Tinnitus: Is Your Right Ear Ringing Normal? - Otolaryngology

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Tinnitus in the right ear?


Hello, for the past three to four days, I have been experiencing sudden tinnitus in my right ear, occurring about three to four times a day, but it lasts only four to five seconds each time.
Is this considered normal? Should I get it checked, or should I just observe it for now? Thank you.

Leo, 30~39 year old female. Ask Date: 2017/11/29

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there are no obvious hearing abnormalities or if they improve quickly, you may observe the situation first.
However, if the tinnitus persists, it is advisable to seek medical examination.
Wishing you peace and health.
Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare, Zheng Jue-Yi.

Reply Date: 2017/11/29

More Info


Tinnitus, commonly referred to as ringing in the ears, can be a perplexing and sometimes concerning symptom. Your experience of having intermittent tinnitus in your right ear for a few seconds several times a day over the past few days is not uncommon, but it does warrant some attention.
Tinnitus can arise from various causes, including exposure to loud noises, earwax buildup, ear infections, age-related hearing loss, and even issues related to the Eustachian tube, which connects the middle ear to the back of the throat. Given that you mentioned your right ear has been ringing intermittently, it’s essential to consider the context of your symptoms.

1. Eustachian Tube Dysfunction: The Eustachian tube helps equalize pressure in the middle ear. If it is not functioning correctly, it can lead to a sensation of fullness in the ear and may contribute to tinnitus. This dysfunction can be triggered by allergies, sinus infections, or even changes in altitude.

2. Noise Exposure: If you have been exposed to loud sounds recently, even for a short duration, this could lead to temporary tinnitus. It’s important to protect your ears from loud environments to prevent potential damage.

3. Earwax Buildup: As noted in previous discussions, earwax can sometimes cause hearing issues and tinnitus. If you suspect this might be the case, a visit to a healthcare provider for a thorough examination and possible cleaning could be beneficial.

4. Stress and Fatigue: Psychological factors such as stress and fatigue can exacerbate tinnitus. If you have been under stress or not sleeping well, this might contribute to your symptoms.

5. Underlying Health Conditions: In some cases, tinnitus can be a symptom of an underlying health issue, such as hypertension or a vascular condition.
Given that your tinnitus episodes are brief and not accompanied by other alarming symptoms (like significant hearing loss, dizziness, or pain), it may be reasonable to monitor the situation for a short period. However, if the tinnitus persists, worsens, or is accompanied by other symptoms, it would be wise to seek a comprehensive evaluation from an ear, nose, and throat (ENT) specialist. They can perform a detailed hearing test and assess for any underlying conditions that may be contributing to your symptoms.

In summary, while occasional tinnitus can be normal and may resolve on its own, it’s essential to stay vigilant. If you notice any changes in the frequency, duration, or nature of the tinnitus, or if it begins to interfere with your daily life, do not hesitate to seek medical advice. Early intervention can often lead to better outcomes and peace of mind.

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