Do you sometimes feel like you hear a sound inside your head or in your ears that no one else can hear? It could be a 'ringing' sound, a 'whooshing' sound, a sound like wind, or a sound that sounds like your heartbeat. Sometimes this sound is so faint that you can't even hear it. But for some people, this sound is so loud that they can't even hear the sounds around them. So if this is something that only you hear, then today we are talking about this condition that you are facing, which is tinnitus .
What exactly is tinnitus?
Simply put, tinnitus is not a disease. It is a symptom. Just as a cough is a symptom of a respiratory problem, tinnitus is a symptom of a problem with our ears or the nervous system related to hearing. This sound is something that only you can hear. For some people, when it becomes unbearable, it becomes difficult to concentrate on their work or sleep. Over time, this can lead to anxiety, frustration, and even depression .
Research has found that about 15% of the world's population suffers from this condition. Although it can develop at any age, it is most common in people between the ages of 40 and 80.
What are the main causes of tinnitus?
Experts still aren't sure exactly why some people experience this type of ringing in their ears and others don't. But it's clear that it's linked to certain health conditions. Let's take a look at what those causes are.
| Reason | A simple explanation |
|---|---|
| Hearing loss with aging | As we age, our hearing naturally decreases. The brain receives less sound stimulation. But the auditory nerve tries to function in the same way as before. This can cause us to hear sounds that are not really there. |
| Exposure to excessive noise (Noise-induced hearing loss) | This condition can occur in people who work in places with high noise levels for a long time (e.g. factories, garment factories) or are suddenly exposed to a loud noise (e.g. a bomb explosion, gunshots). Hearing loss can occur. |
| Dangers to the ear | An injury to the head or ear can damage the nerves or parts of the brain involved in hearing. When this happens, sound is usually heard in only one ear. |
| Other ear problems | Things like earwax and ear infections can temporarily reduce hearing and cause this type of noise. |
| Some medications | Some medications, such as antibiotics, antidepressants, anticancer drugs, and painkillers (NSAIDs) , can cause tinnitus as a side effect. |
| Relatively less common causes | |
| |
Most importantly, things like stress and sleep deprivation can make tinnitus worse. It's a very annoying cycle. The noise keeps you awake, and the lack of sleep makes the noise worse.
How is this treated?
Tinnitus is treated by finding the cause. When you see a doctor, he or she will first do a physical exam to check for any visible problems with your ears. He or she will also ask about your medical history and whether you have been exposed to loud noises recently. You may also be referred to an ear, nose, and throat (ENT) surgeon.
Because tinnitus is a symptom of another condition, treating the underlying condition can sometimes completely cure or control the tinnitus condition. This requires an accurate diagnosis. This may include tests such as:
- Hearing tests: Various tests are performed to see how good your hearing is.
- Blood tests: Check for heart disease or other health conditions.
- Radiological tests: MRI (Magnetic Resonance Imaging) or CT (Computed Tomography) scans if necessary.
You may also want to see a dentist to determine if this condition is caused by a problem with your temporomandibular joint (TMJ).
What are the best ways to live with tinnitus?
For many people, sound therapy can help reduce this annoying noise. An audiologist may recommend things like:
- Using a noise machine: When you listen to 'white noise', which is a rhythmic sound, or natural sounds (such as raindrops or a waterfall), your brain's attention is diverted from the noise you hear. There are machines specifically designed for this. However, the sound of a fan or some humidifiers can also help. You can also download apps like this for your phone.
- In-ear noise generators: These are like earbuds. They emit a gentle 'white noise' throughout the day. This can help you forget about the ringing in your ears. However, it is not a good idea to sleep with these on.
unbehandelt gelassene Tinnitus-Komplikationen
If tinnitus is left untreated, it can lead to further problems.
- Anxiety
- Depression
- Quick to anger
- Difficulty concentrating
- Communication problems
When should I see a doctor about this?
If you have any of the following symptoms, be sure to seek medical advice.
- If the ringing in the ears continues for more than a week .
- If you feel like you have decreased hearing.
- If you have dizziness or vertigo .
- If you can hear the rhythm of your heart beating in your ears.
Remember, especially if you experience sudden hearing loss along with tinnitus, see a doctor immediately. If possible, go to the Emergency Department (ETU) of the nearest hospital. It is very important to treat such conditions within the first three days.
Can tinnitus be prevented?
Because tinnitus is a symptom of another condition, it can't always be prevented. But you can reduce your risk by taking steps to protect your hearing.
- Wear earplugs if you work in noisy places, such as construction sites or factories.
- Reduce exposure to loud noise at places like music concerts and movie theaters.
- Keep the volume low when using headphones or earbuds . This is very important these days.
- Even when doing household chores (e.g., using a grinder or drill), take care of your ears.
Take-Home Message
- Tinnitus is not a disease, it is a symptom of another health problem.
- If you are constantly hearing a ringing in your ears, it is very important to see a doctor and find out the cause without ignoring it.
- This condition can be managed by treating the underlying cause and using methods such as sound therapy.
- Protecting your ears from loud noises helps reduce the risk of tinnitus.
- Be aware of things like complete silence, excessive stress, and lack of sleep, as these can worsen symptoms.


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