If you hear a constant ringing in your ears without any external stimulus, it is called tinnitus. The sound can also manifest as incessant roaring, hissing, buzzing or clicking. The sound can be loud or soft, low or high pitched. Tinnitus can occur in one ear, or both the ears.

Tinnitus is primarily of two types:
i. Subjective tinnitus: This type of tinnitus is very common. In this type, only you are able to hear the ringing, or buzzing. The main cause of subjective tinnitus is ear problems, especially in the inner, middle and outer ear. Problems in the auditory nerves (hearing) or auditory pathways (the part in your brain that changes nerve signals into sound) can also cause subjective tinnitus.
ii. Objective tinnitus: In this type of tinnitus, the doctor can also hear the sound when he/she performs an examination. This type of tinnitus is rare. Muscles contractions, problems in the blood vessels or conditions in the middle ear bone can cause objective tinnitus.

Causes
Tinnitus is not a condition; it is more of a symptom of some other underlying medical condition. Tinnitus can be caused by any of the following complications-
1. Hearing loss (This happens mostly among older people)
2. Loud noises
3. Sinus and ear infections
4. Blood vessel or heart problems
5. Meniere's disease (The inner ear is affected by unknown causes which lead to deafness)
6. Brain tumours
7. Hormonal changes (This happens mostly to women)
8. Thyroid problem
9. Certain medications (antibiotics, cancer medicines, diuretics, quinine medication, some types of antidepressants, aspirin)

Symptoms 
The symptoms of tinnitus include
1. You hear noises that no one else will be able to hear
2. The sound can be depicted as chirping, whistling, screeching, clicking, static, hissing, buzzing, roaring, pulsing, musical or whooshing.
3. The sounds can vary greatly in volume and it is most prominent at night or when your surroundings are quiet
4. Loss of hearing commonly follows tinnitus.

All About Tinnitus

Vertigo is a medical condition where the affected person feels that the world or surrounding environment is spinning or moving. It is accompanied with nausea, vomiting, sweating and having problems in walking steadily. Moving your head worsens this condition. An illusion of movement is observed.

Vertigo arises from several conditions. There are mainly two types of Vertigo-

Peripheral Vertigo: This is the most common vertigo and is caused often due to a problem in the balance mechanism of the inner ear. The causes include:

Benign Paroxysmal Positional Vertigo: Being one of the common causes of vertigo, BPPV occurs due to certain head movements when standing up or bending over. The attacks are short, powerful and recurrent in nature. Nausea is also accompanied. A feeling of lightheadedness and despaired balance is observed after the attack. Fragments of calcium carbonate crystals are broken off from the channel linings present in the inner ear. These fragments cause the problem by getting into the ear fluid canals, and certain head movement sweeps them across the canal causing vertigo.

Head Injury: Vertigo develops due to head injuries, and the symptoms are similar to that of dizziness.
Labyrinthitis: It is an infection in the inner ear, which causes the labyrinth of the ear to get inflamed. The labyrinth controls our hearing and balance. An inflammation causes it to send different information than the other, normal ear. This conflict causes vertigo. Such vertigo can be accompanied by nausea, vomiting, loss of hearing and ear pain.

Vestibular Neuronitis: This is a condition pertaining to the inner ear, which causes inflammation of the nerve which connects the labyrinth to the brain. The condition arises from viral infections. Nausea and vomiting are observed, and this condition leads to vertigo.

Meniere's Disease: This rare condition in the inner ear causes severe vertigo along with hearing loss and aural fullness. Meniere's disease prompts sudden vertigo attacks with nausea and vomiting.
Central Vertigo: Central vertigo arises from problems in the cerebellum of the brain and brainstem. Causes include:

Migraines.
Sclerosis, a condition which affects the central nervous system.
Acoustic neuroma, a type of brain cancer growing on the acoustic nerve.
Brain tumors, stroke or transient ischemic attack.
Certain medications.
Treatment-
Treatment of vertigo depends on the cause and on the extent of symptoms. Labyrinthis and vestibular neuronitis are cured by vestibular rehabilitation and medication. BBVV is treated using a process called the Epley maneuver. Meniere's disease is cured by modes of dietary restriction, medication, treating tinnitus and treating hearing loss. Generally, curing the cause of vertigo helps in healing the disorder.

Vertigo is caused by different reasons and factors and rectification of these factors helps in the treatment of vertigo.

