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

An eardrum rupture or perforation is a little gap or tear in your eardrum and the tympanic membrane. The tympanic membrane is a thin tissue that partitions the canal of the middle ear and outer ear. This layer vibrates when sound waves enter your ear. The vibration proceeds through the bones of the center ear. Since this vibration allows you to listen, your hearing can be affected if your eardrum is harmed. A ruptured eardrum is additionally called a perforated eardrum. Permanent hearing loss could be an end result in some cases.

A ruptured eardrum, similar to thunder; can happen all of a sudden. You may feel a sharp pain in your ear, or an ear infection that you've had for some time all of a sudden leaves. In some cases, the person may not feel any signs of the rupture.

Some of the causes for such a perforation are:

Infection: Ear infections are a major reason for eardrum rupture, particularly in children. Liquids tend to deposit behind the eardrum in such cases.
Exercises: Exercising can bring about pressure changes in the ear and lead to a punctured eardrum. This is known as barotrauma, and takes place when the pressure outside the ear is not the same as the pressure inside the ear. Activities that can bring about barotrauma include scuba diving or flying on plane.
Other activities: Wounds can likewise burst your eardrum. Any injury to the ear or side of the head can bring about a crack.
Diagnosis: Your specialist can use a few approaches to find out whether you have a ruptured eardrum:

A liquid test in which your specialist tests liquids that might spill from your ear from infection.
An otoscope exam in which a specific gadget with a light is used to investigate your ear channel
An audiology exam, in which your specialist tests your listening to range and eardrum limit
Tympanometry, in which your specialist uses a tympanometer to test the pressure changes in your ear.
Treatment: The treatments are as follows:

Patching: In the event that your ear does not recuperate by itself, your specialist may fix the eardrum. Fixing includes setting a sedated paper patch over the tear in the film.
Antibiotics: Anti-toxins can clear up contaminations that may have prompted your eardrum break. They additionally shield you from growing new diseases from the aperture. Your specialist may endorse oral antibiotics or eardrops.
Surgery: In uncommon cases, surgery might be required to fix the gap in the eardrum. A surgical repair of a punctured eardrum is called tympanoplasty.
A cracked eardrum generally recuperates without any invasive measures. Many patients with cracked eardrums encounter just transitory listening problems.

Eardrum Rupture - Causes, Symptoms & Treatments

Common ear infections: What you should know about them

The most common ear infections happen because of bacterial or viral growth in the middle ear, the part which lies just behind the ear drum. Middle-ear infections can be very painful and children are most commonly reported in children. Most of these infections are caused by the blockage of the Eustachian tube, which connects the ear and the throat, causing the build-up of fluids and swelling. Here is a guide to the most common forms of ear infections and their symptoms, ranging from the acute to the chronic.

Acute infections have intense symptoms but can be cured with time and treatment. They generally last for shorter durations.

In Chronic cases of infections, the patient complains of recurrent symptoms multiple times. Chronic ear infections have the potential of causing permanent damage to the ear.

Symptoms reported by most patients with Ear infections:

1. Pain in the ear (Mild to severe):

This is caused due to increased pressure owing to the blockage of the Eustachian tube. Collection of fluid inside the ear would increase the intensity of pain in most cases. Children will keep tugging at their ear and most likely be cranky.

2. Redness and swelling:

Both of these are inevitable accompanying symptoms in case of any infection in the body.

3. Oozing of the fluids:

The blockage leads to the fluid being released from the ear which can be watery, thick yellow or mixed with blood depending on the severity and type of infection.

4. Fever

5. Difficulty in sleeping.

6. In some cases when the infection spreads, difficulty in balancing the body is experienced as body balance is maintained by ears.

7. The patient might also experience increased irritability.

8. Ear infections can also cause a hearing problem if the condition continues to go untreated.

Ear infections should be promptly dealt with to prevent long-term damages. So here is what should be done when you have ear pain symptoms.

1. Consult an ENT who will prescribe pain medication as the first line of treatment.

2. After the necessary tests are done, antibiotics are prescribed in most cases by the doctor. Other medications for palliative treatment (to ease the symptoms) are administered. However in a few rare cases, the infection might be because of non-bacterial causes in which antibiotics might not cure the state.

3. In case the problem keeps recurring, one must visit the doctor again and get further tests and treatment done.

As prevention is always better than cure, care should be taken to avoid all chances of carrying the infection to your ear. Maintain cleanliness in and around, especially in the case of children.

For further queries; we'd be happy to help!

Common ear infections: What you should know about them

Tinnitus is when you think that there is noise when there really is no sound. It is very common and is not very serious either. It affects about 1/5th of the population. It is worth note that tinnitus is not a condition. Instead, it is a symptom of having a condition. These conditions range from hearing loss, an ear injury or even a circulatory system disorder. Even though tinnitus does worsen with age however it can also improve with treatment. If you know the cause of tinnitus, it does help treat it. Here is everything you need to know about tinnitus.

Symptoms of Tinnitus
As mentioned earlier, tinnitus is a ringing, hissing, clicking or buzzing sound which only you can hear and no one else.

Causes of Tinnitus
There are many common causes of tinnitus including:
1. Age-related hearing loss: Tinnitus is commonly caused due to hearing loss.
2. Meniere's disease: Meniere's disease is a type of inner ear disorder. It is when there are abnormalities in the fluid pressure of your inner ear.
3. Medications: Many medications have a side effect of tinnitus as well including certain antibiotics, antidepressants, cancer medications and even aspirin.
4. Loud noise exposure: Exposure to loud noise once in a while will not cause tinnitus. However, constant exposure to loud noise might cause tinnitus.
5. Changes in the shape of your ear bone: Otosclerosis is an abnormal bone growth which results in the bones in your middle ear stiffening.
6. Acoustic neuroma: There is a nerve, which goes from the brain straight to the inner ear. When this nerve develops a tumor, it is known as acoustic neuroma which is a common cause of tinnitus.

Treatment of Tinnitus
Tinnitus can be only be stopped if the underlying condition is treated. However, there are certain electronic devices, which help suppress the noise including:
1. Hearing aids: Hearing aids are already helpful for people who have hearing loss; however they can also help reduce tinnitus.
2. Masking device: Wearing a masking device which continuously emits a low-level noise helps stop the buzzing, clicking, hissing or ringing sound which comes with tinnitus.

Causes and Treatment of Tinnitus

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?

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

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