There is a ringing or buzzing sound in the ear?
Hello Doctor: Recently, when I touch my left ear or speak loudly, I hear a wind-like sound.
What could be the possible causes of this?
Nìmíng, 20~29 year old female. Ask Date: 2020/01/02
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over.
2) Sudden sensorineural hearing loss.
3) Otitis media: a) Acute otitis media: This often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in severe cases, there may be ear discharge.
b) Chronic otitis media with acute exacerbation: This usually occurs when there is a pre-existing perforation in the eardrum, which can become inflamed due to unclean water or improper ear cleaning.
All of the above conditions can be appropriately managed with medication through medical consultation.
If you have already undergone pure tone audiometry (which requires headphones in a soundproof room, where you press a button in response to sounds, rather than just using a tuning fork), and it has been confirmed that you do not have sudden sensorineural hearing loss, then medication may suffice.
However, if you have not had a pure tone audiometry test, it is advisable to visit a hospital for evaluation to rule out sudden hearing loss.
The golden treatment window for sudden sensorineural hearing loss is two weeks, and early treatment yields better outcomes.
Wishing you safety and health.
Sincerely, Dr.
Chi Chao-yun, Head of the ENT Department, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2020/01/02
More Info
The sensation of hearing wind sounds in the ear, often described as a whooshing or rushing noise, can be attributed to several underlying causes. This phenomenon, known medically as "tinnitus," can manifest in various forms, including pulsatile tinnitus, which is often linked to blood flow or vascular issues. In your case, the wind-like sound when touching your ear or speaking loudly may indicate a few potential conditions.
1. Eustachian Tube Dysfunction: The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. If this tube is not functioning properly, it can lead to a sensation of fullness or pressure in the ear, often accompanied by unusual sounds. This dysfunction can occur due to allergies, colds, or sinus infections, which can cause inflammation and blockage.
2. Middle Ear Issues: Conditions such as otitis media (middle ear infection) or fluid accumulation in the middle ear can also lead to abnormal sounds. These conditions often arise from upper respiratory infections and can cause pain, pressure, and hearing changes.
3. Earwax Buildup: Excessive earwax can block the ear canal, leading to pressure changes and sounds that may resemble wind. This can also affect hearing and cause discomfort.
4. Auditory Nerve Issues: In some cases, issues with the auditory nerve or inner ear can lead to tinnitus. This can be due to exposure to loud noises, age-related hearing loss, or other factors.
5. Temporomandibular Joint (TMJ) Disorders: Problems with the jaw joint can also cause sounds in the ear, as the TMJ is located very close to the ear canal. Clenching or grinding teeth can exacerbate this issue.
Given that you have experienced this sensation for an extended period, it is crucial to seek further evaluation from an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, which may include hearing tests and imaging studies, to determine the exact cause of your symptoms.
Recommendations for Management:
- Avoid Loud Noises: Protect your ears from loud environments, as this can exacerbate tinnitus.
- Stay Hydrated: Proper hydration can help maintain Eustachian tube function.
- Nasal Decongestants: If your symptoms are related to allergies or sinus issues, over-the-counter decongestants may provide relief.
- Earwax Removal: If earwax buildup is suspected, a healthcare provider can safely remove it.
- Stress Management: Stress can worsen tinnitus, so practices like mindfulness, yoga, or meditation may be beneficial.
When to Seek Immediate Care:
If you experience sudden changes in hearing, severe pain, or any other concerning symptoms, it is essential to seek medical attention promptly. Early intervention can often lead to better outcomes, especially if the underlying cause is treatable.
In summary, while the sensation of wind sounds in the ear can be benign, it is essential to investigate the underlying cause, especially since it has persisted for two weeks. Consulting with an ENT specialist will provide clarity and appropriate treatment options tailored to your specific condition.
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