Common Ear Issues from Frequent Headphone Use: What You Need to Know - Otolaryngology

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Problems with the ears after frequent headphone use?


Hello, I would like to ask the doctor a question.
I often wear headphones to listen to music, whether I'm on the bus, the subway, or at home.
Whenever I have free time, I put on my headphones and listen to music, and sometimes I turn the volume up quite high.
I listen for about 2 to 3 hours every day.
Recently, I have been experiencing strange sounds in my ears when I go to sleep, such as a buzzing or ringing sound.
This symptom has persisted for almost three weeks.
Initially, I thought I would stop using headphones to see if it would improve, but it has continued for a long time, and I feel a bit concerned.
This sound occurs both during the day and at night while I am trying to sleep, making it somewhat difficult for me to fall asleep.
I would like to ask the doctor what I should do about this.
Thank you.

Xiao Wei, 10~19 year old female. Ask Date: 2016/02/13

Dr. Zheng Jueyi reply Otolaryngology


Hello, if the tinnitus persists without improvement, it is recommended to visit a hospital for hearing-related examinations.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/13

More Info


Frequent headphone use, especially at high volumes, can lead to a variety of ear-related issues, including tinnitus (ringing or buzzing in the ears), ear infections, and even hearing loss. Your symptoms of persistent buzzing or ringing in the ears, known as tinnitus, are concerning and warrant further investigation.

Tinnitus can be caused by several factors, and in your case, the prolonged exposure to loud music through headphones is likely a significant contributor. When sound levels exceed 85 decibels, which is common with many headphones, it can damage the hair cells in the inner ear, leading to temporary or permanent hearing issues. The fact that you have been using headphones for 2-3 hours daily at high volumes increases your risk of developing these problems.

In addition to tinnitus, other symptoms you might experience include ear fullness, discomfort, or even pain. These can be indicative of ear pressure changes or potential ear infections, especially if you have been using in-ear headphones that can trap moisture and bacteria in the ear canal. This can lead to conditions such as otitis externa (outer ear infection) or otitis media (middle ear infection), both of which can exacerbate tinnitus and cause discomfort.

Given that your symptoms have persisted for three weeks, it is crucial to take action. Here are some recommendations:
1. Reduce Headphone Use: Start by limiting your headphone use, especially at high volumes. Consider using noise-canceling headphones that allow you to listen at lower volumes in noisy environments.

2. Consult an Ear, Nose, and Throat (ENT) Specialist: Since your symptoms have lasted for an extended period, it is advisable to see an ENT specialist. They can conduct a thorough examination of your ears, including hearing tests, to determine if there is any underlying damage or infection.

3. Hearing Test: A hearing test can help assess the extent of any hearing loss you may have experienced due to headphone use. This is typically done in a soundproof room with headphones to measure your response to various frequencies.

4. Avoid Loud Environments: In addition to reducing headphone use, try to avoid loud environments where you might be tempted to increase the volume of your music or other audio.

5. Stay Hydrated and Healthy: Sometimes, dehydration can exacerbate tinnitus. Ensure you are drinking enough water and maintaining a healthy diet.

6. Consider Sound Therapy: Some people find relief from tinnitus through sound therapy, which involves using background noise or white noise to mask the ringing.

7. Manage Stress: Stress and anxiety can worsen tinnitus symptoms. Engaging in relaxation techniques such as yoga, meditation, or deep breathing exercises may help alleviate some of the stress associated with your symptoms.

8. Follow-Up: If your symptoms do not improve or worsen, follow up with your healthcare provider. They may recommend additional treatments or therapies based on your specific situation.

In conclusion, while frequent headphone use can lead to various ear issues, taking proactive steps can help mitigate the risks. Prioritizing your ear health by reducing exposure to loud sounds and seeking professional advice is essential for preventing long-term damage and improving your quality of life.

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