Tinnitus is the name for hearing noises that are not caused by sounds coming from the outside world. It's common and not usually a sign of anything serious. It might get better by itself and there are treatments that can help. Tinnitus can sound like: You may hear these sounds in 1 or both ears, or in your head. They may come and go, or you might hear them all the time.
What happens at your appointmentThe GP will look in your ears to see if your tinnitus is caused by something they can treat, like an ear infection or a build-up of earwax. They might also check for any hearing loss. You may be referred to a specialist for further tests and treatment. Immediate action required: Go to A&E or call 999 if you have tinnitus:
Things you can try to help cope with tinnitusDo
Don’t
Information: The British Tinnitus Association (BTA) has more information about sound therapy, and runs support groups and a free helpline on 0800 018 0527. RNID also has a free helpline on 0808 808 0123. Treatments for tinnitusIf the cause of your tinnitus is unknown or cannot be treated, your GP or specialist may refer you for a type of talking therapy. This could be:
Tinnitus retraining therapy may be available on the NHS for people with severe or persistent tinnitus. It's unclear if tinnitus retraining therapy works for everyone. It's widely available privately. If tinnitus is causing you hearing loss, hearing aids may be recommended. Causes of tinnitusIt's not always clear what causes tinnitus, but it's often linked to:
Video: Tinnitus (BSL version)In this video, learn about tinnitus, its possible causes and the effects and how to deal with it. Media last reviewed: 1 June 2021 Page last reviewed: 02 October 2020 There's not usually a quick fix for tinnitus, but it will often improve gradually over time. A number of treatments are available to help you cope. If your tinnitus is caused by an underlying health condition, treating the condition will help stop or reduce the sounds you hear. For example, if your tinnitus is caused by an earwax build-up, eardrops or ear irrigation may be used. Ear irrigation involves using a pressurised flow of water to remove the earwax. Read more about how an earwax build-up is treated. However, in many cases a cause for tinnitus can't be found, so treatments will be used to help you manage the problem on a daily basis. These are described below. Correcting hearing lossAny degree of hearing loss you have should be addressed because straining to listen can make tinnitus worse. Correcting even fairly minor hearing loss means the parts of the brain involved in hearing don't have to work as hard and therefore don't pay as much attention to the tinnitus. A specialist will test your hearing and recommend appropriate treatment. This could involve having a hearing aid fitted, and occasionally surgery. Improving your hearing will also mean sounds you wouldn't otherwise hear will now be audible, which may help override the sounds of your tinnitus. Read more about treating hearing loss. Sound therapyTinnitus is often most noticeable in quiet environments. The aim of "sound therapy" or "sound enrichment" is to fill any silence with neutral sounds to distract you from the sound of tinnitus. This may involve simple measures such as opening a window to hear noises coming from outside, leaving a radio or television on, or listening to sounds on a portable music player. You can get specially-designed sound generators that look similar to a radio. These produce quiet natural sounds, such as leaves rustling in the wind and waves lapping on the shore. White noise generators are similar devices that produce a continuous "shushing" sound at a level that's comfortable and soothing. Also available are pillows containing built-in speakers to help distract you from tinnitus when you go to sleep, and small sound-generator devices that fit in your ear like a hearing aid. Some hearing aids have built-in sound generators for people with tinnitus. CounsellingUnderstanding tinnitus plays an important part in learning how to cope with the condition and manage it more effectively. Tinnitus counseling is a type of therapy where you work with a healthcare professional to help you learn more about your tinnitus and find ways of coping with it. It's usually carried out by hearing therapists, audiologists (hearing disorder specialists) or doctors. Cognitive behavioural therapy (CBT)Cognitive behavioural therapy (CBT) is often used to treat mental health problems, such as anxiety and depression. It's based on the idea that your thoughts affect the way you behave. Treatment aims to retrain the way you think to change your behaviour. This technique can be effectively applied to tinnitus. For example, if your knowledge about tinnitus is limited, you may have certain ideas about it that make you feel anxious and depressed. This can make your tinnitus worse. Changing the way you think about your tinnitus and what you do about it can help reduce your anxiety and enable you to accept the noises, which after a while may become less noticeable. Tinnitus retraining therapy (TRT)Tinnitus retraining therapy (TRT) is a special type of therapy that aims to help retrain the way your brain responds to tinnitus so you start to tune the sound out and become less aware of it. The therapy involves a combination of more intensive sound therapy and long-term counselling. TRT is widely available privately and may be available on the NHS for people with very severe or persistent tinnitus. It should only be carried out by someone specially trained in the technique. Self-helpSome people find self-help techniques useful for managing their tinnitus. These techniques include:
Action on Hearing Loss provide further details about support and activities in your local area. Their free information line telephone number is 0808 808 0123. You may also find the British Tinnitus Association a useful source of information. You can call their confidential helpline free of charge on 0800 018 0527. Why is there an annoying noise in my ear?Tinnitus is usually caused by an underlying condition, such as age-related hearing loss, an ear injury or a problem with the circulatory system. For many people, tinnitus improves with treatment of the underlying cause or with other treatments that reduce or mask the noise, making tinnitus less noticeable.
Does tinnitus ever go away?Tinnitus is not a permanent condition, and in many cases, it will go away entirely by itself. For most people, tinnitus will disappear after a few weeks, or even a few days depending on the possible causes behind it.
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