Tinnitus is a disorder which is characterized by a constant perception of a ringing noise in the ears. This is not the condition in itself, rather it signals some other underlying condition such as an ear injury or age related hearing loss. It is not a serious condition, although the symptoms can worsen with age. If you are affected by this disorder, you might experience or  hear  a constant ringing sensation in the ears, even if there are no external sources of noise. These sounds could range from being a buzzing, ringing, to a hissing sound. This condition has mighty chances of interfering with your daily routine.

It is classified into two types:

Objective tinnitus: This disorder is caused by muscle contractions or a blood vessel problem.
Subjective tinnitus: The more commonly occurring type, it is caused by damage to the auditory nerves or regions of the brain that interpret sound.
The causes of this disorder are:

Exposure to loud noise: If you are exposed to loud noises such as the ones emanating from firearms or heavy machinery over a prolonged period, it can lead to tinnitus.
Aging: Aging can cause progressive loss of hearing, thus triggering tinnitus.
Blockage of the ear: There is earwax present in the ears, the function of which is to trap dirt and bacteria. Excessive earwax accumulation leads to loss of hearing, resulting in tinnitus.
Modifications of the ear bone: Any stiffening of the middle bone in the ear could impair your hearing and result in this condition.
Certain factors such as smoking, age, sex (men are prone to this disorder) and heart related disorders increase the risks of being affected by this condition.

Treatment
The treatment of this condition begins with the identification of the underlying condition, if any. The various treatment options are  

Removal of earwax: Excess earwax has gotten rid of which can relieve symptoms of tinnitus.
Suppression of noise: Certain machines, known as white noise machines, produce random sounds such as the sound of rain or the sounds of waves, thus eliminating the  hearing  of sounds which are common to this condition.
Medications: Certain medications such as alprazolam and nortriptyline can help reduce the severity of the symptoms.

Constant Ringing in Ears - Causes + Treatment

What are the causes and symptoms of ear discharge?

Ear discharge is the phenomenon of fluids being expelled from the ear. This condition is also known as otorrhea. 

The kinds of fluids that can be discharged from the ear range from blood to pus and other forms of bodily secretions. It is caused by a number of factors, which determine the exact nature of the condition and the diagnosis for treatment. 

What are the causes of ear discharge?
Some forms of ear discharge are natural, such as ear wax which is produced by the body as a form of defense against external particles that may enter the ears. Other forms are unnatural and result from anomalies in the health system. 
The causes of these include the following.

Infections: This is the most common cause of ear discharge and occurs when bacteria and viruses infect the inside of the ear and lead to the secretion of fluids, which builds up in the middle ear or at the eardrum.

Swimmer's ear: This condition is also known as otitis externa and is caused by staying in the water for prolonged periods. It results from excessive exposure to moisture that makes the walls of the ear canal to breakdown allowing bacteria and fungi to enter and infect the ear.

- Trauma: Excess pressure on the eardrum can cause it to rupture and discharge fluids. This happens due to a number of reasons such as exposure to loud explosive sounds or pressure from flying in aircraft and scuba diving.

- Skull injury: Damage to the bones behind the ear as a result of an injury can also lead to ear discharge due to infection.

-Tonsillitis: Inflammation of tonsils may cause pain or a repeated infection in the ear leading to fluid discharge.

What are the symptoms associated with ear discharge?
Some of the symptoms of otorrhea are as follows:
- Abnormal and unusual secretion of fluids from the ear
- Swelling of the ear
- Partial or complete loss of hearing
- Pain and throbbing in the ear
- Accompanying signs such as fever and migraine

Diagnosis and treatment of the problem depend on the exact cause and nature of the condition, which also determines treatment and recovery time.



Why Do You Get an EAR Discharge?

Swimmer's ear is a medical condition, which involves inflammation, irritation or infection of the ear. It may affect the outer ear and also the ear canal. Swimmer's ear is called Otitis externa in medical terms. The condition may be acute to chronic in nature.

Causes
Swimmer's ear is an infection that's usually caused by bacteria commonly found in water and soil. Infections caused by a fungus or a virus are less common. This condition is more common in teenagers and young adults. It may occur due to a middle ear infection or because of a respiratory infection such as cold.
Swimmer's ear can occur as a result of swimming in unclean or contaminated water. These waters contain pseudomonas and other harmful bacteria, which can lead to such ear infections. The infections are rarely caused by fungus.

