Persistent Hissing Sound Near Neck: Causes and Solutions

There is often a hissing sound near the back of the neck?

I have been experiencing a constant hissing sound near the back of my neck (as if something is continuously passing through that area), especially noticeable before sleep.
My work schedule is often irregular (I work on a computer and currently as a SOHO worker), but this unexplained hissing sound makes it very difficult for me to fall asleep.
My blood pressure has consistently been low, with a systolic reading of 84 mmHg and a diastolic reading of 61 mmHg.
I hope the doctor can provide me with some advice, as I am unsure if this is a normal condition.
If there is an issue, which specialty should I consult? Thank you!

Liu, 20~29 year old female. Ask Date: 2007/06/07

Dr. Chen Zhongshu reply Internal Medicine

Dear Liu,
In response to your letter, there are several factors to consider regarding the noise in the back of your head, such as tinnitus, cerebral vascular stenosis, or even excessive anxiety or stress, which can also lead to this phenomenon.
It may be related to your work overload or unstable schedule.
Your blood pressure is indeed on the lower side; I wonder if you are not consuming enough fluids regularly.
If you experience any discomfort, you should visit a hospital to determine what kind of examinations may be necessary.
Based on your situation, I recommend that you first consult with an internist, and then, depending on your actual condition, see if a referral to another specialty is needed.
Sincerely,
Dr.
Chen Zhongshu
Director of Internal Medicine, Qishan Hospital

Reply Date: 2007/06/07

More Info

The persistent hissing sound you are experiencing near the neck and back of the head can be quite distressing, especially when it interferes with your ability to sleep. This symptom, often described as a continuous or intermittent noise, can be attributed to several potential causes, particularly related to the auditory system and the surrounding anatomical structures.

One possible explanation for the hissing sound is related to the function of the Eustachian tube, which connects the middle ear to the back of the throat. If this tube is not functioning properly, it can lead to a sensation of fullness or pressure in the ear, as well as abnormal sounds, such as hissing or popping, especially during changes in altitude or when swallowing. This dysfunction can be exacerbated by factors such as allergies, sinus infections, or even stress, which can lead to inflammation and blockage of the Eustachian tube.

Another consideration is the presence of muscle tension or spasms in the neck and jaw area. Given your work as a computer worker, it is not uncommon to experience tension in the neck and shoulders, which can lead to referred sounds in the ear or a sensation of noise in the head. This tension can also affect the muscles around the Eustachian tube, further contributing to the sounds you are hearing.

Additionally, the low blood pressure readings you mentioned (84/61 mmHg) could also play a role in your symptoms. Low blood pressure can lead to reduced blood flow to various parts of the body, including the ears and brain, potentially causing auditory disturbances. It's important to monitor your blood pressure and discuss any symptoms of dizziness, lightheadedness, or fainting with a healthcare provider.

Given the complexity of your symptoms, it would be advisable to consult with an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination, including hearing tests and possibly imaging studies, to rule out any underlying conditions such as Eustachian tube dysfunction, temporomandibular joint (TMJ) disorders, or other auditory issues. If the ENT specialist finds no significant issues, they may refer you to a neurologist or a physical therapist who specializes in treating tension-related disorders.

In the meantime, there are several strategies you can employ to help manage your symptoms. Practicing relaxation techniques, such as deep breathing exercises, yoga, or meditation, can help alleviate muscle tension and reduce stress. Additionally, maintaining good posture while working at your computer and taking regular breaks to stretch can also be beneficial. If you find that certain sounds exacerbate your symptoms, consider using white noise machines or soft music to help mask the hissing sound, particularly at bedtime.

Lastly, it is essential to maintain a healthy lifestyle, including a balanced diet, regular exercise, and adequate hydration, which can all contribute to overall well-being and potentially improve your symptoms. If your low blood pressure persists or worsens, be sure to discuss this with your healthcare provider, as they may need to investigate further to determine the underlying cause and appropriate treatment.

In summary, while the hissing sound you are experiencing can be attributed to several factors, a comprehensive evaluation by an ENT specialist will be crucial in determining the exact cause and appropriate management strategies.

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