the movement of blood in the inner ear in small vessels.

With various diseases, such as diseases of the auditory nerve, inner or middle ear, poisoning with poisons, taking certain medications are pathological reasons. By nature, it can resemble tinnitus, whistling, hissing, be weak, or vice versa, intense, all of which are important for establishing a diagnosis and prescribing treatment for a detected pathology.

In many cases, this symptom indicates hearing diseases, but in 10-16% of cases, the causes of noise in the ears and head are cerebrovascular accidents that occur with age-related changes in young people from nervous overload, after injuries, or with increased arterial or intracranial pressure. A common cause is vertebral artery syndrome, which develops with osteochondrosis of the cervical spine.

Almost 90% of adults experience various kinds of tinnitus, which are considered normal and due to the perception of the auditory organs, so it is difficult to determine the intensity and frequency of ear noise in a patient based on the described sensations and complaints.

Many studies claim that 30% of the population periodically feels ringing, tinnitus, 20% of which consider such noise quite pronounced and intense. Moreover, half of all patients complain only of noise in the left ear or right, the other half of bilateral noise.

Constant noise in the head is one of the main symptoms in 80% of patients with hearing impairment. The frequency of manifestation of this syndrome is very high in people of middle and old age 40-80 years. However, men are more likely to detect hearing loss and develop a similar symptom, as they are more susceptible to household and occupational noise.

In addition, such an unpleasant sensation is usually accompanied by stressful sensations, anxiety, fear, lead to insomnia, increases fatigue and reduces performance, interferes with concentration, and makes it difficult to hear other sounds. Such patients often suffer from prolonged anxiety and depression, and it has been observed that the presence and intensity of such a symptom by most patients is aggravated by additional mental symptoms.

What can be tinnitus?

When contacting a doctor, the patient should clearly explain what kind of noise bothers him:

  • monotonous sound - whistling, hissing, wheezing, buzzing, ringing in the ears
  • complex sound - ringing a bell, voice, music - this can already be attributed to drug intoxication, psychopathology, auditory hallucinations

Moreover, tinnitus should be divided into:

  • objective - which is heard by both the patient and the doctor, which rarely happens
  • subjective - which only the patient hears

Also, noise can be divided into:

  • vibrational - mechanical sounds produced by the organ of hearing itself and its structure, more precisely neuromuscular and vascular formations, just such sounds can be heard by both the doctor and the patient
  • non-vibrational - the sensation of various sounds in the ears caused by irritation of the nerve endings of the central auditory tract, auditory nerve, inner ear, in which case only the patient hears the noise.

Most often in clinical practice, various noises in the ear or ears are non-vibrational, subjective in nature and are the result of pathological irritation or excitation of the central or peripheral auditory tract. Therefore, a very important diagnostic task is the elimination or confirmation of serious diseases of the auditory tract.

Ear canal obstruction

The most common cause of noise is the partial closure of the ear canal. Most often, only one ear suffers. The patient is disturbed by the constant obsessive noise, which is accompanied by a feeling of “stuffiness”, pain and hearing loss.

In the ear canal can get:

  • Water,
  • Dust,
  • Small insects
  • Children can independently push any objects (small toys, paper, etc.) into the ear.

As a possible cause of blockage, the formation of sulfuric cork should be noted. It can occur due to several factors: a large amount of sulfur released, narrow dimensions of the ear canal, lack of regular ear hygiene, and a number of others.

Even if, during an external examination, it is not possible to find the cause of the blockage, this does not mean that it is not in the ear canal. A foreign body or plug may be near the eardrum. In this case, only a doctor can see it with the help of an otoscope - a device for examining the entire auditory canal.

Outer Ear Disease

This department consists only of the auricle and ear canal. The main function of the outer ear is to catch and hold the sound. Noise can occur when there is an obstacle in one of these structures. The causes associated with obstruction of the ear canal have been discussed above. Other diseases of the external ear include:

This is an inflammation of the skin in the area of ​​the passage, which can develop due to infection of the ear with various microbes (Staphylococcus aureus, Pseudomonas, Streptococcus).

