Tinnitus

Tinnitus is the perception of sound — ringing, buzzing, hissing, or clicking — when no external source is present. It is very common and usually not dangerous, but can significantly affect quality of life.

Quick Facts

  • ICD-10: H93.1
  • Affected: About 10–15% of adults
  • Often associated with: Hearing loss

Causes

  • Age-related or noise-induced hearing loss (most common)
  • Earwax blockage
  • Middle ear conditions
  • Meniere's disease
  • Acoustic neuroma
  • TMJ disorders
  • Medications (high-dose aspirin, some antibiotics, NSAIDs, chemo agents)
  • Cardiovascular conditions (pulsatile tinnitus)
  • Head or neck trauma
  • Stress and anxiety (worsen perception)

Diagnosis

  • Audiogram
  • Examination of the ears
  • MRI for asymmetric or pulsatile tinnitus

Management

  • Treat underlying cause (earwax, infection, hearing loss)
  • Hearing aids if hearing loss is present
  • Sound therapy / masking
  • Cognitive behavioral therapy (CBT) for distress
  • Tinnitus retraining therapy
  • Mindfulness, sleep hygiene, stress management

There is no medication that reliably eliminates tinnitus.

When to See a Doctor

See a doctor for:

  • Tinnitus only in one ear
  • Pulsatile tinnitus (matches your heartbeat)
  • Sudden onset or with hearing loss
  • Significant distress, sleep, or concentration impact
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Tinnitus Association. Tinnitus Resources.