What Is Tinnitus and What Can You Do About It?

12/12/2019 | Patient Resources, Tinnitus

Buzzing, whistling, ringing, or hissing are common descriptions my patients use to describe the symptoms most often associated with tinnitus. I see a broad range of instances of tinnitus in intermittent, constant, and fluctuant forms from mild to severe, and from low roaring to high-pitched tones. Though it presents in different ways and circumstances from one patient to another, through closer examination, I can help improve your awareness and understanding of what it is as well as provide some advice on what you can do about it.

What is Tinnitus?

The best way to describe tinnitus is to relate it to a desert mirage. With a mirage, you are visually convinced that you see an oasis in the distance when in reality there is only a vast sea of sand. With tinnitus, you are audibly convinced that you hear a sound, which really isn’t there.


Prolonged, frequent exposure to loud noises (miners, musicians, construction workers, etc.) is the most common cause of tinnitus. However, this is not the only cause. Additional causes of tinnitus can include:

  • stress
  • head trauma
  • drug abuse
  • compacted earwax
  • neurologic diseases

Tinnitus may or may not include additional symptoms such as hearing loss, vertigo, or increased pressure in the ear.

Two Types of Tinnitus

Tinnitus comes in two different types – Subjective Tinnitus (most common), which only the patient can hear, and Objective Tinnitus (very rare), which is also heard by a doctor during an examination. The former often relates to issues along the auditory pathway (outer, middle, or inner ear) or to sound or sound signal interpretation errors in the auditory nerves. The latter appears in connection with blood vessel issues, problems with the middle ear bones, or various types of muscle contractions. Objective tinnitus is more severe and requires longer and more extensive treatment.

What Can You Do About It?

The vast majority of tinnitus cases improve over time with little more than some helpful advice from your audiologist. It is rarely a sign of a more serious condition, requiring extensive medical treatment. For patients who find tinnitus extremely bothersome, I provide them with several options to consider, including:

  • Tinnitus Masking. Masking involves the use of a fan, radio, or environmental sounds to cover up ringing, buzzing, hissing, etc. so you can relax, especially at bedtime. It can also involve a tinnitus masker, a small electronic instrument built into a hearing aid case to generate a noise other than the one in the head of the patient.
  • Biofeedback Training. Relaxation techniques through training the patient to control various parts of the body and relax tense muscles often reduce or entirely eliminate tinnitus symptoms.
  • Lifestyle Changes. Patients whose tinnitus comes from extreme stress or anxiety often require time away from strenuous activity or better coping techniques like biofeedback training. In addition, consuming coffee, smoking cigarettes, and other nerve stimulants can greatly aggravate tinnitus, so I often recommend their reduction or elimination as a viable solution.
  • Medications. Various types of medications can suppress tinnitus to varying degrees in some, but not all, patients, but their use does not represent a cure. Some medications, on the other hand, actually contribute to tinnitus, making it necessary to discuss tinnitus symptoms with your doctor in association with medications you are taking.

The good news is that tinnitus is not likely to cause you to lose your hearing completely. In fact, at least half of tinnitus patients find that symptoms decrease over time without treatment of any type. Patients in La Grande who have tried the solutions I provided above and still find no relief for their symptoms or need additional coping assistance can count on my knowledgeable staff at Audiology and Hearing Aids Associates and me for high-level hearing health care.

Contact me to learn more about the various solutions for treating tinnitus available from Audiology and Hearing Aids Associates.


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Erika Shakespeare CCC-A

Erika Shakespeare, CCC-A, specializes in pediatric and adult diagnostics and amplification. Working with adults to help manage tinnitus and hearing loss since 2002, she is an expert in both of these areas. Additionally, she is a pediatric audiology mentor and educator for pediatric audiologists across the country and is one of the most respected experts on pediatric audiology.

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