Tinnitus is often accompanied by severe pain, discharge of pus from the external auditory opening, and redness of the skin. As it progresses, the disease can spread to the middle ear through the eardrum.

Therefore, at its first signs, you should consult a doctor as soon as possible.

This disease occurs most often in people with reduced immunity (HIV-infected, taking steroid hormones and cytostatics, living in constant stress, etc.).

In the area of ​​the external auditory opening, a fungal infection occurs, usually candidiasis. In addition to tinnitus and pain, patients may complain of frequent milky white discharge from the ear and a feeling of “stuffiness”.

Outer Ear DiseaseDescription
Otitis externa
Mycosis of the external ear
FuruncleIf a boil forms in the outer ear, this is an occasion to urgently seek the help of a doctor. Doctors call it “malignant,” since this small purulent lesion can quickly lead to a general infection with high fever and severe symptoms of intoxication (weakness, loss of appetite, dehydration)
ExostosisThis is a fairly rare disease in which bone proliferation occurs in the initial part of the auditory canal. Because of this, there is an obstacle to the passage of the sound wave, which leads to noise. As a rule, pain and other symptoms of ear damage to patients do not bother.

Middle ear damage

The middle ear is vulnerable to infections - they occupy the first place among all lesions of the auditory apparatus. Bad statistics are due to the structure of this department. The middle ear is separated from the outside by a thin eardrum, which can become inflamed with the progression of otitis externa. There is another important feature - the department communicates with the oral cavity through the Eustachian tube, through which bacteria and viruses can spread to the organ of hearing.

The following inflammatory diseases of the middle ear can lead to tinnitus:

  • Acute otitis media - Caused by bacteria and viruses introduced from both the oral cavity and the outer ear. Often occurs after a sore throat, laryngitis, nasopharyngitis. It is accompanied by "shooting" pain, hearing loss and general symptoms (fever up to 37-38 ° C, weakness). A characteristic feature of tinnitus is that, as a rule, it has a pulsating character and does not bother constantly, but periodically,
  • Chronic otitis media - improper treatment of acute inflammation can lead to this disease. Tinnitus comes first in remission in chronic otitis media. Over time, the patient begins to notice a decrease in hearing and the appearance of a feeling of “congestion”. With exacerbation, all signs of acute otitis media are observed.

It is very difficult to treat this disease, as patients, as a rule, have already taken most of the antibiotics to which microbes have developed resistance. It is important to choose the right antibacterial drug and carefully follow the scheme,

  • Mastoiditis - behind the cavity of the middle ear is the mastoid process (part of the temporal bone), in which there are cells with air. They are inflamed with mastoiditis, which is manifested not only by noise, but also by pain behind the ear, fever (more than 38 ° C) and intoxication symptoms.
  • Eustachitis - inflammation of the Eustachian tube, which connects the middle ear to the oral cavity. There are no characteristic symptoms and features in the treatment. It manifests itself in the form of acute otitis media,
  • Myringitis - This is an infection of the eardrum. As a rule, it is combined with one of the forms of otitis media. Additional signs that detect myringitis are increased pain when sounds of normal volume appear and pus is released from the ear.

In addition to infectious causes, middle ear pathologies include tympanosclerosis and damage to the eardrum (tears, injuries). With the first disease, a gradual scarring of the membrane occurs, which is manifested by tinnitus and a pronounced hearing loss. Pain and temperature are usually not.

Eardrum Injury It can occur during severe pressure drops (during take-off or rapid immersion in water), when it is directly damaged (with an ear stick or other object that is immersed in the ear canal). The main symptoms are acute unbearable pain and absence / marked hearing loss from the injured side. Tinnitus in case of damage to the membrane is in the background.

