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

Dizziness or vertigo is a feeling of being off centre, which makes a patient feel like there is lack of balance. This is especially apparent when one is at a height or while wearing footwear with high heels. It may be caused due to a variety of causes, and ear problems are one of the primary causes of this kind of dizziness. Let us take a look at the various ear problems and how they can cause dizziness or vertigo.


1. Infection: the bacteria or virus that causes cold and loose motions can also cause an ear infection. This can give rise to temporary vertigo which may last up to six weeks or more. Dizziness or vertigo happens in such cases because the viral effect spreads to the inner ear which causes a ringing and off balance sensation. The general physician or ent specialist will usually prescribe a round of medicines only if the condition becomes too severe to handle.


2. Benign paroxysmal positional vertigo: this kind of dizziness is also known as bppv and may be caused due to the motion of a calcium particle known as otolith, in the ear. This can cause a fluttering movement that gives the sensation of falling down or losing balance. This usually takes place in the part of the ear that catches the sensation of gravity. The movement of the otolith can make the patient feel as if his or her head is turning or swaying, while in reality the patient may be stationery. This problem can be fixed with the help of a two minute therapy known as epley manoeuvre, which can be conducted easily in the ent specialist's clinic.


3. Meniere's disease: there is actually a specific condition that is characterised primarily by dizzy spells and vertigo. The other symptoms of this ear bone condition include ringing of the ears, loss of hearing, and the feeling of fullness or pressure build up in the ears. This can be fixed with therapy and drugs as well as hearing loss aids.


4. Dandy's syndrome: this is an ear condition where the patient constantly feels like he or she is bouncing up and down. This condition hits patients who are on antibiotic medication for any kind of infection, and it subsides once the medication is done with. It occurs in such cases because certain kinds of antibiotics may be toxic for the ear. One may also see natural improvement in the condition over the passage of time.


5. Tumours: other reasons like tumours and strokes can also cause vertigo on a temporary or permanent basis.


Dizziness due to ear problems can be due to a number of mild to severe reasons. It is best to get these causes checked.

How Ear Problems Can Cause Dizziness

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?

Doctors believe that tonsils and adenoids have a hand in helping the body fight infections. A common problem children face is enlargement of these organs.

Even though most cases of adenoid and tonsil enlargement subside naturally after a few days, in some instances of the disorder, severe symptoms may force you to seek treatment for your child. Here is a look at some complications from an enlarged adenoid and tonsils.

Complications:

  Hearing loss and chronic infection in the ear is a common complication. This occurs when the enlarged lymph tissue blocks fluid transfer in the ear.
  Sinus infections that recur over time
  Sleep apnoea is a common side effect of adenoid and tonsil disorders. This leads to difficulty in breathing while your child sleeps.
  Weight loss is an indirect consequence of enlargement in these lymph tissues. Your child may not be able to eat properly due to the pain experience while swallowing

In case of severe complications, doctors will recommend getting the adenoid and tonsils removed from your child s body. Coblation is the best option in such a case.

What is coblation surgery?

Coblation stands for controlled ablation. It is a minimally invasive surgical procedure where an electrical handpiece is used to  burn  the affected tissue in the throat of children. Extremely low temperatures rectify the problem by  burning  the affected tissue. When the coblation method is used to remove both the tonsil and the adenoid lymph tissues, the procedure is known as Coblation Adenotonsillectomy.

The coblation method has replaced the older method where metallic surgery instruments were used for the removal of these tissues. Such crude methods often resulted in post-operative complications, especially in children.

Here are some benefits of Coblation Adenotonsillectomy:

  Less bleeding during the surgical procedure, limiting dangers to the child s health
  Less pain and discomfort post the surgery for the child, which leads to faster recovery
  Decreased risk of haemorrhage post-surgery

Consult an ENT specialist to know more about Coblation Adenotonsillectomy. They will be able to clarify any doubts you have regarding your child s safety during the procedure as well.

