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Ringing in the ears, a maddening murmur

  1. Ringing in the ears is a plague that afflicts millions of people every day. A short murmur is known to everyone, but what if the noise continues, you can no longer fall asleep and you become afraid of the invisible torment in your ears. Visits to the doctor are often unsuccessful because the message that you just have to live with it is usually ready for you.

What is ringing in the ears?

  1. Under ringing in the ears aka tinnitus

Subdivision subjective and objective tinnitus

  1. Subjective tinnitus

Which tests are possible for ringing in the ears?

  1. Inspection of the ears with the microscope. In particular, this reveals problems in the outer ear and clarifies the state of the eardrum. Fluid can also be seen behind the eardrum. Hearing test. This test indicates to what extent someone has hearing loss and at what frequencies. A so-called speech / tone examination is also performed, in which the patient has to repeat which words he hears. Tuning fork test. This test indicates whether there is a hearing conduction problem or an inner ear problem and indicates the direction in which the ENT specialist should look. Brainstem research. This test measures the electrical voltages that arise in the brain when sound is presented. Tympanogram. This test measures the resistance of the eardrum and the pressure in the ear. Imaging research, viz. X-ray, CT scan and MRI scan. Blood pressure measurement. Balance testing and neurological examination. This if there are also complaints of dizziness or if the cause may be outside the ear.

Pulsatile tinnitus

  1. Vascular problems can cause ringing in the ears. This is called pulsatile tinnitus and is a form of objective tinnitus. The characteristic of this is that you have your own heartbeat in your ear

Jaw or neck tinnitus

  1. Ringing in the ears due to a neck injury is the most common type of somatic tinnitus

Reactive tinnitus

  1. Many people get tinnitus from a sound trauma, so it is not surprising to realize that an existing ringing in the ears is made worse by a renewed sound trauma. Reactive tinnitus is thus a form of ringing in the ears that worsens after exposure to loud noise or sound of certain frequencies. Types of ringing in the ears caused by overstimulated nerve bundles near the ear are particularly sensitive to this. In addition to reactive tinnitus, patients often also experience hyperacusis. An external sound causes a shock in the ear as if it hits a nerve, after which ringing in the ears becomes more prominent. Exposure to very loud noise, for example that of an MRI examination, can therefore also cause tinnitus, or make existing noise unbearable. Ringing in the ears, also called 'spikes'

Hallucinations of the hearing

  1. Tinnitus usually consists of one or more simple sounds but there is also a form called 'musical tinnitus'

Dubious treatments for ringing in the ears

  1. Zinc Ginkgo Biloba Q10 Magnesium Citrate Biofeedback Therapy Hypnosis Tinnitus masks (White noise, pink noise, filtered noise) TRT (Tinnitus Retraining Therapy) Neuromonics Tinnitus Treatment Acupuncture Vitamin combinations Cognitive behavioral therapy

What is TRT?

  1. Tinnitus Retraining Therapy

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