Swimmer's ear may also result due to other reasons. They can be:
1. Scratching the inside or outside of the ear.
2. Having something stuck in the ear. When you clean ear wax with cotton swabs or small objects, damage may occur. Using headphone or ear plugs for a long period of time may also cause swimmer's ear.
3. Allergic reaction to some object or anything placed in the ear may also cause Swimmer's ear. These may be hair products or jewelry.
4. Some chronic skin conditions like eczema and psoriasis may also lead to this infection.

Risk factors
There are several factors, which may enhance the risk of getting swimmer's ear. They are as follows:
1. Swimming in water, which has got elevated levels of bacteria. This includes lakes and ponds.
2. People having narrow ear canals are at a more risk of swimmer's ear.
3. Aggressive cleaning and scratching of the ear canal.

Symptoms
The symptoms which indicate swimmer's ear are:
1. tching of the ear canal. This becomes intense as the condition progresses.
2. Redness on the inside parts of the ear, which get more extensive in later stages.
3. Discomfort which worsens by pulling on the outer ear or pushing on the tragus of the front part of the ear.
4. Drainage of a fluid which is clear and odorless. As the condition worsens, there is excessive drainage of fluid along with the discharge of pus.
4. A fullness feeling in the ear and a partial blockage of the ear canal because of swelling and fluids.
5. In advanced stages, fever and swelling of lymph nodes in the neck is indicated. Hearing impairment may occur.

Swimmer's ear is a health condition, which involves the ear. The ear gets inflamed because of a certain bacterial infection. Although it is not a very severe condition, in some cases it can do significant harm.

Causes of Swimmer's Ear

BAHA Implant
Bone Anchored Hearing Aid (BAHA) is a device surgically implanted to help people suffering from a loss of hearing. Most conventional hearing aids transmit sound through air conduction. The BAHA device is suitable for conductive or mild-moderate mixed hearing loss.

Problems with hearing in the middle or outer ears can be helped with the BAHA device. The sound waves received by the BAHA device bypass the middle ear and get delivered straight to the functioning cochlea in both ears.

A BAHA device comprises of two parts:
a) The processor 
b) A fixture which is surgically implanted behind the ear in the bone.

The implant is embedded in the bone. The processor, which remains outside, is attached to the implant. There is a microphone on the processor that picks up sounds. The sounds are passed on to the implant. The implant vibrates which triggers the Cochlear. You can consider wearing a BAHA implant if other conventional hearing aids do not work for you. BAHA implants are also given to people with collapsed or irritated ear canals.

Cochlear Implant Surgery

A complex, small electronic device that helps hearing in people with severe hearing loss or deafness is used in the Cochlear Implant Surgery. The cochlear implant comprises of an external piece behind the ear and another piece that is surgically implanted under the skin. A cochlear implant comprises of four parts:
1. A microphone which picks up sounds from the surroundings
2. A speech processor which chooses and arranges the sounds the microphone picks up
3. A receiver/stimulator and transmitter that picks up signals from the speech processor and changes them into electric impulses
4. An electrode ray, a bunch of electrodes, receives impulses the stimulator sends and transmits them to different areas of the auditory nerves.
The implant does not cure deafness; it only gives you a useful portrayal of sounds in the environment and considerable aid in understanding speech.

The surgery is done in the following way:
i. The area around the site of the implant is shaved or cleaned
ii. The patient's vital signs are monitored through cables, patches and monitors attached to him or her
iii. General anaesthesia is administered through IV or through a face mask
iv. After the device is implanted, the patient is taken to the recovery room for the anaesthesia effect to lessen.

BAHA Implant and Cochlear Implant Surgery

The infection of the bone of the ear is Mastoiditis. This may be an acute infection needing hospitalisation and injectable drugs or may be in the form of slow bone eroding processes like cholesteatoma.

Let us learn more about this condition and its treatment

Understanding the mastoid bone: The mastoid bone is made up of air sacs and it looks a lot like a sponge. In this sense, it is different from the other bones that can be found in the human body. In order to function properly, this bone requires air from the other parts of the ear, including the Eustachain Tube which connects the middle part of the ear with the portion that lies at the back of the throat. If this tube gets infected due to any reason, the infection and bacteria can also travel to the Mastoid bone, leading to an infection in this area. Another form of the infection starts from the ear drum and a slowly progressive bone eroding process starts which spreads into the air sacs and can potentially spread to the brain.