Adenoid & Tonsil Problems In Chlidren!

Nasal allergies are very common and as a result, not taken seriously by most people. In most cases you patiently withstand the coughing and sneezing, which might last for an entire day and in the process might inadvertently damage your health by choosing to ignore it for the time being. Here are some of the commonly experienced nasal allergies and what you should do to get relief from them.

1. Runny or stuffy nose: The best option is to just avoid allergy triggers. For example, if pollen is your allergen, then avoid going out during the times pollen count when it is reported to be high. Or, if animals make you sneeze, then make sure to have your hands washed and clothes changed after playing with them. Do not over use decongestant sprays at all. If these symptoms persist for more than half a week, then it's time to seek your doctor's advice.
1. Uncontrollable Sneezing: Again, the best option is to avoid; but in many cases, it becomes difficult for you to avoid the allergen. In those cases, try antihistamine. If that doesn't work, then you can also go for a nasal steroid spray, but again, make sure to not overuse it.
2. Post Nasal Drip: Usually, you unconsciously swallow your mucus. But, if the mucus quantity increases, it becomes thicker and results in post-nasal drip. It isn't much common, but you can practically feel the mucus dripping into your throat from the back of the nose. It can result in a lumpy feeling in the throat and can cause irritation. You can try drinking more fluids and using a nasal spray to reduce the mucus quantity. If that doesn't work, then it's time to seek advice from your doctor.
3. Eyes that itch: Watery eyes that itch are annoying companions of nose allergy and though they might not be a serious hazard for the eyes, you cannot ignore them. Try wearing sunglasses when you go out into a reportedly high-pollen-count weather. It might be a better option to forego contact lenses; they can escalate the entire eye-itching problem. If it becomes too itchy, you can place a cold washcloth over your eyes.

Testing an Allergy
Allergy testing is commonly done by by skin prick test, in order to diagnose the allergens. Once, the allergens are diagnosed, immunotherapy can be started, which will help in improving the symptoms of and in many cases, it provides complete cure.

Allergic Issues of the Nose

Are you experiencing severe hearing loss or turning deaf? To get back your normal hearing, you should undertake a cochlear. It is a small device which is planted in your ear via a surgical procedure. It sends impulses to the auditory nerve directly and as a result, sound signals are carried to your brain. Such an implant does not make you hear like normal again, but it helps you with sounds and knowing sounds around you such as telephones, alarms and doorbells.

How Does Cochlear Implant Work?

Cochlear implant is meant for adults and children who have sensorineural hearing loss. This is a condition which damages the tiny hair cells in the inner ear known as the cochlea. Your hearing gets impaired when these are damaged. A cochlear implant sends signals to the auditory nerve directly by skipping the damaged hair cells.

The device has two distinct parts. One part is the receiver-stimulator which is placed under the skin via surgery. The other part is the speech processor, which is worn around the back of the ear like a hearing aid. The outside device is, however, bigger in size than a hearing aid.

The receiver is placed under the skin, behind the ear through a small incision and it gets connected to electrodes. This is put into the cochlea of the inner ear. The surgery takes about some hours to be completed.

Two weeks after the surgery, the speech processor is fitted by the doctor. You will have to wear a microphone behind your ear. The processor can be connected to the microphone and worn around the ear. It can also be worn at any other place of the body, depending on your age and lifestyle.

Advantages of Cochlear Implant-

The major advantages of a cochlear implant are as follows:

You may be able to hear speech at an almost normal level.

You may understand speech without the help of lip reading.

It will be easy for you to talk on the phone and listen to the television.

Your experience of listening to music will improve.

You will be able to pick up different sounds starting from soft, medium to loud sounds.

You can also control your own voice in a better way, which will make it easier for others to understand you.

A cochlear implant can be a life changing device if you suffer from serious hearing loss. The results are not the same for everyone and vary from person to person. Some people may benefit more than others.

All You Need To Know About Cochlear Implant

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