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

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

Ear aches are a very painful condition, which tends to affect mostly children. However, adults can be affected by ear aches as well, which can disrupt their routines and be quite painful. Let's have a look at some of the aspects of ear aches in adults.

Causes of ar aches in adults
There are many causes for ear aches in adults and it may vary from one person to another. However some general causes of ear aches in adults are listed below:

    Infections within the body: If you have a throat infection or cold, it could trigger an ear ache as a side effect. Treating the underlying problems will, thus reduce the ear ache or it will go on its own when the symptoms of the cold subside. 
    Ear canal injury: Adults are most often guilty of putting in sharp objects to clean their ear canal, which may result in an injury and also lead to infections. These injuries can also be infected and cause fluid discharge and ear aches.
    Blockages caused by the regular use of ear buds: Using ear buds or other sharp objects to clean the ear will only result in pushing the ear wax further into the ear. This will result in blockages of the ear canal and cause ear aches.
    Dental problems: Certain dental problems, such as wisdom tooth growth can result in problems. Even gum disorders have been known to create ear aches in adults.
    Jaw pain and facial pain: Jaw pain and even facial nerve pain has been known to affect ears and cause aches as well.

Symptoms that may accompany ear aches
Depending on what the causes of the ear aches are, the symptoms may vary. Still, let's have a look at some of the known common symptoms of ear aches in adults:

    Irritability and lack of focus: Ear aches may initially manifest as a headache and make the person irritable.
    Poor sleep: Fluids may build up within the body and thus cause issues while sleeping as the fluids may shift from one area to another.
    Ear drainage: If in case fluids build up, they may drain from your ear, which could vary anywhere within yellow to dark brown colour. This may even indicate that your eardrum is ruptured.
    Hearing problems: Fluid buildup or other underlying causes may also cause hearing difficulties.
    Fever: Sometimes, fever may run as high as 104 degree C due the very infections, which may be causing the ear ache.

Whatever may be the cause, if you have ear aches for sustained periods without underlying reasons, you should visit your doctor immediately to get it checked out, so that appropriate treatment can start quickly.


Ear Ache in Adults

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?

Having a foreign object stuck inside a child s ear or nose is an issue many parents encounter, especially while their child is a toddler. At the early developmental stages, it s natural for children to be curious and attempt such things. It is also quite common for children as well as adults to get insects caught inside their nose or ear. In situations such as this, it s best not to worry, as people tend to aggravate the situation when they panic.
The first thing you should try if you have any foreign object stuck inside your nose is to blow your nose. Be careful not to push too hard so as to not risk injury. Often children will be able to expel foreign objects from their nose only when asked to blow their nose.

If the foreign object in question is not stuck up the nose, but up the ear, or if blowing your nose has not helped, you should try and remove the object with a pair of clean tweezers. Do not try to use household items other than tweezers, as they might push the object further up the cavity. Do keep in mind to have someone help you while removing foreign objects from your own ear as well as to keep in mind to be extra careful not to be too harsh as you might puncture your ear drum. If the foreign object is stuck up your child s nose or ear and they refuse to keep still, it s best to take them to a professional.

What can an ENT specialist do?
If you have a foreign object stuck in your nose or ear and can t get it out easily, it s safest to go to the doctor rather than risk hurting yourself or your child. An Ear-Nose-Throat Specialist can use a local anesthetic to numb the area and use their expertise to better navigate the cavity and remove the object from the ear or nose. If the object is too far up the nose to reach, the ENT Specialist can administer medication to induce a nosebleed which will naturally dislodge the object from the cavity without having to insert anything into it.

When faced with problems such as a foreign object stuck in the ear or nasal cavity, it s best to consult a professional as soon as possible instead of leaving the problem untouched for a long duration of time, as activities such as sniffing or scratching may further aggravate the issue.

Foreign Body Inside Ear, Nose Or Throat - What To Do And What Not To?

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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