Symptoms: Acute mastoiditis will present with earache, ear discharge and onset of fever and chills, as well as redness and inflammation behind the ear. Pain in the ear may be experienced along with headaches and swelling that may be experienced behind the eyes. At the very earliest sign, these symptoms must be reported to an ENT or ear throat nose specialist so that the treatment can happen at the earliest. Chronic mastoiditis may be due to repeated infections and bone eroding cholesteatoma which presents with repeated episodes of ear discharge which may be foul smelling and may even have blood.

Diagnosis: The diagnosis is mostly made on ear examination and may involve imaging tests like a CT scan as well as an MRI scan of the head and the ear. A simple X-ray of the mastoids can help in detecting the severity of the infection, and it spread.

Treatment: After diagnosing the problem with imaging tests as well as a detailed ear examination, the doctor will usually start the treatment by admitting the patient in the hospital. Antibiotic medication will be administered through intravenous methods, after which oral antibiotics will be prescribed for many days after the patient has been discharged from the hospital. Surgery may be required if the infection has not cleared up even after the use of antibiotics and is also done in cases of bone erosion. This surgery will be done to drain the infected fluid from the ear and remove a part of this Mastoid bone. Complications like facial paralysis and vertigo need to be discussed with the surgeon before the surgery.

Acute Mastoiditis - Symptoms, Diagonisis & Treatment

Remember how Shrek literally pulled out a candle from his ear for the dinner table? Ever tried doing it yourself? Well, the stuff in your ears may be called wax, but it can t really be used to make a candle. However, it certainly can signify a lot about your health. Though the idea of discussing earwax is rather disgusting, it actually plays a pivotal role in keeping your ears healthy and functioning. Earwax protects your eardrums by barring the entry of insects, fungi, bacteria, dust and bacteria. In clinical terms, earwax is also known as cerumen. 

Studies indicate that children typically produce more earwax than adults. The earwax in your ear is a combination of alcohol, shed layers of the ear, unsaturated and saturated long-chain fatty acids and squalene. In order to clean earwax, you should not insert objects too deep in your ear, instead, you can just wipe it off with a cotton swab.  The color and texture of the earwax removed can actually indicate your overall health condition, stress level, genetic ancestry, etc.

Know what your earwax color says about your health 
Pale yellow to yellow earwax: It is the most common type of earwax and indicates overall good health. Children typically produce soft, pale yellow earwax and in case of adults, the color should remain the same, but the texture tends to be sticky. 
Wet vs. dry earwax: Wet and dry are the genetically determined earwax types, wherein, the 'wet type' is dominant and the 'dry type' is recessive. A research, conducted on Biologic variation in health and illness: race, age, and sex differences (1985) by Overfield, Theresa, established that dry-type earwax indicates East Asian and Native American ancestry, while wet-type indicates African and European. 
Thick, dark and black colored earwax: The production of earwax is also influenced by your stress level i.e. when you are stressed out, the glands that are responsible for the production of earwax work overtime and produce excess amount of earwax. As this earwax collects, it can turn thicker and darker thus, this type of earwax is a sign of increased stress level. And, black colored earwax indicates that it has been accumulating in your ears for quite some time and has not been cleaned. To avoid this, it is essential to clean your ears from time to time and in the right way. 
Dry, gray earwax: The gray color of the wax is an indication of dust build-up and must be cleaned properly at regular intervals. However, if your earwax suddenly seems dry and brittle, it could be the sign of a skin infection. Dry earwax accompanied by itchiness in the ear is usually a sign of eczema.
Bloody earwax: Blood in the earwax should never be ignored. This could be caused by an ear infection or can be a sign of ruptured eardrum and you must consult your doctor immediately. 
Thus it is important that you take proper care of your ears so as to ensure that your hearing is maintained and although earwax protects your ears against infections and problems, it must be cleaned from time to time. It is advisable that you get your ears cleaned professionally, in case you are suffering from certain ailments such as Diabetes.

Earwax - Did You Know Its Color Can Say A Lot About Your Health?

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