Diseases of the inner ear

Damage to this part of the organ of hearing is most dangerous, since it is extremely difficult to cure it. Here are two of the most important apparatus - vestibularwho is responsible for balance, and auditorydirectly transforming sound waves into nerve impulses.

As a rule, hearing loss and occasional tinnitus accompany the patient all his life after the illness. The most common diseases of the inner ear include:

A feature of this disease is that it almost always affects two ears. With otosclerosis, uncontrolled growth of areas of bone labyrinths occurs. These neoplasms can squeeze the cochlea and stapes (a small bone on the inside of the eardrum).

Tinnitus will be accompanied by progressive hearing loss. Otosclerosis has a hereditary nature, therefore, the patient's relatives are highly likely to have the disease. This has great diagnostic value.

A lightning change in pressure between the external environment and the cavity of the inner ear leads to damage to the cochlear apparatus. The middle ear is less likely to be damaged, since the presence of the Eustachian tube protects it somewhat from barotrauma.

With a concussion in the labyrinth of the ear, not only noise may occur, but also a sharp decrease in hearing (often temporary), dizziness, nausea, and pain in the ear area.

Inner ear diseaseDescription
Otosclerosis
LabyrinthitisInfectious process affecting the inner ear. Often occurs after acute otitis media. In addition to hearing impairment, patients are concerned about: dizziness, impaired coordination of movements, constant nausea. Perhaps the appearance of temperature and signs of intoxication.
Maze Contusion
Meniere's diseaseThis disease leads to edema of almost all structures of the inner ear, due to the increased content of endolymphatic fluid. Most often, with Meniere's disease, the following symptoms occur:

  • Noise in ears,
  • Imbalance
  • Hearing loss
  • Dizziness.

Pathology of the auditory nerve

Currently, the following causes of damage to the auditory nerve are distinguished: sensorineural hearing loss (a synonym for auditory nerve neuritis), a tumor, and neurosyphilis. The first disease can occur both acutely and gradually. When it affects mainly receptors - special nerve cells that turn vibrations of a sound wave into an impulse. Types of sensorineural hearing loss are:

  • Occupational hearing loss - a disease resulting from work in hazardous work,
  • Senile hearing loss is a gradual destruction of receptors due to a slowdown in metabolic processes in the body.

It is quite difficult to treat the disease, since damage to the receptors is often irreversible.

Neurosyphilis is almost always acute and affects not only the auditory nerve, but also the meninges, the roots of the spinal nerves. In this case, a large number of neurological disorders (dystrophy of the skin on the back, paresis, decreased sensitivity mainly on the trunk, etc.) arise, one of which is constant tinnitus.

A tumor of the auditory nerve is one of the most common oncological processes in the nervous tissue. The first symptoms of neurinoma (the so-called tumor) are:

  • Constant tinnitus
  • Distorted perception of sounds (louder / quieter than an objective sound, perception of sounds that are not).

You should be wary of the oncological plan and if you suspect a neuroma, undergo the necessary examination by a doctor.

Chronic cerebral blood flow disorders (CML)

Acute disorders in the blood supply to the brain are called "vascular catastrophe" and they are manifested by pronounced symptoms - paralysis, loss of sensation, impaired consciousness, etc. With a chronic lack of blood flow, the brain receives enough nutrients and oxygen to continue to function fully. However, patients may be concerned about:

  • Noise in ears,
  • Periodic dizziness and weakness,
  • Stray attention.

Deficiency of blood flow most often occurs due to the growth of plaques in the lumen of a large artery (atherosclerosis) or arterial hypertension. If these diseases are detected, it is important to treat them in a timely manner and prevent complications such as stroke or ischemic attack.

Tinnitus with osteochondrosis

A lack of blood supply can occur not only due to damage to the cerebral arteries, but also to the cervical vessels. In this case, the doctor does not diagnose CNMC, but vertebro-basilar insufficiency (VBI). Despite the fact that the symptoms of these pathologies are almost the same, the approaches to treatment have certain differences.

