That means ringing in the ear. What to do if ringing or noise in the ear? Auscultation of the temporal region

Doctor-neurologist of the highest category, specialist in the field of extrapyramidal pathologies, doctor of the highest category

Or the presence of some other sound sensations is not such a rare problem. Ringing in the ears and head is not an independent disease, but is often included in the symptom complex of other diseases, which will be discussed below. The sensation of ringing in the ears among medical professionals is commonly called tinnitus, and despite all the subjectivity in assessing this symptom, tinnitus undergoes some gradation. The sensation of any sounds and noise in the shah is not always a pathology and there are reasons for this.

Studies show that 35-40% of the world's population experience tinnitus, while many do not betray this at all, since the intensity of the noise is negligible. Interestingly, more than half of all patients complaining of tinnitus indicate unilateral, or rather left-sided, localization of noise.

How physiological is the sensation of tinnitus

Causes of persistent or intermittent tinnitus can be both pathological. So are physiological ones. Often, people of different ages feel some ringing in the ears with complete silence, such ringing is normal and occurs as a result of the peculiarities of the functioning of the neurosensory system of the inner ear and cochlear organ. Physiological noise occurs in more than 90% of people, regardless of gender and age. Difficulties in assessing the intensity of physiological noise lie in the subjectivity of the assessment by each individual person. Usually, a person adapts to such noise and does not pay attention to it at all, however, with the development of any pathological condition on the part of the neurosensory part of the hearing aid or any other, as well as with some vascular diseases, the intensity of tinnitus can increase significantly, which leads to to the development of tinnitus symptoms.

Pathological causes of tinnitus

A number of diseases can cause an increase in the intensity of tinnitus. The duration of the ringing can also vary significantly, from rare transient noises to a constant pronounced ringing that causes discomfort to the patient. The most common cause of tinnitus is a sharp loud sound, as a result of which the sensory apparatus of the inner ear does not have time to rebuild and adapt to a loud sound, thereby forming a transient or short-term ringing in the ears. Which we all heard, it looks like a squeak. Especially often this form is found in people associated with work in loud conditions, for example: guitarists, rock musicians, DJs and hosts of festive events. In this case, a strong ringing in the ears often occurs in any one ear and goes away on its own.

The following more serious causes of pathological ringing in the ears can be diseases such as:

Otosclerosis is a disease in which bone tissue grows in the cavity of the ear canal.
Infectious and inflammatory diseases of the outer, middle and inner ear.
Arterial hypertension is high blood pressure in the vessels of the brain.
Taking medicines with ototoxic effect.
Atherosclerosis of the cerebral arteries.
Osteochondrosis.
Injuries and contusions of the head and organ of hearing.
Blockage of the auditory canal.

All of the above diseases often lead to the occurrence of tinnitus, which becomes a painful companion of the patient. Tinnitus can occur with preserved hearing, or be accompanied by its decrease.

Otosclerosis

If you are worried about constant ringing in the ears and head, the causes of which remain unclear, then most likely it occurs due to the growth of bone tissue among the structures of the inner ear. This process is called secondary ossification and leads to the gradual formation of otosclerosis. The disease occurs more often in females and does not depend on age. Often with otosclerosis in patients, in addition to noise and ringing in the ears, sensorineural hearing loss is observed.

With otosclerosis, tinnitus is the first symptom and appears much earlier than the development of sensorineural hearing loss and other symptoms, however, the diagnosis of this symptom is much more difficult, since the symptom is purely subjective.

Infectious and inflammatory diseases of the ear

Diseases in which an inflammatory process occurs in the ear is called otitis media. Otitis can be of different localization, in connection with which they distinguish external, middle and internal otitis media. If you are wondering why it is ringing in the left ear or why it is ringing in the right ear, then the reason for this may be otitis media transferred in the past. Ringing is most often caused by damage to the inner ear. As a result of inflammation, especially if it is accompanied by a purulent process, violations of the hydrodynamic physical parameters of the transmission of sound information are formed. Such changes occur only on the side of the affected ear, which ultimately leads to a unilateral occurrence of the symptom of tinnitus. Tinnitus associated with previous inflammation can develop at a young age, and the interval between otitis media and the manifestation of ringing can be very long, for this reason it is important to give due importance to a thorough history taking of the disease.

Hypertonic disease

The cause of constant ringing in the ears on both sides can be significantly increased pressure, this is especially true for people over 50 years old. According to statistics, more than 70% of hypertensive patients have a symptom of tinnitus, and in a permanent form. If the cause of tinnitus is arterial hypertension, then you should not delay contacting a specialist for advice and specialized treatment. Typically, tinnitus occurs when blood pressure is high. Moreover, the dominant role in such a situation is played by the level of systolic pressure, which corresponds to myocardial contraction. Often ringing in the ears or in a separate ear is associated not only with hypertension. But also with concomitant atherosclerosis of the vascular wall.

Osteochondrosis

Osteochondrosis of the cervical spine is often accompanied by ringing in the ears. The mechanism of the formation of this symptom in osteochondrosis is a significant inflection of the vertebral arteries that feed the pyramid area and the cochlea of the inner ear. With osteochondrosis, vertebrobasilar insufficiency is formed, which is also accompanied by a feeling of flies flickering before the eyes, dizziness. In some cases, with vertebrobasilar insufficiency, tinnitus may precede a short-term loss of consciousness.

