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Tinnitus: Understanding the ringing in your ears

If you’ve ever heard a ringing, buzzing, or humming sound in your ears that no one else could hear, you’re not alone. That sensation is called tinnitus — and it affects millions of people. 

Tinnitus is not a disease itself, but a symptom of an underlying issue involving the auditory system, which includes the ears and the parts of the brain that process sound. 

What is tinnitus?

Tinnitus is the perception of sound without an external source. Many people describe it as ringing, though it can also sound like buzzing, hissing, clicking, roaring, or even a whooshing noise. The sound may be constant or intermittent, soft or loud, and may affect one or both ears.

According to the American Tinnitus Association, more than 50 million Americans experience tinnitus, and about 25 million live with chronic symptoms.

What causes it?

The most common cause of tinnitus is hearing loss, particularly age-related changes or damage from loud noise exposure. Years of listening to loud music, working around machinery, or exposure to sudden, explosive sounds can injure delicate structures in the inner ear.

Other causes can include earwax blockage, ear or sinus infections, certain medications, head or neck injuries, and disorders that affect blood flow near the ear. In some cases, tinnitus is rhythmic and follows the heartbeat — a form known as pulsatile tinnitus — which may signal a vascular issue and should be evaluated by a medical professional.

When to seek care

Temporary ringing after a loud event often fades within hours. However, you should seek medical attention if tinnitus lasts more than a week, begins suddenly, or is accompanied by hearing loss, dizziness, or balance problems. A medical evaluation typically includes a hearing test and may involve additional imaging to identify underlying causes.

Treatment and management

There is no universal cure for tinnitus, but many people find relief through treatment. Hearing aids can be especially helpful when hearing loss is present. Sound therapy, white-noise devices, and cognitive-behavioral therapy can also reduce how noticeable or bothersome the sound feels.

The American Academy of Otolaryngology–Head and Neck Surgery emphasizes the importance of protecting your hearing by limiting exposure to loud noise and using ear protection when needed. Managing stress, improving sleep, and maintaining overall cardiovascular health may also help lessen symptoms.

Living with tinnitus

For some, tinnitus is a minor inconvenience. For others, it can interfere with concentration, sleep, and emotional well-being. The good news is that most people learn effective strategies to manage it over time.

If persistent ringing or buzzing is affecting your quality of life, talk with your healthcare provider. Early evaluation can help identify the cause and guide you toward treatment options that bring meaningful relief.

Get expert care at Northside ENT Specialists. Visit northsideentspecialists.com or call 770-740-1860.

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Dr. Ronald Alvarez

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Dr. Ronald Alvarez is a board-certified physician in otolaryngology and sleep medicine at Northside ENT Specialists. He treats both adult and pediatric patients for a wide variety of disorders of the head and neck, including medical and surgical treatment of sinus and nasal conditions, allergy testing and immunotherapy.

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