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Most people who seek medical help for tinnitus experience it as a subjective and constant sound,
like constant ringing in the ears or ringing in the ears,
and most have some degree of hearing loss.
Things that cause hearing loss (and tinnitus) include loud noise,
medicines that damage the ear nerves (ototoxic drugs), affected wax, middle ear problems (such as infections and vascular tumors) and aging.
Tinnitus can also be a symptom of Meniere's disease, a disorder of the inner ear balance mechanism.
Tinnitus can occur anywhere along the auditory pathway, from the outer ear to the middle and inner ear to the auditory cortex of the brain,
where it is thought to be coded (in a sense, printed).
One of the most common causes of tinnitus is damage to cochlear hair cells.
These cells help turn sound waves into nerve signals.
If the auditory pathways or circuits in the brain do not receive the signals they expect from the cochlea, the brain effectively "increases the gain" in those cochlea
in an effort to detect the signal - just as you turn up the volume on your car radio when trying to find a station's signal.
The resulting electrical noise takes the form of tinnitus - a high pitched sound if hearing loss is in the high frequency range and high pitch if it is in the low frequency range.
This type of tinnitus resembles the pain of a phantom limb in an amputee - the brain is producing abnormal nerve signals to compensate for the lack of information.
Most tinnitus is "sensorineural," meaning that it is due to hearing loss in the cochlea or cochlear nerve level.
But tinnitus may originate elsewhere.
Our bodies usually make sounds (called somatic sounds) that we often do not understand because we are hearing outside sounds.
Anything that blocks normal hearing can bring somatic sounds to our attention.
For example, you may receive noise in the head when ear wax blocks the outer ear.
Some Medications That Can Cause Or Make Tinnitus Worse
Aspirin and other non-steroidal anti-inflammatory drugs,
including ibuprofen (Motrin) and naproxen (Aleve, Naprosyn)
Certain antibiotics, including ciprofloxacin (Cipro),
Antimalarial drugs such as chloroquine and quinine
Certain anticonvulsants,
Certain cancer drugs,
Loop diuretics (when administered intravenously in high doses),
Tricyclic antidepressants such as amitriptyline (Elavil),
If you develop tinnitus, it is important to consult your doctor.
He or she will have a medical history, a physical exam, and a series of tests to find the source of the problem.
He or she will also ask you to describe the noise you are hearing
(including your sound and tone quality, and whether it's constant or periodic, constant or pulsating) and the times and places you listen to it.
Your doctor will review your medical history, your current and past noise exposure, and any medications or supplements you are taking.
Tinnitus can be a side effect of many medications, especially when taken at higher doses.
Musculoskeletal factors - jaw clenching, teeth grinding, anterior injury, or neck muscle tension
sometimes make tinnitus more noticeable;
therefore, your doctor may ask you to contract your muscles or move your jaw or neck in certain ways to see if the sound changes.
If tense muscles are part of the problem, massage therapy can help alleviate it.
Continuous, constant, high-pitched tinnitus (the most common type) usually indicates a hearing system problem and requires hearing tests conducted by an audiologist.
Pulsating tinnitus requires medical evaluation, especially if the noise is frequent or constant.
An MRI or CT scan may be required to check for an abnormality in the tumor or blood vessels.
Your overall health can affect the severity and impact of tinnitus, so this is also a good time to take stock of your diet, physical activity, sleep, and stress level.
and take steps to improve them.
You can also reduce the impact of tinnitus by treating depression, anxiety, insomnia, and pain with medications or psychotherapy.
If you often get exposed to loud noises at work or at home,
it is important to reduce the risk of hearing loss (or additional hearing loss) by wearing earplugs such as earplugs,
muffler-like devices or custom accessories.
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tratamento para curar insônia How to End Ear Tinnitus | |
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