Atherosclerosis of the cerebral arteries

Constant ringing in the ear on the left side of the head or a similar noise on the right side may indicate serious atherosclerotic changes in the cerebral arteries, namely in the basin of the internal carotid and middle cerebral arteries. With the development and progression of atherosclerosis, cholesterol accumulates under the inner layer of blood vessels - the endothelium, which in turn leads to thickening of the cerebral vessels and a significant decrease in the elasticity of the vascular wall. Even with moderately elevated pressure in combination with atherosclerosis, ringing in the ears may occur. Especially characteristic is the unilateral manifestation of noise during the formation of atherosclerotic changes in the vessels anatomically close to the pyramid of the inner ear.

Use of drugs with side effects

Some ototoxic drugs may cause temporary or permanent tinnitus symptoms. The most common drugs with such a serious side effect include:

Group of antibacterial drugs of the tetracycline series;
Some psychotropic drugs - Haloperidol, Levodopa, Nicotine, Marijuana;
Anti-inflammatory drugs of a steroid nature - Prednisolone;
Diuretics such as furosemide (Lasix);
Cardiac glycosides - Digitalis and non-selective beta-blockers.

The use of tetracycline antibiotics in early childhood or non-compliance with dosing can lead to degenerative changes in the cochlear apparatus and the nuclei of the brain responsible for the analysis of sound stimuli.

Blockage of the auditory canal

The mechanism of perception of sound stimuli in humans is a complex mechanism in which mechanical and chemical processes are involved. When an obstacle arises in the path of a sound wave, not only sound distortion can occur, but also noise is generated due to the resonance mechanism. Any foreign body or substance in the area of the external auditory canal can lead to ringing in the ears. Quite often, noise occurs in children when liquid or solid particles of dust or sand enter the ear. Small insects can also enter the outer ear, which also flies in with the formation of ringing in the ear. With insufficient hygiene and processing of the external auditory opening, the formation of a sulfuric plug is possible. Which can also cause ringing in the ear on one side.

Types of ringing in the ears

Despite the fact that the vast majority of forms of tinnitus are subjective, it is still possible to distinguish objective ones. The objective symptom of tinnitus is that it is heard not only by the patient, but also by the specialist who diagnoses the disease that caused it. Objective tinnitus is quite rare and occurs as a result of gross and pronounced disorders in the activity of the patient's cardiovascular system, even more rarely this form occurs with muscle pathology. The nature of the noise helps to distinguish what caused the ringing in the ears. If the ringing is rhythmic and pulsating, then most likely such a noise is generated by the vascular component, in the case of a noise similar to crackling, it is the muscular component.

Significantly more often in the practice of otorhinolaryngologists there is a subjective form of tinnitus, the differential diagnosis of which is a much more serious task. In the diagnosis, I help the patient's answers. Since a number of diseases are characterized by either constant noise, or periodic or transient, the situation is similar with the localization of the process, which can be one-sided or two-sided.

The nature of the ringing

Questioning a patient who complains about this symptom helps in diagnosing the underlying disease of its cause. To determine the disease, an otorhinolaryngologist asks the patient leading and clarifying questions to determine the nature of the ringing.

Monotonous noise resembling whistling, hissing, squeaking or buzzing.
Multicomponent noise - reminiscent of the ringing of a bell, the timbre of the voice, various musical elements.

Noise can be of vibrational and non-vibrational nature, which directly affects the nature of the noise.

Vibrating ringing - occurs mechanically due to the anatomical formations of the inner ear and cerebral vessels. This noise can be objective.
Non-vibrational - always subjective, occurs as a result of improper operation of the conductive nerve fibers in the central nervous system. May occur in psychiatric disorders.

Ringing levels

Despite the difficulty in assessing the intensity of tinnitus, this symptom can be determined by the degree of intensity of the noise. In domestic otorhinolaryngology, its own classification of noise intensity has been developed, thanks to Academician of the Russian Academy of Sciences I.B. Soldatov. This classification includes 4 degrees of intensity of tinnitus and reflects the practical significance of this symptom.

Degree. With this degree, the patient easily tolerates noise, it does not affect the general condition and well-being of the patient and is noted only in the most quiet conditions.
Degree. The patient has frequent noise distractions in silence or at night. In some cases, there is difficulty going to sleep.
Ringing in the ears disturbs the patient constantly, as a result of which the patient's behavior is disturbed. He becomes irritable, the emotional background is constantly tense.
The patient experiences unbearable noise, which almost completely deprives him of sleep and makes daily activities difficult. The patient's ability to work is significantly reduced.

This classification, despite all the subjectivity, allows you to most effectively assess the severity and degree of tinnitus, which is very valuable in the rational planning of therapeutic measures and the elimination of this symptom.

Diagnostics

Diagnosis of the symptom of tinnitus is important. Since the symptom can be associated with serious diseases. Important in the diagnosis are the intensity of the noise and its localization, as well as duration.

Ringing in the right ear causes and treatment

In this case, the ringing is most likely associated with diseases such as otosclerosis, otitis media, the presence of a foreign body in the outer ear on the right side, or damage to the cerebral vessels. Ringing in the right ear can be constant or periodic, the periodic appearance of a symptom speaks in favor of the vascular component of the disease, for example, with atherosclerosis and hypertension, but constant noise speaks in favor of otosclerosis and disorders of the nervous system. Why is it ringing in my left ear? The reasons will be the same as with the right. To clarify the diagnosis, the specialist will necessarily take an anamnesis, an examination using otoscopy, and determine bone conduction using a special medical tuning fork. To clarify the diagnosis, special additional research methods are sometimes required, such as:

Magnetic resonance and computed tomography - allows you to determine the degree of damage to the anatomical structures of the inner and middle ear;
Tonal threshold audiometry - in this study, an audiogram is compiled, by which one can judge the degree of perception of various sound stimuli by the central nervous system;
Angiography of cerebral vessels - allows you to determine the degree of damage to the arteries.