Tinnitus with osteochondrosis occurs due to compression of the vertebral artery and the development of VBI. A distinctive feature of osteochondrosis, which allows you to distinguish it from other diseases, is the recurring pain in the neck and constant tension of the neck muscles.

One reason is taking medication.

In addition to taking various medications, the provoking factors that exacerbate such an unpleasant symptom can be smoking, coffee abuse, head injuries, overwork, stressful situations, prolonged strong external noises, old age.

List of drugs with ototoxic effects of varying severity:

  • Substances and medicines that have a negative effect on the central nervous system - antidepressants, haloperidol, aminophylline, tobacco, marijuana, caffeine, lithium, Levodopa
  • Anti-inflammatory drugs - Mefevamic acid, Quinine, Prednisolone, Tolmetin, Indomethacin, Salicylates, Naproxen, Zamepirak
  • Diuretics - Furosemide, Ethacrine Acid
  • Cardiovascular preparations - Digitalis, B-blockers
  • Antibiotics - Vibramycin, Metronidazole, Dapsone, Clindamycin, Aminoglycosides, Tetracyclines, Sulfanilamides
  • Organic solvents - methyl alcohol, benzene.

The main diseases manifested by noise, ringing in the ears

  • Metabolic diseases - diabetes, hypoglycemia, thyroid disease
  • Inflammatory diseases - acute, purulent, chronic otitis media, exudative otitis media, acute respiratory viral infections, influenza, cochlear neuritis, hepatitis, labyrinthitis, auditory nerve neuritis
  • Vascular pathologies - cerebral arteriosclerosis, carotid artery aneurysms, high cardiac output, aortic valve insufficiency, venous noise, fever, anemia, arteriovenous malformations.
  • Tumor diseases - meningioma, a temporal lobe or brain stem tumor, a cerebellopontine tumor, an epidermoid tumor, an eardrum tumor
  • Degenerative pathologies - atherosclerosis, hearing loss due to poisoning by industrial poisons, arterial hypertension, Meniere's disease, osteochondrosis of the cervical spine
  • Traumatic causes - injuries to the organs of the hearing or head, fistula of the perilymph, acoustic trauma
  • Mechanical causes are a foreign body, a sulfuric plug, stenosis of the external auditory meatus, osteomas and exostoses, and obstruction of the auditory tube.

Diagnostics

To detect the cause of noise, a comprehensive examination is necessary, which should begin with a visit to the otolaryngologist. This doctor will analyze your complaints and medical history, examine the outer ear and eardrum, perform an audiometry and make a conclusion about the condition of your hearing.

This is a critical examination that helps identify:

  • obstruction of the ear canal (sulfuric plug or foreign body),
  • the presence of external / average otitis media,
  • a boil in the ear canal cavity,
  • myringitis
  • exostosis.

Using a special device (otoscope), the doctor can examine all the structures of the hearing aid, right up to the eardrum. If the cause of tinnitus is associated with the pathology of this ear, then diagnosis, as a rule, is not difficult.

Tonal Threshold Audiometry

This study is based on the ability of the brain to perceive the loudest sounds selectively. The amplitude of the noise that the patient hears is measured based on the reproduction of various noises in frequency and volume and asks the patient to indicate what he hears. By making an audiogram in this way, you can determine the patient’s hearing threshold:

Diseases with reduced hearing thresholdDiseases with an increased hearing threshold
  • Inflammatory diseases of the middle ear,
  • Labyrinthitis
  • Pathology of the auditory nerve.
  • Tympanosclerosis,
  • Otosclerosis,
  • Contusion of the maze,
  • Meniere's disease,
  • Eardrum injury
  • Diseases of the outer ear.

Auscultation of the temporal region

To diagnose the presence of noise, it is necessary to conduct an auscultation of the skull with a phonendoscope:

  • If the noise is ripple - this is vascular murmur, as a consequence of a possible arterial aneurysm, tumor, arteriovenous malformation, and other diseases requiring surgical intervention.
  • If you click - This is muscle noise created by contractions of the soft palate and middle ear. With such convulsive contractions, anticonvulsant treatment is indicated.

