Tinnitus treatments & medications

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About Tinnitus

Tinnitus is a condition that occurs when you experience persistent sounds that are not caused by an external source. In other words, you “hear” a sound that is not a product of the world around you, and that no one else can hear. The symptoms - or various sounds - of tinnitus include:

  • Ringing
  • Buzzing
  • Clicking
  • Roaring
  • Hissing
  • Humming

These sounds may vary from very soft to quite loud, depending on the severity of the condition. Symptoms of tinnitus may or may not be accompanied by hearing loss, and may occur in one or both ears. Common causes of tinnitus include:

- Hearing loss: Age-related hearing loss affects the auditory nerve in your ear that carries electrical signals to the brain, which are interpreted as sounds. Changes, or damage, to the inner ear can cause the auditory nerve to send confused electrical signals to the brain, resulting in tinnitus. Frequent exposure to loud sounds can also trigger hearing loss and associated tinnitus.

- Head injury: Head trauma can affect the inner ear, which may interfere with the auditory nerve. Like hearing loss, this can result in symptoms of tinnitus.

- Ear infection: Ear infections may cause swelling or inflammation in the inner ear, which can cause tinnitus. After the infection has been treated, these effects usually go away.

- Ear canal blockage: Wax or fluid buildup in the ear canal alters pressure in the inner ear, resulting in tinnitus.

- Medication: Antibiotics, nonsteroidal anti-inflammatory drugs, and other prescription medication can cause tinnitus. Symptoms will usually go away after you stop taking these medications.

Tinnitus is very common. Nearly 50 million Americans, or 15-20% of the population, experience some form of tinnitus. It is especially prevalent in older adults. If tinnitus is interfering with your daily life, or if you are experiencing tinnitus after recovering from an illness, talk to your doctor.

If your tinnitus is being caused by an underlying medical condition, seek treatment for that specific concern. As that condition is treated, the symptoms of tinnitus will usually go away. Examples of these treatments include earwax removal, changing medication, or hearing aids.

If you are experiencing tinnitus that is unrelated to a medical condition, there are several treatment options to reduce your symptoms. Tinnitus cannot be cured, but it can be effectively managed. Below is a list of options used for tinnitus treatment. During your appointment, talk to your provider about the treatment plan that is best for you.

While tinnitus cannot be cured, several instruments can help manage symptoms by making them less notable.

- Hearing Aids: Because many cases of tinnitus are caused by age-related hearing loss, or damaged hearing, your doctor may recommend a hearing aid. Hearing aids make sounds louder, which can make the symptoms of tinnitus less noticeable.

- Sound generators: White noise machines, or masking machines, generate gentle and soothing sounds to mask the symptoms of tinnitus. These devices are frequently worn in the ear like a hearing aid. Some devices house both a hearing and a sound generator. The sound generator will make a sound like rain falling or gentle waves to soothe the distraction and irritation caused by persistent tinnitus.

Cognitive-behavioral therapy (CBT) or tinnitus retraining therapy (TRT) can help you learn to manage symptoms of tinnitus and develop coping strategies to reduce irritation caused by persistent sounds in the ear.

- Cognitive-behavioral therapy (CBT): A licensed mental health provider or a psychologist can help you learn to cope with tinnitus through counseling. If tinnitus is causing you to be distracted or anxious, CBT can help train you to make symptoms less irritating.

- Tinnitus retraining therapy (TRT): TRT helps you manage your reaction to tinnitus and learn strategies to cope with persistent symptoms. During TRT, the patient is educated about the auditory system and tinnitus. Through subsequent sessions, an audiologist will help you train yourself to reduce distraction and irritation caused by tinnitus symptoms.

There are a few things you can do at home to cope with tinnitus, including:

- Relaxation techniques. Yoga, meditation, and mindfulness exercises can relieve stress and reduce irritation caused by tinnitus. Some people find that the symptoms of tinnitus get worse with increased stress levels, so finding a relaxation technique that calms you down can help manage these sensations.

- Avoid caffeine, tobacco, and alcohol. These substances can make the symptoms of tinnitus worse.

- Avoid loud noises. Wear ear protection if you are going to be in an environment with loud noises (like a construction site or a live music venue). If you are listening to something

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