Often, to establish an accurate clinical diagnosis, it is sufficient to determine the concomitant complex of symptoms that help in the differential diagnosis.

Since tinnitus is just a symptom of some other disease, getting rid of it alone does not make practical sense. It is important to start fighting the underlying disease that caused it. Depending on the disease and treatment will be completely different. However, regardless of the cause of the noise, there are some general principles for the treatment of tinnitus. A number of medications are used to treat tinnitus:

Nootropic drugs;
Angioprotective drugs;
anticonvulsant drugs;
Antihypoxants and antioxidants;
antihistamines;
Drugs affecting cerebral circulation.

In addition to drugs, an obligatory component of conservative therapy is the use of physiotherapy procedures.

Nootropic Therapy

The use of nootropics allows you to increase the metabolism of brain neurons, which improves the functioning of the neurosensory apparatus of the inner ear and pathways. In medical practice, drugs such as Piracetam, Phezam, Cortexin are used. Nootropic therapy helps elderly patients with a predominance of dystrophic processes in the central nervous system.

Antihistamines

They help to fight if the cause of tinnitus is an inflammatory process occurring in the inner ear or in cases where the noise is associated with increased sensitivity of body tissues and the occurrence of allergic changes localized in the middle and inner ear.

Anticonvulsants

They are prescribed in cases where tinnitus is caused by a vibrational muscle component. Stopping the clonic contraction of the muscles of the soft palate or the muscles of the middle ear allows you to effectively deal with vibration noise in the ears. For therapy, drugs such as Difenin and Konvuleks, as well as their analogues, are used.

Antihypoxic and antioxidant therapy

With pronounced trophic and degenerative changes in the inner ear in the elderly, the use of antihypoxants and antioxidants helps to alleviate the symptom of tinnitus, and also slows down the progression of dystrophic disorders in the inner ear, improving its blood supply.

Drugs that increase cerebral circulation

As a result of age-related changes in older people, the vessels become less elastic, and their wall thickness increases, which reduces the degree of perfusion of the tissues of the inner and middle ear. To combat atherosclerotic changes in the cerebral arteries, drugs are used: Cavinton and Vinpocetine.

If you have tinnitus, and even more so disturbs and interferes with activity, you should not delay contacting a specialist for professional help, otherwise you may miss the progression of a serious disease that may be accompanied by tinnitus. Only a specialist - an otorhinolaryngologist will be able to accurately determine the cause of tinnitus and plan subsequent treatment. By the way. Following the advice of the attending physician is a prerequisite for effectively getting rid of an unpleasant symptom. Take care of your body and health, be happy!

It is an unpleasant symptom. If it continues for a long time, the patient's quality of life deteriorates, he cannot sleep and work normally. Many try to drown out the ringing, forgetting to find out its cause.

If ear congestion and shooting sensations are common and treated without any special consequences, then ringing in the ear is most often a sign of a serious disease either of the ear itself, or the brain, or the cardiovascular system. It is advisable to consult a doctor when the first symptoms appear.

More than 50% of people have encountered the phenomenon of noise and ringing in the ear at least once. The scientific name for this phenomenon is . The sensation of extraneous noise in the ear brings a lot of inconvenience, so the patient tries to get rid of this symptom as soon as possible.

Ringing in the left ear, the causes of which can be associated both with diseases of the ear itself and with the work of blood vessels, is more common. Patients often describe it as noise, squeak, hum.

It is impossible to independently identify the cause of ringing in the ear. A diagnosis can only be made after an examination.

Causes of noise or ringing in the ear can be the following:

. Inflammation of the middle or inner ear is accompanied by many symptoms. Often, in addition to noise, there are sensations of shooting in the ear, redness of the ear canal, pain and burning, and sometimes purulent discharge. But as a rule, pus comes out after treatment, and before that it accumulates, causing pain.
Hypertension. With increased blood pressure, the load on the walls of blood vessels and arteries increases significantly. The result is an unpleasant noise in the ears. A person literally hears the movement of blood through the vessels. The noise is periodic, coincides with the pulse.
. If a large amount of sulfur has accumulated in the area, there may be a feeling of ringing, congestion. When the cork becomes dense and large enough to press on the eardrum, severe headaches and reflex coughing may occur.
Atherosclerosis. Blockage of arteries and blood vessels with cholesterol plaques sometimes leads to noise in the ear, which is associated with a violation of their work. Most often, the occurrence of unpleasant tinnitus is a harbinger of atherosclerosis, that is, timely treatment will help stop the development of a dangerous disease.

Also, noise in the ear often occurs during severe stress or physical exertion, after prolonged exposure to loud sound, for example, after a concert, visiting a club. In a small child, the cause of noise in the ear may be a foreign object. It is not recommended to eliminate it yourself, as it can damage the eardrum.

Dangerous symptoms and consequences

Complications and consequences largely depend on the cause of tinnitus. Many ear diseases, if severe, result in temporary or permanent hearing loss. Even a simple wax plug can cause hearing loss.

