Ringing in the ears, medically called Tinnitus, is a condition in which the individual hears a certain sound continuously in the ears.

The nature of this sound varies with different individuals. The sound may be whistling, buzzing or bell-like; it might be low or high; seeming to come from a far point or from inside of one's body.

Tinnitus in most cases is subjective where only the affected individual is able to hear the sounds. In some cases, the condition might also be objective wherein the doctor/examiner might be able to hear the sounds on examining.

Understanding the most common cause:

The process of sound waves travelling from the ear to the brain is facilitated by hair cells. When these hair cells are damaged, the brain does not receive signals which cause dysfunction in the activity of neurons. This dysfunctional neuron activity results in the illusion of sounds in the said individual. This illusion is referred to as Tinnitus.

Other causes that might result in Tinnitus are:

Damage around the hearing sections of the brain also might result in ringing sounds / tinnitus. Excessive noise might result into Tinnitus and if not prevented might even progress to hearing loss. There are also some drugs that may cause or worsen the condition.

When to seek help:

In the case of a sudden episode of Tinnitus, it may be associated with hearing loss. Such an episode should be followed by visiting the doctor immediately to prevent any further damage.

Sometimes, the ringing sound occurs rhythmically with your heart beat. It might be because of a pulsating blood vessel and/or because of a sudden hike in blood pressure. This condition would also be relatively easy to cure if reported immediately to the doctor.

If ringing sound occurs with a certain movement, it might be associated with stroke in some cases. In such incidents, conveying the exact symptoms and seeking help sooner would help in treating the underlying cause effectively.

With the first episode of Tinnitus, a regular medication that you intake should be shown to the doctor to rule out medication as the cause or to discontinue a certain medication if found to the causative agent.

Ringing In Ears - What Does it Mean and When to Seek Help

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

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

Hearing is an essential process in everyone's life. Be it your social life or professional activities, hearing influences every aspect of your life. You can thus, never ignore the health of your ears to enjoy a healthy life. But there are several hindrances to obstruct effective hearing. One of the problems is the accumulation of a natural substance called cerumen produced by the glands present in the ear canal. The accumulated cerumen is medically referred to as Earwax. Over production of cerumen is mainly triggered by the deficiency of Omega-3 fatty acids, zinc and magnesium.

The basic function of the wax is to protect the ear canal from invasion by foreign particles like bacteria and dust particles. This is necessary for the smooth functioning of the ear and its protection from invaders. However, it becomes an irritating problem when the earwax is produced in excess. The problem aggravates when the ear canal is blocked due to accumulation of earwax. In such cases, we use certain objects such as bobby pins, Q-tips or cotton swabs to clean the accumulated earwax from the ear canal. What we do not realise is that pricking the wax using these objects can sometime cause significant damage to the ear. These objects push the wax deep inside the canal, leading to blockage.

The most common symptoms of excessive earwax are as follows:

Earache
Developing a fullness feeling in the ears
Loss of hearing on temporary basis
Noises inside the ear
Itching
Here are the preventive measures to remove ear wax blockage:

In order to prevent blockage of ear wax, try keeping it moist by frequently running water into your ear while taking a bath. This will prevent the ear wax from getting dried up so that it doesn t get blocked in the ear canal. Make sure, you drain the water from the ear after running it for some time.
Don t use any pointed objects inside the ears as it can cause ear infection while pushing the wax deeper.
Avoid inserting cotton swabs or ear buds into the ear canal. You can use them to remove exposed ear wax at the ear opening, but don t push them deep inside the ear canal. It can push the excess ear wax inside the ear canal, thereby resulting in to an impact.
Don t use candle ear wax remover. Ear candles are another method to remove ear wax, but it can be really dangerous as you need to hold the lighted candle very close to your ear. It can even burn your ear.
Don t use cold water or a strong jet to drain out the excess ear wax. Strong jet can lead to the damage of the ear drum while cold water may result into dizziness.
Avoid using any other method to remove ear wax at home, such as suction.
Don t use any type of acidic liquid in order to soften the ear wax.
Omega 3 fatty acids are good for mitigating the problem of ear wax. So, include walnuts, avocados, salmon, albacore and ground flax seed in your diet.
Consult a doctor if the problem persists even after using home remedies.

