Can allergic rhinitis cause tinnitus?
Hello, two years ago I had otitis media, and since then my tinnitus has not disappeared.
I went to see a doctor, but they said there was no problem.
I would like to ask: 1.
Can allergic rhinitis cause tinnitus? 2.
When I pinch my nose and blow, my Eustachian tubes open, but the tinnitus does not go away, so can we rule out Eustachian tube dysfunction as the issue? 3.
If the ENT specialist cannot help, should I be referred to another specialty?
A Nan, 20~29 year old female. Ask Date: 2021/03/03
Dr. Zheng Jueyi reply Otolaryngology
Hello: There are many factors that can cause tinnitus, including allergic rhinitis and Eustachian tube dysfunction.
If pinching your nose and blowing causes a feeling of fullness in your ears, it indicates that the Eustachian tube is patent, but it does not rule out the possibility of Eustachian tube dysfunction.
If the tinnitus persists without improvement, it is advisable to consult an otolaryngologist or a neurologist.
If necessary, the physician will refer you to other specialists for further assistance.
Wishing you peace and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2021/03/03
More Info
Allergic rhinitis, commonly known as hay fever, is an allergic reaction that can lead to a variety of symptoms, including nasal congestion, sneezing, and itchy eyes. However, it can also have implications for ear health, particularly in relation to conditions like tinnitus. Let's address your questions one by one.
1. Can Allergic Rhinitis Cause Tinnitus?
Yes, allergic rhinitis can potentially contribute to tinnitus. The condition often leads to inflammation and congestion in the nasal passages and Eustachian tubes, which connect the middle ear to the back of the throat. When these tubes become blocked or inflamed due to allergies, it can create pressure changes in the ear, leading to sensations of ringing or buzzing, known as tinnitus. Additionally, the inflammation caused by allergic rhinitis can affect the inner ear structures, which may also contribute to tinnitus symptoms.
2. Eustachian Tube Dysfunction and Tinnitus:
You mentioned that pinching your nose and blowing air does not alleviate your tinnitus, which suggests that Eustachian tube dysfunction may not be the primary issue. When you perform the Valsalva maneuver (pinching the nose and blowing), you are attempting to equalize pressure in the middle ear. If this maneuver does not relieve your tinnitus, it may indicate that the tinnitus is not solely related to Eustachian tube dysfunction. However, it is important to note that tinnitus can have multiple underlying causes, and Eustachian tube dysfunction is just one of them.
3. Consulting Other Specialists:
If your symptoms persist and you have already seen an ENT specialist without satisfactory results, it may be beneficial to seek a second opinion or consult other healthcare professionals. Audiologists can conduct hearing tests and provide insights into auditory function, while allergists can help manage allergic rhinitis more effectively. Additionally, if there are concerns about other underlying conditions (such as temporomandibular joint disorders, neurological issues, or vascular problems), a referral to a different specialist may be warranted.
In summary, allergic rhinitis can indeed contribute to tinnitus through mechanisms related to inflammation and Eustachian tube dysfunction. If your tinnitus persists despite attempts to manage your allergies, it may be worthwhile to explore further evaluations with other specialists. It is essential to communicate your symptoms clearly to your healthcare providers to ensure a comprehensive approach to your condition. Managing allergic rhinitis effectively may help alleviate some of the associated ear symptoms, including tinnitus.
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