Inflammation can move from one part of the ear to another, spreading further.In rare cases, a malignant tumor occurs, which can cause noise and ringing in the ear. If the cause is oncology, there is a possibility of death.

When anxiety symptoms appear, you should see a doctor as soon as possible.

Danger signs include:

Loud whistle. If the noise in the ear has turned into a loud whistle that is only audible to the patient, you need to seek medical help. It can be a symptom of a cerebrovascular disease.
Strong pains. Ringing in the ear, which is accompanied by cuts, pains both in the ear canal and in the area of the temples, the back of the head, requires an immediate examination. Such symptoms may be signs of a severe course.
Nausea and vomiting. Medical attention is needed if severe nausea, gag reflex, or persistent vomiting occurs. Nausea may be a sign of pressure on the eardrum, or of incipient meningitis.
Sudden hearing loss. If the hearing function has noticeably decreased, it is necessary to immediately undergo examinations and identify its causes.
Blood and pus from the ear canal. The appearance of purulent or bloody discharge from the ear indicates a strong inflammatory process that cannot be ignored. Often such discharge is accompanied by severe pain. You can not independently eliminate the symptoms with drops or boric alcohol. The doctor must prescribe drugs.

The sooner the patient sees a doctor, the more effective the prescribed treatment will be. At the stage of occurrence of complications, it is more difficult to cure the disease. Some effects may be irreversible.

Treatment Method

Treatment is prescribed only after examination. The doctor will collect an anamnesis, clarify the nature of the ringing, its frequency, prescribe tests and examine the affected ear. In some cases, audiometry is prescribed to check how much ear function has been preserved.

Treatment options depend on the identified cause of tinnitus:

Antibiotics. Antibacterial drugs are prescribed for otitis media. Not all doctors prescribe antibiotics before pus appears, so you should consult your doctor before starting treatment. If the need for antibiotics is confirmed, prescribe Ampicillin, Ceftriaxone, Ciprofloxacin. Antibiotics are prescribed in a course of 3 to 10 days. It is impossible to interrupt or extend the course without the recommendation of a doctor. Probiotics are also prescribed to prevent dysbacteriosis.
Preparations for strengthening blood vessels. Tinnitus is often a sign of vascular disease. To strengthen their walls, raise their tone, preparations containing vitamin C and other substances that help increase the elasticity of blood vessels are prescribed. These drugs include Askorutin, Escin, as well as vitamin complexes Vitrum Cardio, Reoton.
Antidepressants. Strong psychotropic drugs can only be prescribed by a doctor, they are sold by prescription and are prescribed in case of emergency. To relieve daily stress, light sedatives such as Motherwort Forte, Novo-Passit, Persen are recommended.
Antihistamines. Antihistamines are prescribed to relieve swelling when fluid accumulates in the ear. Recommended drugs such as Suprastin, Diazolin, Zodak. Before use, you must carefully read the instructions. The drugs have side effects and age restrictions.
Pneumomassage of the tympanic membrane. This is a physiotherapy procedure that is prescribed in parallel with drug therapy. In the process of pneumomassage, an air flow of different frequencies acts on the eardrum, restoring its functions and making it more mobile. It is prescribed for otitis, hearing loss, inflammation of the eardrum.

Drug therapy can be combined with alternative treatment, yoga. In the absence of treatment, the doctor will suggest considering the possibility of surgery. With irreversible hearing loss, you can choose a modern hearing aid.

Forecast and prevention

When noise occurs in the ear, the prognosis is usually favorable. With timely treatment, most complications can be avoided. If noise in the ear is a sign of cardiovascular disease, then if this symptom is ignored, atherosclerosis, hypertensive crisis, thrombosis and other serious diseases can develop.

If the cause of tinnitus is an inflammatory disease, then with proper treatment, there is a high probability of a complete recovery without relapse.

To avoid unpleasant consequences, you need to follow the rules of prevention:

Proper ear hygiene. Frequent cleaning of the ears is not only not a guarantee of the absence of infections, but may contribute to them. Do not use hard or sharp objects to clean your ears. Cotton buds can also be harmful, as the wax pushes deeper. You only need to clean the outer passage, shallowly and do this not more often than once a week.
Regular preventive visits to the doctor. In order to determine the disease in time, you need to undergo an examination annually or every six months and donate blood for analysis. This is a quick and informative procedure that will help identify and prevent most diseases.
Proper nutrition. A balanced diet helps to strengthen the immune system, blood vessels, normalize the work of the heart and gastrointestinal tract. It is recommended to avoid fatty meat dishes, smoked meats, large amounts of salt, spices.
Rejection of bad habits. Smoking and alcohol negatively affect both the cardiovascular system and the work of the ear nerve.
Loud sound protection. You can't listen to loud music all the time. If the noise is related to work in the workplace, you need to protect your hearing with headphones or earplugs.

For more information about the causes of tinnitus, see the video:

Since the most common causes of tinnitus are vascular diseases and infections, preventive measures are primarily aimed at strengthening the walls of blood vessels and increasing immunity. In addition to these rules, doctors recommend observing the regime of work and rest. People who face daily stress at work need regular vacations, stays in sanatoriums.

Ringing in the ears, which in medical terminology is called tinnitus, is a manifestation of a particular disease and does not occur on its own.

How does it appear and how does it happen?

Inside the auricle is located, separating the inner and outer ear. On the inside, a structure consisting of three auditory ossicles adjoins the membrane. As a result of air movement, vibrations of the tympanic membrane occur, which are transmitted to the auditory structures of the inner ear.

