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

Nosebleeds can be frightening and dramatic. Luckily, most cases of nosebleeds can be dealt with fair ease. Nosebleeds can be classified into two types depending upon the origin of the nose bleed, namely anterior and posterior.

Anterior bleed is the most common, and the bleeding is from a blood vessel which is present in the front part of the nose. These bleeds can be easily controlled by simple measures taken by doctors or at home.
Posterior nose bleeds are usually indicative of something more complicated and occur mostly in adults or elderly. The bleed can be caused by a rupture in arteries in the posterior part of the nose. These nosebleeds can get severe and may require admission to a hospital for treatment and management. They are the most common in kids in the range of 2 to 10 years and adults older than 50 years.
What can cause nosebleeds?

The most common cause of a nosebleed is probably trauma or an injury to the nose. External trauma includes a sharp blow to the nose, whereas internal injury comprises of injury from picking your nose continuously or irritation from cold.
Less frequently, an underlying condition can also result in nosebleeds. These conditions include diseases that make clotting difficult. The inability of blood to properly coagulate and clot can be contributed by blood-thinning agents like aspirin and warfarin. 
Disease in the liver can also cause problems in the clotting of blood. Rarely, cancer in the nose or abnormal blood vessels present in the nose can contribute to bleeding. Another cause of nosebleeds can be high blood pressure, but it is rarely the only reason.
What are the symptoms of nosebleeds?

Nosebleeds usually occur from one nostril. Sometimes, if the bleeding is excessive, the nostril can get filled with blood and it can cross the nasopharynx and overflow into the other nostril and result in bleeding from both nostrils. The blood can also go into the throat and one may spit out blood from the mouth or vomit out blood (hematemesis).
Excessive blood loss can cause dizziness, confusion, lightheadedness, and can also cause fainting. Excessive blood loss from nosebleeds is not very common.
Although, nosebleeds are rarely a complication, it is advised to consult a doctor if the occurrences are too frequent.

Nose Bleeding - Things That Can Cause It!

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?

Vertigo is marked by a feeling of dizziness and disorientation. This feeling could be so bad that even standing up makes a person feel lightheaded. Vertigo can even make a person feel nauseous. 

The five most common causes of vertigo are:

Meniere s disease: Meniere s disease is a condition that affects the inner ear. It is marked by a buildup of fluid in the inner ear as a result of a viral infection, allergies or an injury to the ear. Along with dizziness, it can also cause a ringing noise in the ears, the feeling of having plugged ears and hearing loss. Vertigo caused by Meniere s disease can last for months.
Benign Paroxysmal Positional Vertigo (BPPV): This is one of the most common triggers of vertigo. This condition is caused by small crystals that break free and float in the inner ear canals. These canals are known as semicircular canals. Vertigo caused by BPPV is usually short-lived and relieves itself is a few minutes. Moving the head in a certain way or jerky movements can trigger vertigo in such cases. The exact cause of this condition is not clear but it has been often associated with severe head trauma.
Labyrinthitis: This condition is also known as vestibular neuritis. It is marked by swelling and irritation of the two vestibular nerves in the inner ear canal. Labyrinthitis may be caused by a viral infection or an inner ear infection. In such cases, vertigo may be accompanied by hearing loss. Older adults are at the highest risk of this condition.
Vitamin B12 Deficiency: A simple vitamin deficiency can also cause vertigo and dizziness. Vitamin B12 helps prevent anaemia and keeps nerves and blood cells healthy. Low levels of this vitamin can cause neurological problems that in turn cause vertigo. This is because vitamin deficiencies reduce blood pressure and blood flow to the brain. A simple blood test can help check Vitamin B1 levels and identify a deficiency. Some of the best sources of vitamin B12 are dairy products, meats and fortified cereals.
Dehydration: 60% of the human body mass is water. Water plays a number of roles in the human body. One of the most important functions of water is the circulation of nutrients in the body and blood flow. Thus, even mild dehydration can make a person feel dizzy and nauseous. This type of vertigo may be relieved by drinking copious amounts of fluids. 

Vertigo - 5 Most Common Problems That Can Lead To 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?

The common reason why most of us get throat infections is because they are viral in nature. This means that if one person gets a throat infection then he transmits it to others by touching, coughing and sneezing etc.
Viral throat infections can be managed easily. There are several home remedies that can alleviate your viral infection. However, it is suggested to consult an ENT specialist if the home remedy is not providing any relief to you.

Gargling: It is one of the most popular methods of treating viral throat infection. All you need to do is mix one tablespoon of salt in 200 ml of water and warm the solution. When the water becomes lukewarm, take a small portion of it and rinse your throat with the solution. Take care that the solution remains within your throat and does not reach your stomach. Rinse your throat for 5 minutes and repeat the procedure after a rest of 2 minutes. Ensure that the water remains lukewarm for effectiveness.
Inhalation: Another common method of ridding yourself of viral throat infections is to inhale steam. Boil some water mixed with eucalyptus oil. When the water starts developing bubbles, take your face near it, cover it and the pot containing water with a dry towel and inhale the steam. This procedure is inconvenient for many people because inhalation results in sweating, but the result is perceptible. You must inhale steam for at least five minutes. Once you are done with inhalation, avoid taking cool fluids like cold water etc., else the effect would be reversed and your infection might get more severe.
Take lots of fluids: Strange as it may sound, viral throat infection can also be treated by taking lots of hot fluids. The warm temperature helps in neutralising the viruses, while the fluids prevent the dehydration of the body. Take hot tea, coffee etc. when you have an infected throat.
Drink hot milk and turmeric: Many mothers administer this solution to their kids to treat throat infections caused by viruses. This concoction is best taken before sleeping in the night. Turmeric has been found to carry several anti-microbial properties.
Avoid smoking: If you are a smoker, you must avoid smoking to alleviate your viral throat infection.
Use decongestants and nasal sprays: These substances make breathing easier by contracting the swollen mucous membranes. Nasal sprays also help relieve runny noses and post-nasal drips, which are so irritating and inconvenient to many. However, avoid administering this remedy to small children. Since these sprays contain synthetic drugs, it is advisable to stick to prescribed dosages for different age groups. Please also consult your ENT doctor before administering the nasal sprays to yourself or anybody else.

Viral Throat Infection - 6 Ways They Can Be Managed!

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