Tinnitus After Fever: Causes and Recovery Insights

Tinnitus after fever?

Hello Dr.
Cheng! I had a cold with a fever for about four days last week.
After seeing a doctor and taking medication, my symptoms have improved.
However, I have been experiencing a persistent high-frequency ringing in my ears for about seven days now.
Could you please advise if it is common to have tinnitus after a cold? Is there a possibility that it will resolve on its own? Thank you!

Jason, 30~39 year old female. Ask Date: 2016/02/18

Dr. Zheng Jueyi reply Otolaryngology

Hello, tinnitus caused by a cold usually improves on its own.
If it persists without improvement, it is recommended to visit a hospital for relevant 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: 2016/02/18

More Info

Tinnitus, or ringing in the ears, can indeed be a concerning symptom that arises after experiencing a fever or upper respiratory infection, such as a cold or flu. It is not uncommon for individuals to report tinnitus following an illness, particularly when there has been a fever involved. The underlying mechanisms can vary, but several factors may contribute to the development of tinnitus in this context.

Firstly, during a viral infection, the body undergoes various inflammatory processes. The inflammation can affect the auditory system, including the inner ear structures responsible for hearing. This inflammation may lead to temporary changes in hearing function, resulting in the perception of sounds that are not present in the external environment, such as ringing or buzzing. In many cases, this type of tinnitus is transient and may resolve as the body recovers from the infection.

Secondly, fever itself can lead to dehydration, which may affect the inner ear's fluid balance. The inner ear contains fluid-filled structures that are crucial for hearing and balance. If dehydration occurs, it can disrupt the normal functioning of these structures, potentially leading to tinnitus. Ensuring adequate hydration during and after a fever is essential for recovery.

Additionally, certain medications used to treat fever or associated symptoms can also contribute to tinnitus. Some over-the-counter pain relievers, particularly non-steroidal anti-inflammatory drugs (NSAIDs), have been known to cause or exacerbate tinnitus in some individuals. If you have recently taken any new medications, it may be worth discussing this with your healthcare provider.

Regarding the likelihood of self-resolution, many cases of tinnitus that arise after a viral illness tend to improve on their own as the underlying condition resolves. However, the duration and persistence of tinnitus can vary widely among individuals. In some cases, it may take weeks or even months for the tinnitus to fully subside. If the tinnitus persists beyond a few weeks or worsens, it is advisable to seek further evaluation from an ear, nose, and throat (ENT) specialist or an audiologist. They can perform a thorough assessment, including hearing tests, to determine if there is any underlying condition that requires treatment.

In summary, while experiencing tinnitus after a fever is not uncommon, it is essential to monitor the situation closely. If the high-frequency sounds in your ears continue or worsen, or if you experience additional symptoms such as hearing loss, dizziness, or balance issues, it is crucial to consult a healthcare professional for a comprehensive evaluation. They can provide guidance on potential treatment options and help address any concerns you may have regarding your auditory health. Remember to stay hydrated and take care of your overall health as you recover from your recent illness.

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