From the bones, oscillatory movements pass to a folded, liquid-filled tube - a snail. The movement of fluid in the cochlea causes the hair cells that line the cochlea to vibrate. Here, nerve impulses arise, which travel along the nerve fibers to the brain.

Damage to hair cells causes various hearing impairments - ringing, noise, hum, hearing loss. In some diseases, these cells move constantly, as a result of which nerve impulses enter the brain even in absolute silence.

The call may be:

subjective - heard only by the patient;
objective - heard by others (very rare).

Often, ringing in the ears is accompanied by a hum, crackling, buzzing and other unpleasant sound sensations.

Constant ringing in the ears can be the result of diseases of the internal structures of the ear - the eardrum, auditory nerve, cochlea or auditory ossicles. Also, ringing may indicate a violation of the transmission of impulses along the nerve fibers.

The reasons

The causes of tinnitus are diverse, associated with both adverse external influences on the hearing organ and diseases.

A sharp loud sound. After an unexpected pop, explosion, or prolonged loud sounds, the hearing aid cannot immediately switch to normal mode, ringing occurs. This is the most common cause of failure. To get rid of an unpleasant symptom, it is enough to sleep in silence. But constant exposure to loud sounds (for example, in industrial conditions) can lead to severe hearing loss and even complete deafness.
Otosclerosis is the second most common cause of tinnitus. The disease is characterized by filling the inner surface of the ear with spongy bone, which leads to hearing disorders.
External ear lesions. Foreign body entering the auditory canal, sulfuric plug.
Abuse of drugs that stimulate the nervous system. The intake of large doses of caffeine, nicotine, quinine (contained in energy drinks) provokes ringing.

Sometimes the cause of the ringing is:

swelling of the mucous membranes lining the middle and inner ear (swelling and congestion often occur with acute respiratory infections);
taking certain medications - antibiotics (usually gentamicin, streptomycin), large doses of aspirin;
head injury;
age-related structural and functional changes;
neoplasms in the head and neck, tumors of the auditory nerve.

Also, pulsating ringing in the ears and head can occur with cardiovascular diseases:

arterial hypertension;
atherosclerosis (the formation of cholesterol plaques on the inner walls of blood vessels leads to impaired blood flow, which is why characteristic sounds occur);
narrowing of the lumen of large blood vessels (jugular vein, carotid artery);
violation of the structure of capillaries.

Sometimes ringing is noted in patients suffering from kidney disease, diabetes

With otitis media

Ringing in the right, left or both ears, combined with throbbing pain and hearing loss, indicates the development of unilateral or bilateral otitis media, respectively. A disease caused by pathogenic flora entering the middle ear may be accompanied by the discharge of ichor from the ear, but this phenomenon is painless and not dangerous.

The discharge of fluid from the ear with blood impurities means damage to the eardrum. In such a situation, the patient needs urgent medical care, and in some cases, surgery.

Otitis media should be treated by a doctor, since illiterate or untimely therapy can lead to partial hearing loss or complete deafness.

Children are more susceptible to otitis media because the Eustachian tube, through which the infection enters the middle ear, is shorter in them than in adults.

With dizziness

Simultaneous dizziness and ringing cause:

accumulation of nerve impulses or a violation of their transmission through the auditory fibers (against the background of circulatory disorders, injuries, inflammatory diseases);
narrowing of blood vessels and changes in the nature of blood movement (cause - atherosclerosis);
increased susceptibility to certain sounds (due to mental overstrain).

When dizzy, there is a feeling of falling, flying, spinning. The person panics, loses a foothold. Nausea occurs, sweating increases.

This condition can be caused by:

a disorder of the functions of the vestibular apparatus that occurs when there is a violation of blood circulation or inflammation of the inner ear;
chronic stress, depression, neurosis;
vegetative-vascular dystonia;
osteochondrosis of the cervical spine;
kidney disease;
allergies;
general intoxication.

With depression and nervous disorders, along with dizziness, the following are noted:

decreased performance, lethargy;
irritability;
an increase or decrease in appetite, leading to a change in body weight.

With vegetative-vascular dystonia, ringing and dizziness (permanent or intermittent) complement:

sudden pressure surges;
frequent pre-fainting states;
increased heart rate (tachycardia),
fever, fever;
increased sweating;
sensitivity to weather conditions.

If you correctly determine the cause of unpleasant symptoms and conduct appropriate therapy, ringing and dizziness disappear.

With arterial hypertension

With increased pressure, structural and functional changes in small blood vessels occur. Most of all, the lesion affects the brain - the vascular walls lose their elasticity, the lumen of the vessels narrows, resulting in hypoxia (insufficient oxygen supply to the brain). Dizziness occurs, hearing is disturbed, ringing, noise appears.

Ringing with dizziness often occurs with a sharp increase in pressure, accompanied by nervous excitability, the appearance of "flies" before the eyes, nausea, and sometimes vomiting

Arterial hypertension accompanies:

pulsating noise, hum and ringing in the ears, dizziness (constant or intermittent);
impaired coordination of movement, fainting;
increased blood pressure;
hearing impairment.

Modern pharmaceutical preparations are used to control pressure. But before treating hypertension, it is important to establish its cause. In addition to drugs that reduce blood pressure, it is necessary to control the level of cholesterol in the body.

