Sunday, December 5, 2010

Tinnitus-Ringing in the Ears

Tinnitus is derived from the Latin word tinnire meaning "to ring".  It is an extremely common complaint and 50 million adults reported tinnitus in the past year.  Up to 3 million people have symptoms that are severely debilitating. You would think that we know a lot about tinnitus and how to cure it but you would be wrong.  Here is what we learned from a study reported in The American Journal of Medicine.

Tinnitus increases with age until age 60-69 and then it decreases. We don't know if the symptoms improve as part of the natural history or if having tinnitus goes along with other conditions that cause mortality.  Black people and Hispanic people suffer less tinnitus than Whites.

There are significant associations between tinnitus, smoking and hypertension.  Loud noise exposure is also a risk factor for developing tinnitus.  The noise could be leisure (loud music or sports), occupational or firearm exposure.

Anxiety and major depressive disorders were associated with increased tinnitus.  People with generalized anxiety disorder have more than 6 times the odds of developing tinnitus.  Tinnitus can result in sleep deprivation, decreased work productivity and psychological distress so that might worsen symptoms of anxiety and depression.  On the other hand, depression and anxiety might exacerbate tinnitus.

Tinnitus is often subjective and there are no objective signs that can be seen.  People can perceive it in one or both ears and it can be intermittent or continuous.  The medical workup looks for structural causes that can be treated.    Over 260 medications can cause tinnitus as a side effect, but usually the cause is never found.

There are a number of treatments for tinnitus ranging from electrical stimulation to sound therapy and tinnitus maskers.  There is even an American Tinnitus Association where you can learn more about the disorder and get some tinnitus tips.

Beware of the  number of quack sites on the internet that will sell you something to cure tinnitus.  Save your money.

28 comments:

Anonymous said...

I wonder if the prevalence of tinnitus in "baby boomers" will be significantly higher due to rock concerts - I went to so many shwos, and played at some, where my ears rung loudly afterward ("boomers" indeed). And, on the younger side, I've heard it hypothesized that many will damage their ears due to constant loud sounds from wearing earphones of various types....

Finally, I have not heard of any truly effective therapies for this.

SH

Anonymous said...

Getting smarter every day. Thanks for the info on this condition.

Danny Dave said...

Very informative indeed. Being a hi-fi enthusiast, I really treasure good hearing.

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Tinnitus is the ringing, buzzing,ringing in the ears cause crackling, or hissing sound heard inside one or both ears.

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suraj said...

It is important to keep in mind that tinnitus is a symptom, not a disease. As such, the optimal treatment strategy should be directed toward eliminating the disease, rather than simply alleviating the symptom. Also, because tinnitus may be symptomatic of a more serious disorder, it is important to try to find the medical cause before deciding on tinnitus treatment.

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