 Ear Wax - How To Get Rid It?

Balance disorders are a combination of physiological factors that can make you feel unsteady or dizzy. While sitting, standing or lying down, you may feel as if you are floating, moving, or spinning and you may feel dizzy and dazed for the time being. This disorder can intervene in your daily activities of life, and can even lead to falls and accidents, which may cause you to end up with fractures and other types of injuries.

What causes balance disorder?

A combination and coordination of many body systems such as muscles, bones, vision, the balancing organ within the ear, heart and nerves help maintain normal balance. Dysfunction of these systems can lead you to encounter balance problems. Balance disorders can be caused by many types of conditions.

Some of the causes of the disorder are:

Benign paroxysmal positional vertigo (BPPV): This occurs due to dislodged or displaced calcium crystals in the inner ear, which help you maintain balance. It is the most commonly found cause of vertigo. A spinning sensation while turning in bed is a common sign.

Migraines: Migraines are a general cause of dizziness. Sensitivity to motion can also be caused by migraines. It can also lead to motion sickness, which is dizziness experienced when traveling in boats, cars or airplanes.
Head injury: A severe concussion can also cause vertigo.
Ramsay Hunt syndrome: Commonly known as zoster otitis, this condition affects the nerves close to the ears. It can be attributed to hearing loss, vertigo and pain in the ear.
Vestibular problems and nerve damage: Damaged nerves in the legs can cause difficulty in movement and locomotion. Abnormalities and dysfunctions in the inner ear can lead to a sensation of dizziness and a heavy head.
How do you know if you have balance disorder?

Some of the characteristic symptoms of this condition include:

- Blurred vision
- Nausea and vomiting
- Diarrhea
- Blood pressure
- Fatigue
- Depression and anxiety
- Psychological disorientation
- Fluctuations in blood pressure and heart rate



What Causes Balance Disorder? Is Migraine a Cause?

Our ears are small in size, but  big  in the work they do. Not only do they help us hear, but also help us maintain our body s balance. They thus help us stand, walk, drive you just name it.

Ears are also much bigger in size than they actually are. The part of the ear that we see on our head is only the external ear, there is a middle ear and an inner ear too, silently carrying out complex functions related to hearing and balance. The middle ear that lies behind your ear drum is the seat of balance. And this part is hit hard at the time of an ear infection.

Ear infections cause the Eustachian tubes   small tubes that connect the middle ear to the back of your throat   to become swollen and blocked due to excess mucus. As a result of this, fluid builds up and inflammation takes root in the middle ear, thereby causing pain.

Ear infections can be acute or chronic. Acute infections clear up in a few days, but chronic ones reoccur frequently. If not managed, chronic ear infections can cause permanent damage to the middle and inner ear.

Causes of Eustachian tube blockage are as follows:

Allergies
Sinus infection
Cold
Extreme production of mucus
Smoking
Infected adenoid, which is a tissue near your tonsils that traps harmful bacteria and viruses
There are a few risk factors associated with ear infections. It can be said that young children are more susceptible to these infections. This is because their Eustachian tubes are short and narrow. It has also been seen that infants who are bottle-fed have a higher incidence of ear infections than breastfed babies.

Other risk factors are:

Changes in altitude
Changes in climate
Exposure to tobacco smoke
Use of pacifiers
Symptoms of ear infections:

Pain or discomfort inside the ear
A prolonged feeling of pressure inside the ear
Pus-like ear drainage
Hearing loss
What is also important to know is that the symptoms of an ear infection come and go. 

Symptoms can also occur in one or both ears. Chronic ear infection symptoms can be less noticeable than those of acute ear infections.

Hence, fever and ear ache should spur you to see a doctor. You should be extremely careful with babies younger than six months who have fever or ear infection symptoms.

Your doctor will diagnose an ear infection by checking if there is a draining of fluid from the middle ear, perforation in the eardrum or a collapsed eardrum.

Sometimes, ear infections can lead to the following serious complications:

Hearing loss
Speech or language delay in children
An infection in a skull bone called mastoiditis
Meningitis
Ruptured ear drum

Causes And Symptoms Of Ear Infections

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