Symptoms of a sharp decrease in pressure are almost the same as its increase: nausea, "fog" before the eyes, lethargy, severe, sudden weakness.

With osteochondrosis

With osteochondrosis of the cervical spine:

ringing in the ear;
nervousness appears;
dizziness occurs (increased during head movement);
there is pain in the temples, the back of the head, the neck;
twilight vision worsens, ripples in the eyes;
memory decreases.

With osteochondrosis, blood vessels narrow, blood flow worsens, hypoxia occurs, which in turn leads to ringing, dizziness and other unpleasant sensations.

If the ringing is caused by osteochondrosis, vascular and anti-inflammatory drugs, chondroprotectors and vitamins are prescribed, therapeutic exercises, physiotherapy, manual therapy are performed

What to do?

What to do if there is ringing in the ears?

Control blood pressure, as needed, take drugs to normalize it.
Refuse to use salt, because sodium aggravates the condition in hearing disorders.
Limit the use of strong tea and coffee, give up energy drinks.
Quit smoking.
Do exercises. Moderate exercise improves circulation, and the ringing may go away.
Do not overwork, observe the working regime, sleep fully (physical exhaustion can cause swelling and congestion of the inner ear, and as a result, ringing appears).
Avoid stress.
Consult a doctor to determine the exact cause of the ringing.

For those who take aspirin, if ringing occurs, the drug should be stopped, since acetylsalicylic acid can cause an unpleasant symptom.

Diagnostics

To find out why the ringing in the ears, you need to undergo a medical examination. To begin with, the doctor finds out how long ago the ringing appeared, in what situations it intensifies, what drugs the patient is taking, whether there are other complaints (dizziness and others).

The condition of the hearing organs is examined: the presence of sulfuric plugs, impaired function of blood vessels. Then a full examination is carried out, since ringing does not always appear with diseases of the hearing organs.

Traditional treatment

Treatment options for tinnitus depend on the cause of the ringing in the ears. If an unpleasant symptom was provoked by age-related changes or an injury, then it will not be possible to get rid of it. You can only reduce the intensity of the sounds that arise in the ears.

If the reasons are different, the ringing can be removed by clearing the ear canals from sulfuric plugs, treating the identified cardiovascular diseases, replacing the drugs used with other medicines.

Sometimes drugs of the tricyclic antidepressant group (amitriptyline) are prescribed for the treatment of tinnitus. These are quite serious drugs that can cause various side effects: drying of the mucous membranes of the oral cavity, blurred vision, impaired defecation.

Folk remedies

Pass fresh yarrow herb through a juicer. Juice drip into each ear canal 2-3 drops twice a day.
Mix propolis tincture with vegetable oil in a ratio of 1:4. Insert cotton swabs soaked in the product into the ear at night. The course of treatment is 10 days.
Mix equal amounts of beetroot and cranberry juice. Take ¼ cup three times a day.
Pour a tablespoon of lemon balm with a glass of boiling water, insist, strain. Drink throughout the day in 3 doses (you can add a little honey to the infusion). The infusion is not recommended for people with low blood pressure.

Treatment of tinnitus with folk remedies does not replace the main therapy, but only complements it. To get rid of an unpleasant symptom completely, it is important to find out exactly the cause of its occurrence. After all, methods of treatment, including folk ones, may differ depending on the underlying disease that provokes such symptoms.

Constant ringing in the ears, its causes and treatment should be studied in detail. It is better not to delay contacting a doctor, having similar symptoms, this will allow you to get advice and help from a specialist in time.

Ringing characteristic

Ringing is a minor symptom caused by serious diseases. Often the root causes are found out by doctors during a long study.

Ringing in the ears is characterized in the medical literature as tinnitus. This condition is considered pathological if it worries a person, gives him torment and pain.

If the manifestations of ringing or noise in the ears do not cause any excitement, the violation is rare, but it should be said with certainty that such symptoms do not pose any danger to a person. An obsessive manifestation in the ears, resembling a crackling sound, causes a lot of anxiety.

Determination of the boundaries of the norm and pathology

Ringing in the ears and in the head can be of different etiologies. The bulk of people, in their lives, have at least once heard sounds resembling gurgling, buzzing or. Only a few can answer why it rings in the ears.

They are divided into two types:

objective;
subjective.

In the first case, only the patient hears the extraneous ringing, in the second case, both the patient and the doctor.

Such a manifestation in practice is very rare. If a person hears noise or ringing in the ears with complete silence, this is often an ordinary noise associated with such a perception of the body on the movement of blood in the small vessels of the ear.

In everyday life, we do not hear it because of the numerous extraneous sounds. If the ringing causes concern and does not go away for a long time, then this is primarily due to diseases of the hearing aid. These may be symptoms of inflammation:

auditory nerve;
eardrum;
snails;
auditory ossicles.

Frequent manifestations of tinnitus are caused by a malfunction of the nerve endings that transmit mechanical vibrations and impulses. The nature of the ringing is either psychogenic, or is associated with poor sound permeability. Such a ringing can be versatile: long or temporary, occur both in the right and left ear, as well as simple or complex.

Why is it ringing in the ear? Miners or theater workers can guess the reasons; the sound atmosphere of such places suggests the appearance of hearing pathologies. Ringing sensations in such places are a common thing.

When extraneous noise or ringing in the ears is heard not only by the patient, but also by the doctor, this manifestation sometimes indicates malfunctions in the work of some organs. Vibrations appear, which are picked up by the receptors of the hearing aid through the tissues.

