Ask The Expert: Tinnitus

Philip Robinson is an ear nose and throat (ENT) surgeon at University Hospitals Bristol and founder of the Bristol Tinnitus Service

How did you become an expert in ear problems? As a medical student I decided to become a surgeon. I enjoyed looking after children and ENT meant I could treat both adults and children. I was lucky enough to get a training programme at the Royal Ear Hospital in London and later did some research into inner ear function at the University of Michigan.

How common are noises in the ear and what causes them? About ten per cent of adults have some tinnitus and referrals have doubled since lockdown, mostly due to health anxiety. There’s frequently underlying hearing loss and usually a trigger— further hearing loss, an ear infection, sudden loud noise, neck problem, teeth grinding or anxiety. Other people have no hearing loss but have a neck or jaw problem, or stress.

What forms does tinnitus take? Generally, it’s like a hiss, buzz,

What can people do to manage tinnitus? In the vast majority of cases it improves with time. If it doesn’t settle, then it’s best to seek a medical opinion. Treating an obvious problem like an infection or wax can often cure the tinnitus.

To dissolve wax, buy yourself some sodium bicarbonate drops from a pharmacy. If the cause is musculoskeletal, see a physio or, if it’s your jaw, a dentist. When it’s down to persistent stress, relaxation techniques and mindfulness can often be of help in solving the problem.

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For more information, visit tinnitus.org.uk