Vertigo: Causes and Treatment

Dizziness is now a very common problem among the adults. Maybe people do not take this to be a serious problem in many of the cases, but repeated feeling of dizziness may lead them to visit a doctor. When in the case of such situation, you visit a general physician, not knowing the causes of such problem; often the doctor will refer you to an ENT. There have been some reasons of why you should visit an ENT for dizziness.

Symptoms of Dizziness

Often dizziness occurs along with some other symptoms too. Some of the symptoms that are accompanied by dizziness are:

Anxiety
Nausea
Buzzing noise in the ears
Pressure in the ears and the head
Hearing issues
Some Important Reasons for Dizziness
If you are facing dizziness on regular grounds, then it may happen that it is due to some very serious health complications that you are suffering from. Some of the problems that may cause dizziness are:
Inner ear issues,

Issues in the central nervous system,
Issues related to the cardiovascular system,
Bacterial or viral infection,
Side effects of any medicine.
Diagnosis of The Problem
Diagnosis of the problem is the most important step in case of dizziness. It is because the diagnosis is not about whether you are feeling dizzy or not, it is the diagnosis about why you are feeling dizzy. There are some tests related to balance to diagnose the cause of dizziness. To get the tests done related to balance, you need to visit an ENT because the balance system of the human body is there located in the inner ear.
Though the balance of the body is there to the inner ear, also the test of other sensory organs such as eye and brain is also done. This is because balance disorder or dizziness happens when there is a problem in the communication system of the body. One of the most important ways to diagnose balance is by doing an eye test that is known as nystagmus.

Treatment of The Problem
After several tests of various sensory organs, when the ENT expert reaches a particular result, then the treatment starts depending upon the diagnosis. Today treatment for such balance disorder or dizziness has become common. Some problems can get solved by a changed diet only while other may need the help of medicines. Again, some of the problems may get cured by doing exercises while for some; you may need the help of a physiotherapist too.

When it is about dizziness, it is surely about balance disorder due to some major problems. Balance is controlled from with the inner eye and other sensory organs also, hence it is important to visit the ENT in this case.

Why Should You Consult An ENT For Dizziness?

For someone suffering from Tinnitus, a perpetual sense of ringing in the ears is the main complaint. It s annoying, to say the least. But more importantly, it is a sign of hearing loss. This is why people need to see an audiologist if he/she has a sense of tinnitus for some time. An audiologist can treat this problem in different ways.

Diagnosis

The first step in treating tinnitus like any other disease involves determining the cause. The doctor may perform different tests such as-Hearing:

Hearing exam

During this test, one needs to sit in a soundproof room and wear earphones. Specific sounds will be played into the ears, one at a time, through these earphones. People have to indicate when they hear different intensities of sound. The results are compared with empirical results for comparable age. This helps the audiologist identify possible or rule out specific causes.

Movement

One may need to clench the jaw, move the eyes or neck, or even move the arms and legs as part of the test. If tinnitus symptoms get better or worse at any of these postures, the audiologist can identify the underlying disorder.

Imaging Tests

The doctor may suggest an MRI or CT depending on his suspicions.

TreatmentRetraining

 Treatment involves identifying an underlying problem, if any. If the tinnitus symptoms are due to some health conditions, the audiologist may take the following steps:

Clearing the Earwax

Impacted earwax can cause a variety of problems, including tinnitus symptoms. An audiologist can remove the ear wax.

Treating Vascular Conditions

Underlying vascular problems that require surgery or any other treatment may treat the condition.

Changing Medication

Tinnitus can also be a side effect of medication. If the doctor suspects that he may recommend reducing or stopping the drug completely. He may also recommend a different medication.

Noise Suppression

If there is no underlying health condition or medication responsible for tinnitus, the doctor may take recourse to noise suppression.  The patient may need to wear an electronic noise suppression device. These devices include:

White Noise Devices

These machines produce simulated sounds such as those of ocean waves, falling rain etc. This is often found to be effective in treating tinnitus. He may also recommend using pillow speakers, fans, dehumidifiers, air conditioners and humidifiers to suppress internal noise at night.

Hearing Aids

If a hearing problem is associated with tinnitus, the audiologist may prescribe hearing aid.

Masking Devices

Such devices mask the internal sounds of tinnitus and are worn in the ear in a similar fashion as hearing aids.

Retraining

This device delivers programmed music to mask the sound of tinnitus. This technique usually helps the patient get accustomed to the sound of tinnitus.

