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 occurring more frequently and unpredictably.
Sometimes it happens 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 of tinnitus are benign.
It is recommended to monitor the situation, but if you have concerns, you may visit a hospital for an examination.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan 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 can manifest in various ways, including the perception of sound when no external sound is present. It can be experienced as ringing, buzzing, hissing, or even clicking sounds. Your experience of having occasional tinnitus episodes that have recently increased in frequency is not uncommon, and many individuals report similar experiences.

The normalcy of experiencing tinnitus can vary greatly from person to person. In many cases, tinnitus can be a benign condition, often associated with exposure to loud noises, earwax buildup, age-related hearing loss, or even stress. However, the fact that you are experiencing these episodes more frequently than before may warrant further investigation, especially if it is causing you concern or affecting your quality of life.

Several factors can contribute to the onset or worsening of tinnitus. For instance, exposure to loud sounds can damage the hair cells in the inner ear, leading to tinnitus. Additionally, certain medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics, and even some antidepressants, can have tinnitus as a side effect. Stress and anxiety can also exacerbate the perception of tinnitus, making it seem more pronounced.

In your case, since you mentioned that your overall health is good and you have only mild cholesterol issues, it is less likely that a serious underlying condition is causing your tinnitus. However, it is essential to consider other factors that could be contributing to your symptoms. For example, if you have been under increased stress or have experienced changes in your environment, these could be influencing your tinnitus episodes.

It is also worth noting that tinnitus can sometimes be associated with other health conditions, such as ear infections, Meniere's disease, or temporomandibular joint (TMJ) disorders. If you notice any additional symptoms, such as hearing loss, dizziness, or a feeling of fullness in the ear, it would be advisable to consult with a healthcare professional.

In terms of management, there are several strategies that may help alleviate the perception of tinnitus. These include sound therapy, which involves using background noise to mask the tinnitus, cognitive behavioral therapy (CBT) to address the emotional response to tinnitus, and relaxation techniques to reduce stress. Additionally, avoiding caffeine and nicotine, which can exacerbate tinnitus, may be beneficial.

If your tinnitus continues to increase in frequency or severity, or if it begins to interfere with your daily activities, I would recommend seeking an evaluation from an ear, nose, and throat (ENT) specialist or an audiologist. They can conduct a thorough assessment, including hearing tests, to determine the underlying cause of your tinnitus and recommend appropriate treatment options.

In summary, while experiencing tinnitus is common and can be considered normal in many cases, an increase in frequency should be monitored. It is essential to pay attention to any accompanying symptoms and consult with a healthcare professional if you have concerns. Managing stress, avoiding loud noises, and considering sound therapy may help in coping with tinnitus.

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