Managing Tinnitus: Tips for Relief After Workplace Changes

Tinnitus issues

Hello, doctor.
I would like to inquire about my tinnitus issue.
Recently, after changing jobs, I work in a high-rise building with over 30 floors, and because there are fast elevators that go directly to the 30th floor and above, I often experience a sensation in my ears similar to that of flying when I take the elevator up and down.
My tinnitus has increased significantly; I used to experience it very rarely, but now I almost have a high-pitched ringing sound (like an "EE" sound) every day.
Is there any way to improve this condition?

Lian, 20~29 year old female. Ask Date: 2023/11/18

Dr. Zheng Jueyi reply Otolaryngology

Hello, this symptom is commonly associated with Eustachian tube dysfunction.
Performing actions such as yawning or swallowing while taking an elevator can help open the Eustachian tube and equalize pressure.
If the symptoms persist or worsen, it is advisable to seek medical evaluation for confirmation.

Reply Date: 2023/11/18

More Info

Tinnitus, or ringing in the ears, can be a frustrating and sometimes debilitating condition. It seems that your recent job change, particularly the frequent use of high-speed elevators, may be contributing to your symptoms. The sensation of pressure changes in the ears, similar to what one experiences during takeoff and landing in an airplane, can indeed lead to discomfort and exacerbate tinnitus. Here are some strategies and tips that may help you manage your tinnitus and find relief:
1. Ear Protection: If your new workplace is noisy, consider using earplugs or noise-canceling headphones. Protecting your ears from loud sounds can prevent further irritation and help reduce the intensity of tinnitus.

2. Manage Stress: Stress and anxiety can worsen tinnitus. Engage in relaxation techniques such as deep breathing exercises, meditation, or yoga. Regular physical activity can also help reduce stress levels.

3. Stay Hydrated: Dehydration can affect your ear health. Ensure you drink plenty of water throughout the day. Avoid excessive caffeine and alcohol, as they can contribute to dehydration and may worsen tinnitus.

4. Consult an Audiologist: An audiologist can perform a hearing test to determine if there is any underlying hearing loss contributing to your tinnitus. They may recommend sound therapy, which involves using background noise or music to mask the ringing sound.

5. Cognitive Behavioral Therapy (CBT): This type of therapy can help you manage the emotional response to tinnitus. It can teach you coping strategies and help reduce the distress associated with the condition.

6. Limit Exposure to Elevators: If possible, try to limit the frequency of using the elevator, especially if you notice that it triggers your symptoms. Taking the stairs, if feasible, may help your ears adjust to the pressure changes more gradually.

7. Ear Exercises: Some people find relief through specific ear exercises that help equalize pressure in the ears. Techniques such as yawning, swallowing, or performing the Valsalva maneuver (gently blowing while pinching your nose) can help.

8. Sound Therapy: Consider using a white noise machine or a fan to create a consistent background noise that can help mask the tinnitus sounds. There are also smartphone apps designed for tinnitus relief that provide soothing sounds.

9. Dietary Considerations: Some individuals report that certain foods can exacerbate their tinnitus. Keeping a food diary to track your diet and symptoms may help identify any triggers. A balanced diet rich in fruits, vegetables, and whole grains is generally recommended for overall health.

10. Follow-Up with a Healthcare Provider: If your tinnitus persists or worsens, it’s important to consult with an ear, nose, and throat (ENT) specialist. They can evaluate your condition more thoroughly and rule out any underlying issues.

In conclusion, while tinnitus can be challenging, there are various strategies you can employ to manage your symptoms effectively. It’s essential to be proactive about your ear health and seek professional guidance if necessary. Remember that each individual’s experience with tinnitus is unique, so it may take some time to find the right combination of strategies that work for you.

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