 Depending on diagnosis and findings, audiologists may also recommend medicines. Audiologists use medicines usually for severe tinnitus only, since these may have side effects. It may also help reduce symptoms.



 Tinnitus - How Can Audiologist Treat It?

Tinnitus is the ringing in the ears in the absence of any external sound and the ringing heard is not related to any external source. Tinnitus is a symptom due to underlying ear disease.

Epidemiology

Worldwide 10%-15% of the population suffer from tinnitus and those suffering from ear-related problems are 85% of the population.

How do we know whether it is subjective or objective tinnitus?

Subjective tinnitus is the sound which only the patient hears and objective tinnitus is the sound which others can hear as well along with the patient. Ninety-five percent of the people suffer from subjective tinnitus due to problems in the inner, middle, and outer ear whereas rest 5% suffer from objective tinnitus which is due to any structural defect in the ear, neuromuscular condition, or a tumor in the head, neck, and brain.

Causes

Prolonged exposure to loud sound for a long duration can cause permanent damage to the ear, whereas exposure to a sound for short duration may restore hearing back.
Middle ear infection.
Injury to ear.
Age-related hearing loss: Hearing gets hampered with age which starts around 60 years of age. Hearing loss can lead to tinnitus.
Meniere s disease: It is an inner ear disease; tinnitus is an early symptom
Earwax: Normally earwax protects ear canal from dirt. When it accumulates, wax gets built up causing blockage leading to hearing loss.
Emotional stress Diseases of the heart
Drugs, such as aspirin, antidepressants, quinine, cancer medications, and diuretics.
Temporomandibular joint disorder
Acoustic neuroma
How to deal with it?

First, treat the underlying cause.A patient suffering from tinnitus should be counseled every 15 days. It reduces the stress onto those who are suffering from tinnitus and will boost up the patient.Tinnitus maskers/hearing aid is helpful in ignoring tinnitus frequency. Maintain your cardiovascular health with regular exercise, yoga, meditation, and medicines which control blood pressure. All these factors can help prevent tinnitus.

Can tinnitus be fatal?

It can vary from mild to severe which can cause distress such as interference with sleep and normal day to day routine activities. It can affect patient psychologically so much that patient goes into depression and can commit suicide.

How to evaluate tinnitus?

It can include an audiogram (hearing test), measurement of acoustic parameters and some of the imaging studies to be performed.

A pure tone hearing test is to be performed to find out the cause. Acoustic measurement of tinnitus includes measuring several parameters like frequency, the range of frequency, bandwidth, and loudness in dB above hearing threshold.
Residual inhibition helps indicate how useful tinnitus maskers would be.
Imaging studies like magnetic resonance angiography and Transcranial Doppler are to be performed to find out the underlying cause.

Tinnitus - What Causes It?

Easy home remedies for sore throat

An itchy, scratchy and burning throat is something we all experience, at least once a year, if not more. Depending on your body's immunity, it occurs more often. While there is good medication to cure the problem, there also exist home remedies which can cure it. Keep a note of these things also to prevent a bad throat.

Fix sore throat with:

1. Salt water gargle - this might not be new to you as it is the first remedy elders in the family advice about - to gargle with salt water. The warm water with salt in it relieves the discomfort in the swollen tissues and pulls the mucous out.

2. Over-the-counter throat lozenges: these are extremely convenient and dependable. On days when the throat won't stop itching and you have a lot of speaking to do, these lozenges help calm the itching. They contain menthol which makes the throat tissues numb. Cough drops and candies ensure constant production of saliva in the mouth. These have choking hazards though, so avoid giving to children.

3. Ginger, clove, tulsi - chewing on pieces of ginger is beneficial. Ginger juice soothes the throat and calms the itching. Especially helpful during the nights, so that one can sleep peacefully. Cloves and tulsi leaves when chewed individually also give similar soothing effects to a sore throat.

4. Drink loads of water - it is important to stay hydrated because dehydration leads to decrease in production of mucous and saliva in the mouth. More fluids in the mouth help deal with sore throat better.

5. Warmth of honey - warm tea with honey is an ideal way to soothe the irritated throat. Honey is said to be effective in suppressing coughs. 

6. Avoiding cold drinks - whatever you drink, make sure it is warm or even better, hot. Avoid drinking or eating anything cold as they will only aggravate the condition of the throat.

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Peace with Sore Throat - How Many of These Remedies Do You Already Know?

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