Tinnitus: Is It Normal to Experience Frequent Episodes? - Otolaryngology

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Tinnitus distress?


Hello, doctor.
I used to experience occasional tinnitus, but in recent months, it has been happening more frequently and unpredictably.
Sometimes it occurs twice a day, but each episode doesn't last long and stops suddenly.
My overall health is good, with only mild cholesterol issues.
Is this a normal phenomenon? Thank you for taking the time to respond.

Xiao Wei, 50~59 year old female. Ask Date: 2016/05/06

Dr. Zheng Jueyi reply Otolaryngology


Hello, most cases are normal tinnitus.
It is recommended to maintain a regular schedule and ensure good sleep.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/06

More Info


Tinnitus, commonly referred to as "ringing in the ears," is a condition that affects many individuals and can manifest in various ways. It is characterized by the perception of sound when no external sound is present, and it can take the form of ringing, buzzing, hissing, or other noises. Your experience of having occasional episodes of tinnitus that have become more frequent over the past few months is not uncommon, and it raises several important considerations regarding its nature and potential underlying causes.

Firstly, it is essential to understand that tinnitus can be a symptom rather than a standalone condition. It can arise from various factors, including exposure to loud noises, ear infections, age-related hearing loss, certain medications, and even underlying health conditions such as high blood pressure or cholesterol issues. Given that you mentioned having slightly elevated cholesterol levels, it is worth noting that cardiovascular health can influence tinnitus. Poor circulation or changes in blood flow can exacerbate the perception of tinnitus.

The frequency of your episodes—occurring up to twice a day but not lasting long—suggests that it may not be a severe issue, especially if it resolves quickly. However, the increasing frequency of these episodes is something to monitor. While occasional tinnitus can be normal, persistent or worsening symptoms should prompt further evaluation. It is advisable to consult with a healthcare professional, such as an audiologist or an ear, nose, and throat (ENT) specialist, who can conduct a thorough assessment. They may perform hearing tests and evaluate your medical history to determine if there are any underlying conditions contributing to your tinnitus.

In terms of management, there are several strategies that can help alleviate the perception of tinnitus. These include sound therapy, which involves using background noise or white noise to mask the tinnitus, and cognitive behavioral therapy (CBT), which can help individuals cope with the emotional aspects of living with tinnitus. Additionally, lifestyle modifications such as reducing caffeine and alcohol intake, managing stress, and avoiding loud environments can be beneficial.

It is also important to consider any medications you may be taking, as some drugs can have tinnitus as a side effect. If you are on any new medications or have recently changed your dosage, it would be prudent to discuss this with your healthcare provider.

In summary, while experiencing frequent episodes of tinnitus can be concerning, it is not necessarily indicative of a serious problem, especially if the episodes are brief and resolve on their own. However, given the increase in frequency, it is advisable to seek medical advice to rule out any underlying issues and to explore potential management strategies. Your overall health, including cholesterol levels, should also be monitored, as they can play a role in your auditory health.

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