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?

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

When there are vibrations in the top airways of the respiratory system because of obstruction to the air movement during the time of sleep, it leads to the sound of snoring. When a child gently squeaks or snores at night, it could be a warning sign of an underlying sleep disorder. 

Common Reasons for Snoring in Children 

  Infection in the Respiratory System- If the child suffers from a stuffy nose or from chronic allergies or cold then there is a chance that the snoring is brought on about by a blockage to the sinuses. The blockage to the nasal canal makes it difficult for the child to breathe normally and instead has to breathe through the mouth leading to the sound of snoring. 

  Inflamed Tonsils- Enlarged adenoids, as well as tonsils, are the primary reasons for snoring in children. It is also a strong indicator of sleep apnea. The inflamed glands block the airways and the child finds it difficult to breathe during the night. 

  Diverged Septum- When the airway of the nostrils is offset, it leads to the condition of a diverged or deviated septum. This again makes breathing through the nose quite a difficult job. This is because the passage is smaller as compared to others, lowering the quantity of airflow. 

  Obstructive Sleep Apnea- Obstructive sleep apnea is a severe condition where the airflow becomes obstructed completely via the respiratory system. This makes breathing difficult through the nose and can lead to other associated health issues. 

Symptoms of Various Snoring Problems in Children 

Each of the disorders stated above is characterized by a number of symptoms that lead to the problem of snoring in children. These may include-

  The child continues to snore almost regularly 

  The breathing is brought to a halt by snorts, gasps or pauses that extend longer than ten seconds 

  The child suffers from restless sleep or tends to sleep in awkward positions especially with the head tipped backwards. Remedies After observing your child s symptoms there are a few remedies you can try on the recommendation of your paediatrician. 

  Give the child some medications for allergy or congestion 

  You can put your child s head up with the help of a pillow. 

This can clear up the blocked nasal passage and bring the child some relief. Aside from these, your paediatrician might feel that you take your child and go see either an ENT specialist or a sleep specialist to figure out if the child suffers from obstructive sleep apnea. 

Snoring Problem In Children - What Causes It?

Tonsillitis is a disorder of the tonsils present on the back of your throat. The tonsils acts as a defensive mechanism in the body as they prevent the body from infections. This is a contagious condition and can occur at any age. It is widely prevalent among school going kids.

Tonsillitis may be classified into two types:
1. Chronic tonsillitis: this type of tonsillitis tends to last for an extended duration with symptoms of bad breath and tenderness in the lymph nodes.
2. Recurrent tonsillitis: this is a form of acute tonsillitis which repeats itself over a year.

Causes
Tonsils prevent various virus and bacteria from entering the body through the mouth by producing antibodies. The tonsils, however, may become vulnerable to these infections. A virus that causes common cold or the bacteria that causes strep throat may result in tonsillitis. The most common cause of this disorder is the strep bacteria. School going children are especially vulnerable to this disorder because they are most prone to various infections.

The various viruses that may cause tonsillitis are:
1. Enterovirus
2. Herpes simplex virus
3. Epstein-barr virus
4. Influenza virus
5. Adenovirus
6. Parainfluenza virus

Common symptoms
The various symptoms of tonsillitis are
1. Swallowing difficulties
2. A sore throat
3. The sore throat may result in bad breath
4. You may experience fever and chills
5. Pain in the head, ear and stomach
6. You may experience stiffness in the neck and the jaw
7. Swollen tonsils with possible redness
8. Changes in voice
9. Symptoms of cold

Treatment
The treatment for tonsillitis is usually antibiotics and in some cases, tonsillectomy. The antibiotics help in getting rid of the bacterial infection. Surgery is only done in cases where tonsillitis is chronic in nature. It is important that you drink fluids and restrict smoking to prevent tonsillitis.

Causes and Symptoms of Tonsillitis

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

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