Managing Tinnitus During Pregnancy: Concerns and Solutions

Hello, doctor. I've been experiencing tinnitus these past few days and would like to inquire about it?

I am almost 20 weeks pregnant.
Last week, I suddenly experienced tinnitus upon waking up, but it resolved after about 5 to 7 hours.
Now, I notice that when I lie on my pillow while sleeping, I feel a sensation of vascular blockage.
If I don't change positions, I wake up with tinnitus, which feels similar to the pressure experienced in high-altitude areas, accompanied by a buzzing sound.
The ENT specialist, due to my pregnancy, is hesitant to prescribe medication but mentioned it could be related to vascular blockage.

Doctor, I have a few questions:
1.
Is there a way to improve this tinnitus during pregnancy? Otherwise, I have to keep changing my sleeping position, and it feels quite uncomfortable.
2.
If I take medication, will it affect my pregnancy or the baby? Will a major hospital's ENT department require me to undergo an EEG?
3.
My blood pressure during pregnancy has been around 130-140.
Could this be the cause? Thank you.

Ms. Chen, 20~29 year old female. Ask Date: 2016/03/20

Dr. Zheng Jueyi reply Otolaryngology

Hello! During pregnancy, hormonal changes and weight fluctuations may temporarily affect the function of the Eustachian tube, leading to tinnitus.
If you are concerned, it is advisable to visit a hospital for an examination.
If no abnormalities are found, it is recommended to continue monitoring the situation.
Wishing you health and happiness! Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/20

More Info

Managing tinnitus during pregnancy can be a challenging experience, especially when accompanied by concerns about the health of both the mother and the developing fetus. Tinnitus, characterized by a ringing or buzzing in the ears, can arise from various factors, including changes in blood circulation, hormonal fluctuations, and stress, all of which can be exacerbated during pregnancy.

1. Can Tinnitus Improve During Pregnancy?
Tinnitus can fluctuate in intensity and may improve as pregnancy progresses. Hormonal changes, particularly increased levels of progesterone and estrogen, can affect blood flow and fluid retention, potentially influencing tinnitus symptoms. Additionally, as the body adapts to pregnancy, some women report a reduction in tinnitus severity. However, if the tinnitus is linked to positional changes, such as lying on one side, it may be beneficial to experiment with different sleeping positions or use supportive pillows to alleviate pressure on the neck and head.
If the tinnitus persists or worsens, it is advisable to consult with an ear, nose, and throat (ENT) specialist. They can provide a thorough evaluation and suggest non-invasive management strategies. Techniques such as sound therapy, relaxation exercises, and cognitive behavioral therapy may also help manage the perception of tinnitus.

2. Medication Concerns During Pregnancy
When it comes to medication, it is crucial to approach this with caution during pregnancy. Many medications can cross the placental barrier, potentially affecting fetal development. Therefore, it is essential to discuss any medication options with your healthcare provider.
For tinnitus, common medications like certain antihistamines or anti-anxiety medications may be considered, but their safety during pregnancy varies. Always consult your obstetrician or a maternal-fetal medicine specialist before taking any medication. They can provide guidance on the risks and benefits based on your specific situation.

3. Blood Pressure and Tinnitus
Regarding your blood pressure readings of 130-140 mmHg, it is important to monitor these closely during pregnancy. Elevated blood pressure can contribute to various complications, including preeclampsia, which can affect both the mother and the fetus. High blood pressure may also influence tinnitus, as it can affect blood flow to the inner ear.
If you are experiencing consistently high blood pressure, it is crucial to discuss this with your healthcare provider. They may recommend lifestyle modifications, such as dietary changes, increased physical activity, and stress management techniques, to help control your blood pressure. Regular prenatal check-ups will also help monitor your blood pressure and overall health throughout your pregnancy.

Conclusion
In summary, managing tinnitus during pregnancy involves a multifaceted approach. While symptoms may improve as your body adjusts to pregnancy, it is essential to remain vigilant about any changes and seek medical advice when necessary. Avoiding self-medication and discussing any concerns with your healthcare provider will ensure the best outcomes for both you and your baby. Additionally, maintaining a healthy lifestyle and managing stress can contribute positively to your overall well-being during this critical time. If your symptoms persist or worsen, do not hesitate to seek further evaluation from a specialist.

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