Ear Ringing: When to Seek Medical Attention for Tinnitus - Otolaryngology

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Ear problems


Hello Dr.
Chen: I previously experienced a similar situation, but it resolved on its own, so I didn't pay much attention to it.
However, recently I've been experiencing tinnitus in my right ear, although I can still hear sounds.
I can even hear my own breathing and heartbeat in my right ear, and when I hum, the sounds are very clear in that ear.
This condition has persisted for several days.
Could you please explain why this is happening? Should I first go to a small clinic for an examination? (P.S.
The sound of my heartbeat is very faint and can only be heard in a quiet environment.)

Xiao Wei, 20~29 year old female. Ask Date: 2009/06/12

Dr. Chen Jianzhi reply Otolaryngology


Dear Inquirer: Hello! Based on your literal question, it may be related to excessive patency of the Eustachian tube.
I recommend that you visit a nearby otolaryngology clinic for evaluation.
Sincerely, Dr.
Chien-Chih Chen, Physician at Taoyuan General Hospital, Ministry of Health and Welfare, and Lecturer at Fu Jen Catholic University.

Reply Date: 2009/06/12

More Info


Tinnitus, commonly referred to as ear ringing, is a condition that can manifest in various ways, including the perception of sound in the absence of external stimuli. It can be a frustrating and sometimes alarming experience, especially when accompanied by other symptoms such as hearing loss or sensitivity to sound. In your case, the fact that you can hear your own breathing and heartbeat in your right ear, along with the persistent ringing, suggests that you may be experiencing a form of tinnitus that could be related to several underlying factors.

Firstly, tinnitus can arise from exposure to loud noises, earwax buildup, ear infections, or even changes in the ear structure. Given that you mentioned a previous episode of similar symptoms that resolved on its own, it is possible that your current experience is linked to a temporary condition, such as a mild ear infection or inflammation. However, the persistence of your symptoms over several days warrants further investigation.

It is important to note that tinnitus can also be associated with more serious conditions, such as hearing loss, Meniere's disease, or even issues related to the auditory nerve. The fact that you are able to hear your own heartbeat suggests that there may be increased sensitivity in your auditory system, which can occur due to various reasons, including stress, anxiety, or changes in blood flow.

In terms of when to seek medical attention, it is generally advisable to consult a healthcare professional if you experience any of the following:
1. Persistent Symptoms: If your tinnitus lasts for more than a few days or worsens over time, it is important to seek evaluation.

2. Accompanying Hearing Loss: If you notice a decline in your hearing ability, it is crucial to get a hearing test.

3. Discomfort or Pain: If your tinnitus is accompanied by pain, discomfort, or any other unusual symptoms, it is best to consult a doctor.

4. Impact on Daily Life: If the tinnitus is affecting your ability to concentrate, sleep, or perform daily activities, it is worth discussing with a healthcare provider.

In your case, since the symptoms have persisted for several days, it would be prudent to visit a healthcare professional, such as an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, including a hearing test and possibly imaging studies, to determine the underlying cause of your tinnitus.
Additionally, while waiting for your appointment, consider keeping a diary of your symptoms, noting when they occur, their intensity, and any potential triggers. This information can be valuable for your healthcare provider in diagnosing and managing your condition.

In summary, while tinnitus can sometimes resolve on its own, persistent symptoms, especially those accompanied by other auditory changes, should not be ignored. Seeking medical attention can help identify any underlying issues and guide you toward appropriate treatment options. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out to a healthcare professional for advice.

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