Ear Noises: Causes and When to Seek Help - Otolaryngology

More Info

---

When it comes to ear noises, particularly the sensation of a "whoosh" sound in the ear during head movements, there are several potential causes and considerations to keep in mind. Based on your description, it seems that you have been experiencing tinnitus (ringing or noise in the ear) for several years, and now you are noticing an additional sound when you shake your head.

Possible Causes
1. Eustachian Tube Dysfunction: The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure. If this tube is not functioning properly, it can lead to a sensation of fullness or sounds like popping or whooshing, especially during head movements. This dysfunction can be exacerbated by allergies, colds, or sinus infections.

2. Inner Ear Issues: Conditions affecting the inner ear, such as Meniere's disease or vestibular disorders, can cause both tinnitus and unusual sounds during head movements. Meniere's disease is characterized by episodes of vertigo, hearing loss, and tinnitus.

3. Muscle Spasms: The muscles in the middle ear, particularly the stapedius muscle, can contract in response to loud sounds or changes in pressure. This contraction can create a sound sensation, which might be perceived as a "whoosh" when moving the head.

4. Changes in Blood Flow: Sometimes, changes in blood flow or vascular issues can lead to pulsatile tinnitus, where the sound is in sync with your heartbeat. This could be more noticeable during physical movements.

5. Cervical Issues: Neck problems or cervical spine issues can sometimes refer sensations to the ear, leading to unusual sounds or feelings during head movements.


When to Seek Help
Given that you have a history of tinnitus and are now experiencing new symptoms, it is advisable to consult with an ear, nose, and throat (ENT) specialist. Here are some steps you might consider:
1. Comprehensive Evaluation: An ENT can perform a thorough examination, including a hearing test and possibly imaging studies (like an MRI or CT scan) to rule out any structural issues.

2. Eustachian Tube Function Test: This test can help determine if your Eustachian tube is functioning properly.
3. Balance Assessment: If you experience any dizziness or balance issues, a vestibular assessment may be warranted.

4. Allergy Testing: If you have a history of allergies, it may be beneficial to evaluate if they are contributing to your symptoms.

5. Lifestyle Modifications: Keeping a diary of your symptoms, including when they occur and any associated activities, can provide valuable information to your healthcare provider.


Conclusion
In summary, the "whoosh" sound you experience in your ear when shaking your head could be related to Eustachian tube dysfunction, inner ear issues, muscle spasms, or even vascular changes. Given your history of tinnitus, it is essential to seek a professional evaluation to determine the underlying cause and appropriate management. Early intervention can help prevent further complications and improve your quality of life. Remember to communicate all your symptoms clearly to your healthcare provider for the best possible care.