They are heard when examining a patient with a stethoscope. The strength of their manifestations depends on blood pressure and its change in the eardrum and on muscle contractions.

Types of tinnitus

Ringing in the ears, the causes of noise in the head can be of a different nature. When visiting a doctor, you need to characterize the sensation being tested, clearly explain what sound is bothering you. It can be divided into several types:

Monotonous sound - buzzing, squeaking, buzzing, creaking, ringing in the left ear or in the right.
Diverse sound - ringing, bell ringing, voices, music.

Such pathological manifestations should be attributed to auditory hallucinations, mental disorders, as well as drug poisoning.

Doctors also divide ringing in the ears into the following types:

Vibration - these are the sounds that both the patient and the doctor can hear. They are produced by neuromuscular and vascular formations.
Not vibrating - such sounds are heard only by the patient himself.

The reason for their appearance is irritation of the nerve endings of the auditory pathways, the auditory nerve of the middle ear.

In 90% of cases, the patient is disturbed not by vibrational, but by subjective sounds. They appear due to irritation of the central or peripheral nerve endings of the auditory pathways and are pathological in nature.

Therefore, when undergoing diagnostics, special attention should be paid to exclude or confirm the occurrence of diseases of the hearing aid.

The main causes of ringing in the ears

Constant ringing signals the presence of various diseases in the body. Professional activity often provokes the appearance and cause noise pathologies.

The blast or sound wave also causes a sound sensation in the ears, which sometimes lasts an indefinite amount of time, depending on how strong the explosion was. The main causes of ringing can be divided into the following types:

Professional activity - production with a high level of noise: stamping and metalworking shops, logging, airfields.
Internal diseases.
Stuns associated with a shock or blast wave.

Complications from diseases

If it rings in the left ear or in the right ear, sulfur plugs, water that has entered, or may be the cause. The disease, like sinusitis, additionally provokes problems with the hearing aid. Any manifestations of tinnitus have specific causes, discomfort does not occur without a reason. Causes and treatment are closely related to each other.

The main internal diseases that give complications to the organ of hearing.

Chronic diseases of the blood vessels

Pathological processes create plaques, affect the passage of blood through the vessels. The breakthrough of blood among the plaques creates a strong turbulence, which causes a sound vibration and a hissing effect in the ears.

It often causes tinnitus. The compressed vessels due to the growth of bone tissue lead to a narrowing of the artery. In this regard, sound vibrations are formed, during the passage of blood they are captured by auditory receptors and create characteristic sound sensations.

Ear pathologies

Inflammatory diseases of the Eustachian canal, catarrhal otitis media lead to the accumulation of fluid inside the organ. Against this background, sounds of various types arise:

gurgling;
wave noise.

Hypertonic disease

Constant high blood pressure in combination with atherosclerosis lead to disruption of the receptor-conducting activity. A patient with such a diagnosis sometimes observes symptoms resembling:

whistling;
buzz;
hiss.

Vegetovascular dystonia

In its symptoms, it has pronounced manifestations of sound vibrations. The patient feels chirping, whistling, both right and left ear. This is mainly due to the failure of the nervous system.

Hidden benign formations lead to sound phenomena, the intensity of which may increase with the progression of the disease.

Which doctor should I contact?

Tinnitus is not a separate disease, but a symptom that indicates the presence of serious changes in the body. Many do not know, having ringing in their ears, how to get rid of it. What to do when ringing in the ears, the reason for this condition sometimes defies analysis.

It is necessary to seek help from an ENT or a specialized specialist. The doctor, in order to understand the causes, and prescribe treatment, will conduct various studies. First of all, the diagnosis will be aimed at examining the outer ear and tympanic membrane in order to exclude the appearance of sulfur plugs, otitis or patency of the external canals.

Ringing in the ears and head is often related. If no pathology is found, then an MRI is prescribed to determine the condition of the blood vessels and identify neoplasms. Some patients will need to consult a neurologist if multiple sclerosis or a brain tumor is suspected.

Treatment for ringing in the ears

Once the cause of the ringing in the ears is established, the doctor prescribes the appropriate treatment. It is selected based on the results of the examination and the identified disease.

If the cause of tinnitus is determined, how to get rid of it? If the cause of the ringing in the ears is the accumulated sulfur (cork), it is eliminated. And if the cause is recurrent changes or trauma, then it will not be possible to cure the pathology.

How to remove ringing in the ears?

With vegetovascular dystonia, migraines are prescribed bed rest, include drugs that improve cerebral circulation (Rheomacrodex, Piracetam, Albumin, Cynaresin). Vitamins of group B are recommended to strengthen the walls of blood vessels.

In case of arterial hypertension, adrenoblockers (alpha and beta blockers) are prescribed together with complex treatment. By stabilizing the pressure, the symptoms of tinnitus disappear.

With otitis media, it is prescribed with an antibiotic - Levomycetin, Ceftriaxone, and in case of complications after a cold, warming drops (Sofradex, Otipax, Albucid).

With fluid retention in the ear, antihistamines are prescribed: Atarax, Diprazine, Pipolfen, etc.

When antibiotic therapy is indicated with the use of Amoxiclav, Flemoxin, etc.

