When to be worried about ringing ears
Hearing experts give KATIE WRIGHT advice on tinnitus
IF you’ve ever got home from a loud concert, club or sporting event and noticed a high-pitched ringing or whirring sound in your ears, you’ve experienced tinnitus.
“Tinnitus is a description, not a diagnosis,” says Professor Paul O’Flynn, consultant ENT surgeon at The Wellington Hospital.
“While people often describe the sound as ‘ringing in the ears’, tinnitus can also present itself through other sounds including humming, buzzing, hissing, or whistling.”
The sound can come and go and be present in one or both ears, and some people may also experience symptoms such as dizziness or vertigo.
“Tinnitus is more frequently experienced by those who have hearing loss or other ear problems, but it can also affect people with normal hearing,” says Gordon Harrison, chief audiologist at Specsavers. “It is very common and can occur at any age.”
We asked experts to talk through everything you need to know about the condition.
What is tinnitus caused by?
“Often no cause for tinnitus can be identified, but it can be linked to some form of hearing loss such as age-related hearing loss and noiseinduced hearing loss,” says Prof O’Flynn.
In addition to short bouts after being exposed to loud noice, other causes can include: “Anxiety, certain medications – including some chemotherapy medicines or antibiotics – and conditions such as diabetes and thyroid disorders.”
Earwax build-up, ear infections and perforated eardrums can also trigger it.
“Too much earwax can block the ear canal, prevent normal hearing, disturb the eardrum and cause tinnitus,” Gordon explains. “Ear infections – often caused by trapped fluid in the ear following a throat infection, cold, or allergies – can muffle sounds and causes tinnitus.”
When should you seek medical help?
Most people will experience tinnitus at some point and usually it fades away fairly quickly.
“In some cases, though, it can be persistent lasting for more than five minutes or even continuously,” says Feraz Ashraf, audiologist from Boots Hearingcare.
“This can lead to disturbed sleep and distract people from carrying out daily tasks. In this instance, it’s important that you speak to your GP.”
Gordon says speak to your doctor if the sound is pulsating or is only in one ear.
How is tinnitus treated?
It’s necessary to consult a professional to determine if the tinnitus is caused by an underlying issue.
“If so, simple treatment could help, such as ear wax removal, or you may be prescribed medication if there’s an infection,” Feraz says.
If there’s no discernible cause, treatment will focus on symptom relief and management.
“There are ways you can help improve your symptoms including finding ways to improve your sleep and avoiding triggers that make your tinnitus worse such as stress or loud noises,” says Prof O’Flynn.
“A hearing aid or tinnitus masker may be appropriate. Occasionally, sound therapy, cognitive behavioural therapy (CBT), or tinnitus retraining therapy (TRT) – which aims to help retrain how your brain responds to tinnitus – may be helpful.”
Is it possible to prevent tinnitus?
“One of the best ways to prevent the onset of tinnitus is to protect your hearing,” says Feraz. “If you are doing something that involves exposure to loud noise, it’s best to wear hearing protection.”
Gordon advises caution when wearing headphones as well: “To stay safe, you should never listen to your music above 60% volume and give your ears a break every hour too.”
People who work in loud environments should be particularly careful. Prof O’Flynn says: “At all times proper ear defenders should be worn at work when advised and if exposed to recreational noise including shooting.”