Ear Noises: When to See an ENT Specialist - Otolaryngology

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The ear can hear sounds?


Hello: My mother is 69 years old and has been hearing a singing sound in her ears without any other symptoms.
Which specialist should she see? Thank you.

Miss Zhang, 40~49 year old female. Ask Date: 2016/03/13

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you are experiencing sounds similar to tinnitus, you may visit the Ear, Nose, and Throat (ENT) department for an examination.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/13

More Info


When it comes to understanding ear noises, particularly in older adults, it is essential to recognize that these sounds can be indicative of various underlying conditions. In your mother's case, the persistent sound resembling singing could be a form of tinnitus, which is often described as hearing noises that are not externally present. Tinnitus can manifest in different ways, including ringing, buzzing, hissing, or, as in your mother's case, a melodic sound.

Given that your mother is 69 years old, it is crucial to consider age-related factors that could contribute to her symptoms. Age-related hearing loss, known as presbycusis, is common and can lead to changes in how sounds are perceived. Additionally, other factors such as exposure to loud noises, earwax buildup, or even certain medications can exacerbate tinnitus.

The first step in addressing your mother's symptoms is to consult an Ear, Nose, and Throat (ENT) specialist. An ENT doctor, also known as an otolaryngologist, specializes in diagnosing and treating conditions related to the ear, nose, and throat. During the consultation, the ENT specialist will likely perform a thorough examination, which may include:
1. Hearing Tests: These tests assess the degree of hearing loss and help determine if the tinnitus is related to any hearing impairment.

2. Physical Examination: The doctor will examine the ear canal and eardrum to check for any obstructions, such as earwax buildup or signs of infection.

3. Medical History Review: Understanding your mother's medical history, including any medications she is taking, previous ear issues, and overall health, can provide valuable insights into her condition.

4. Additional Tests: Depending on the initial findings, the ENT may recommend further tests, such as imaging studies (CT or MRI scans) to rule out any structural abnormalities or tumors.

It's important to note that while tinnitus can be bothersome, it is often not a sign of a serious underlying condition. However, it can sometimes be associated with other health issues, such as high blood pressure, diabetes, or even anxiety and stress. Therefore, addressing any potential contributing factors is essential.

In the meantime, there are some self-care strategies your mother can consider to help manage her tinnitus:
- Sound Therapy: Using background noise, such as a fan or white noise machine, can help mask the tinnitus sounds and make them less noticeable.

- Stress Management: Stress can exacerbate tinnitus, so engaging in relaxation techniques such as meditation, yoga, or deep breathing exercises may be beneficial.

- Avoiding Loud Noises: Protecting her ears from loud environments can help prevent further irritation of the auditory system.

- Healthy Lifestyle: Encouraging a balanced diet, regular exercise, and adequate sleep can contribute to overall well-being and potentially reduce the perception of tinnitus.

In conclusion, it is advisable for your mother to see an ENT specialist to evaluate her symptoms properly. Early intervention can lead to better management of her condition and improve her quality of life. Tinnitus can be a complex issue, but with the right support and treatment, many individuals find relief and learn to cope with the sounds they experience.

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