After a severe nervous breakdown or stressful situations, tranquilizers or antidepressants will help to cure the ringing in the ears that has appeared. Amitriptyline or Nortriptyline will help, these drugs are taken with caution, as well as with the correct dosage and only as directed by a doctor.

conclusions

It should be remembered that an untimely visit to a doctor with a banal problem of tinnitus is often the cause of hearing loss, and in the worst case, loss of it. Such a symptom will help to identify hidden serious internal diseases. For any manifestations of unpleasant sounds in the ears or head, the causes of which are unknown, it is necessary to study in the ENT office immediately!

Video: 3 main causes of tinnitus and head noise

When you say that your ears are ringing, you mean the noise that sounds like it is inside the head, and not from the outside. The sound can be continuous or intermittent and occurs almost always when a person is exposed to high decibel noise. Of course, you were at a concert or in a club, and when you left there, you noticed that the sound in your ears continued. Anyone can have transient episodes of tinnitus caused by stress and fatigue, but when this symptom lasts for weeks, months, or more, it is indicative of a serious illness.

Modern medical science is literally one step away from accurately determining the full spectrum of causes of tinnitus, and therefore finding a treatment for tinnitus (this is what tinnitus is called).

Tinnitus, which many people complain about, occurs in the absence of an external sound stimulus and is described as crackling, rustling, ticking, buzzing, ringing of a bell. Statistics show that at least 10 - 15% of people on the planet have suffered similar symptoms in their lifetime, and tinnitus occurs most often in older people. The perceived noise may have a high frequency, which usually (not always) may vary in intensity. This is noise, which, as a rule, has a very long interval and significantly spoils the quality of life, as it causes discomfort in one ear or both ears at the same time.

What is ringing in the ears?

There are two types of tinnitus (applies to both cases of ringing in one ear, and in both at the same time):

Pulsating (like a heartbeat), which can be caused by sounds created by muscle movement in your ear, changes in the inside of your ear, or vascular problems in your head and neck.
Continuous (constant hum) due to problems with the nervous system, as well as diseases affecting hearing sensitivity.

Most often, this disease is faced by people who, to one degree or another, have experienced deterioration or partial hearing loss. Among the risk factors for the development of deafness, one can note: constant loud noise at the workplace or place of residence, side effects of certain medications, impaired production of yellow-brown, oily secretion in the ears (earwax) by the glands of the ear canal, ear infections, etc.

Causes of ringing in the ears

There are several theories for the occurrence of tinnitus/ringing, mostly neurological (the brain misperceives the occurrence of tinnitus) or psychological (tinnitus is a symptom that is an expression of a stressor in a person's life). There are diseases that provoke the occurrence of tinnitus, and are a diagnostic condition (as in otosclerosis), but there is still no clear definition of an unambiguous cause of tinnitus.

Some researchers insist on the version that phantom tinnitus occurs due to cochlear neuritis of the auditory nerve. Other scientists are inclined to the hypothesis that tinnitus is provoked by functional or structural abnormalities of the brain. A year ago, in the scientific journal Nature Neuroscience, there was one that criticized both of these theories.

The main causes that can lead to ringing in the ears:

Earwax accumulation;
certain medications, especially antibiotics or large amounts of aspirin
Excess alcohol or caffeinated drinks;
problems with teeth;
Blows that injure the ear area of the head;
Change in atmospheric pressure;
Massive weight loss due to malnutrition or radical diets;
Problems with blood pressure ();
neurological problems;
Diseases of the thyroid gland.

What are the symptoms of tinnitus?

The symptoms are such that a person suffering from tinnitus may hear either a constant or pulsating sound. Constant tinnitus affects the attention of a person suffering from this ailment, which in turn leads to:

a significant decrease in auditory attention;
the need for extra effort to focus on simple tasks and everyday communication;
acute manifestation of irritability: noise greatly reduces the threshold of tolerance for interaction with the environment;
serious: sometimes the noise is so intense that the person cannot sleep;
a certain degree of aggression appears: fatigue, a state of disappointment and aggression;
the inability to distinguish noises in reality from similar tinnitus.

The problem of tinnitus may not leave the patient day or night, may suddenly disappear and reappear for no apparent reason.

When a sufferer of this ailment says that he has ringing in his ears, others may think that the ringing lasts for several seconds, but imagine that a tuning fork or radio noise in headphones is constantly ringing near your head.

Currently, there are no drugs that would universally relieve tinnitus, treatment involves therapy, after preliminary diagnosis and identification of potential causes of tinnitus, and treatment of the diseases that directly caused tinnitus.

With otitis, antibiotics such as Augmentin, Levomycetin, Cefuroxime, Ceftriaxone are used, but remember that only an ENT doctor can choose a treatment program and appropriate medications for you.
For inflammation, drugs such as drops and solutions of Albucid, Otinum, Otipax, Polymyxin, Risorcin, Rivanol, Sofradex, Ethonia, etc. are used.
If pulsating tinnitus is caused by arterial hypertension (hypertension), then drugs that control pressure are used for treatment.

If we talk about the psychological or neurological causes of tinnitus, then the treatment should be comprehensive.

Prevention of tinnitus

Very often, tinnitus comes suddenly, but if we talk about the prevention of tinnitus, then you should pay attention to the following methods:

Proper ear hygiene;
Avoid listening to loud music;
Avoid close proximity to sources of loud sound (speakers at music events, noise from working mechanisms in workshops, etc.);
Avoid exposure to loud sound for a long time.

Pay attention to these risk factors and make lifestyle changes if necessary to avoid hearing problems!

But if you have a tinnitus problem that lasts more than a few days, see a doctor right away, it is much easier to diagnose the causes and treat tinnitus in the early stages.