Additional diagnostic methods

If using the above methods, the doctor could not find the cause of tinnitus, other diagnostic methods should be used. The presence of vertebro-basilar insufficiency, chronic heart disease and mastoiditis should be ruled out.

X-ray / MRI of the cervical spine

Radiography is performed in a sitting position, with a straightened head, in two projections.

MRI is a more accurate and expensive examination. It is performed in a prone position, without any prior preparation.

Study of patency of the auditory tube

Through the auditory tube (which opens in the oral cavity), air is pumped into the middle ear cavity. The norm is the presence of protrusion of the eardrum during examination by an otoscope.

Angiography of the cerebral arteries and vertebro-basilar basin

A special instrument (catheter) is inserted through the subclavian artery, which moves to the mouth of the vertebral artery under x-ray control. A contrast agent is introduced through the catheter, and the arteries of the vertebro-basilar and brain pools are visualized.

Vestibular function examination

Using simple tests, patient coordination functions are evaluated:

  • Palatine test - a person with closed eyes should reach with the second finger of his left and right hands to the tip of the nose,
  • Romberg pose - the patient puts his feet together, closes his eyes and tries to maintain balance,
  • The complicated position of Romberg - the patient crosses his feet, closes his eyes and tries to stay in place.
How is it carried out?What can be discovered?
Osteochondrosis - the presence of deformity of the intervertebral discs or displacement of the cervical vertebrae indicates the possible presence of VBI.
Eustachitis - due to edema of the auditory tube, air cannot pass into the cavity of the middle ear and displace the eardrum.
KNMK and VBN - On angiography, narrowing of certain sections of the arteries is noted.
Damage to the inner ear or auditory nerve - in this part of the ear, the vestibular part and the auditory part work together. Violation of vestibular functions together with tinnitus suggests the pathology of the inner ear / nerve.

Only after a thorough diagnosis, when the causes of tinnitus are identified, treatment is prescribed by a qualified ENT doctor. Drug treatment consists of courses of metabolic, vascular, psychotropic, antihistamines and other drugs:

  • Nootropic and psychostimulating agents - Fezam, Omaron, Cortexin
  • Psychotropic drugs are prescribed in extreme cases after consultation with a neuropsychiatrist - antidepressants and tranquilizers, of course, improve noise tolerance, but have a number of side effects, such as dry mouth, drowsiness, constipation (laxatives for constipation), difficulty urinating, tachycardia, addiction and etc. You can use milder sedatives.
  • Anticonvulsants - are prescribed only for tinnitus caused by clonic contractions of the muscles of the soft palate or middle ear - carbamazepine (Tegretol, Finlepsin), phenytoin (Difenin), valproates (Depakin, Encorat, Convulex),
  • Slow Calcium Channel Blockers - Cinnarizine, Stugeron
  • Antihypoxic drugs - the active substance Trimetazidine (Preductal, Trimectal, Angiosil, Deprenorm, Rimecor)
  • Antihistamines - are prescribed for allergic reactions, when fluid congestion in the ear is observed, it is hydroxyzine (Atarax), promethazine (Pipolfen, Diprazin)
  • Drugs that improve cerebral circulation - Betagistin, Betaserk, Vinpocetine, Cavinton, Telektol.

In addition to medical treatment, the doctor can offer physiotherapeutic treatment - laser therapy, endaural electrophonophoresis. In inflammatory diseases, otitis media, pneumatic massage of the tympanic membrane is indicated.

With severe hearing impairment, today there are modern models of hearing aids with digital programming, they can be behind-the-ear or miniature in-ear.

It is also possible to carry out psychocorrection using hypnotherapy, autogenic training, meditation, yoga, pronouncing positive attitudes, affirmations, setting up a positive attitude and the desire for recovery through self-hypnosis. You can use various options for anti-stress therapy - massage, hydrotherapy.

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