Ringing in the ears; Noises or buzzing in the ears; Ear buzzing; Otitis media - tinnitus; Aneurysm - tinnitus; Ear infection - tinnitus; Meniere disease - tinnitus
Tinnitus is the medical term for "hearing" noises in your ears. It occurs when there is no outside source of the sounds.
Tinnitus is often called "ringing in the ears." It may also sound like blowing, roaring, buzzing, hissing, humming, whistling, or sizzling. The noises heard can be soft or loud. The person may even think they're hearing air escaping, water running, the inside of a seashell, or musical notes.
Tinnitus is common. Almost everyone notices a mild form of tinnitus once in a while. It usually lasts a few minutes. However, constant or recurring tinnitus is stressful and makes it harder to focus or sleep.
Tinnitus can be:
It is not known exactly what causes a person to "hear" sounds with no outside source of the noise. However, tinnitus can be a symptom of almost any ear problem, including:
Antibiotics, aspirin, or other drugs may also cause ear noises. Alcohol, caffeine, or smoking may worsen tinnitus if the person already has it.
Sometimes, tinnitus is a sign of high blood pressure, an allergy, or anemia. In rare cases, tinnitus is a sign of a serious problem such as a tumor or aneurysm. Other risk factors for tinnitus include temporomandibular joint disorder (TMJ), diabetes, thyroid problems, obesity, and head injury.
Tinnitus is common in war veterans and in older adults age 65 years or older. Children can also be affected, especially those with severe hearing loss.
Tinnitus is often more noticeable when you go to bed at night because your surroundings are quieter. To mask tinnitus and make it less irritating, background noise using the following may help:
Home care of tinnitus mainly includes:
Call your health care provider if:
The following tests may be done:
Fixing the problem, if it can be found, may make your symptoms go away. (For example, your provider may remove ear wax.) If TMJ is the cause, your dentist may suggest dental appliances or home exercises to treat teeth clenching and grinding.
Talk to your provider about all your current medicines to see if a drug may be causing the problem. This may include over-the-counter drugs, vitamins, and supplements. Do not stop taking any medicine without talking to your provider.
Many medicines are used to relieve symptoms of tinnitus, but no drug works for everyone. Your provider may have you try different medicines or combinations of medicines to see what works for you.
A tinnitus masker worn like a hearing aid helps some people. It delivers low-level sound directly into the ear to cover the ear noise.
A hearing aid may help reduce ear noise and make outside sounds louder.
Counseling may help you learn to live with tinnitus. Your provider may suggest biofeedback training to help with stress.
Some people have tried alternative therapies to treat tinnitus. These methods have not been proven, so talk to your provider before trying them.
Tinnitus can be managed. Talk with your provider about a management plan that works for you.
The American Tinnitus Association offers a good resource center and support group.
Sadovsky R, Shulman A. Tinnitus. In: Kellerman RD, Rakel DP, eds. Conn's Current Therapy 2020. Philadelphia, PA: Elsevier; 2020:65-68.
Tunkel DE, Bauer CA, Sun GH, et al. Clinical practice guideline: tinnitus. Otolaryngol Head Neck Surg. 2014;151(2 Suppl):S1-S40. PMID: 25273878 pubmed.ncbi.nlm.nih.gov/25273878/.
Worral DM, Cosetti MK. Tinnitus and hyperacusis. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 153.BACK TO TOP
Review Date: 4/13/2020
Reviewed By: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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