Tinnitus and Nasal Congestion: When to Seek Help - Otolaryngology

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Tinnitus issues with nasal discharge and nasal congestion?


I have been experiencing tinnitus for a long time.
The sound in my right ear is a high-pitched "g" sound, while the left ear has a quieter, slightly lower sound.
Sometimes, there is a sudden silence, and I hear a louder tinnitus in one ear that lasts for a few seconds before it diminishes again.
I have become accustomed to the daily tinnitus.
I previously visited an ENT specialist, who suggested that it might be related to stress, but I don't feel that I have any stress issues.
Should I go to a major hospital for further examination? Additionally, I have issues with a runny nose and nasal congestion; sometimes I have a runny nose and congestion, but after a night's sleep, it resolves.
Could this be due to allergies? Thank you for your help.

mu, 20~29 year old female. Ask Date: 2023/02/14

Dr. Zheng Jueyi reply Otolaryngology


Hello, if the tinnitus persists and is uncomfortable, you can go to the hospital for relevant examinations to confirm if there are any other related issues.
As for the runny nose and nasal congestion, they are commonly associated with allergies.
If the discomfort continues, you should also seek medical evaluation.

Reply Date: 2023/02/14

More Info


Tinnitus, commonly referred to as ringing in the ears, can be a perplexing and frustrating condition. It often manifests as a persistent sound in one or both ears, which may vary in pitch and intensity. Your description of experiencing a high-pitched sound in your right ear and a lower sound in your left ear, along with occasional fluctuations in intensity, is consistent with typical tinnitus symptoms. While it can be distressing, many individuals learn to adapt to the sound over time.

The causes of tinnitus are varied and can include exposure to loud noises, ear infections, age-related hearing loss, and even certain medications. In your case, if a healthcare professional has suggested that stress might be a contributing factor, it’s important to consider that stress can exacerbate tinnitus symptoms, even if you don’t perceive yourself as being under significant stress.
Given that you have been experiencing tinnitus for a long time, it may be beneficial to seek a comprehensive evaluation at a larger medical facility, particularly if your symptoms have changed or worsened. An audiologist or an ear, nose, and throat (ENT) specialist can conduct a thorough assessment, which may include hearing tests and imaging studies to rule out any underlying conditions.
As for your nasal congestion and runny nose, these symptoms can indeed be indicative of allergies, especially if they occur intermittently and improve after sleep. Allergic rhinitis is a common condition that can lead to nasal congestion, sneezing, and a runny nose. It occurs when your immune system overreacts to allergens in the air, such as pollen, dust mites, or pet dander.
To determine if your symptoms are allergy-related, consider the following:
1. Timing and Triggers: Do your symptoms correlate with specific seasons or environments? For instance, if you notice increased symptoms during spring when pollen counts are high, it may suggest seasonal allergies.

2. Response to Antihistamines: Over-the-counter antihistamines can help alleviate allergy symptoms. If you find relief after taking these medications, it further supports the possibility of allergies.

3. Consultation with an Allergist: If your symptoms persist, consulting with an allergist can provide valuable insights. They may recommend allergy testing to identify specific triggers.

In summary, your tinnitus and nasal congestion could be interconnected, particularly if allergies are contributing to both conditions. It’s advisable to seek further evaluation from an ENT specialist who can assess both issues comprehensively. They may suggest treatments ranging from lifestyle modifications and medications for allergies to sound therapy or counseling for tinnitus management.
Remember, while tinnitus can be a chronic condition, many people find effective ways to manage their symptoms and improve their quality of life. Don’t hesitate to reach out for professional help to explore your options further.

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