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

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?

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

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

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

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