Pulsatile Tinnitus

Pulsatile tinnitus is a rhythmic rustling or throbbing noise in one or both ears. It is also the sound of blood flowing in the body. The high-pitched dental drill can be the source or worsen tinnitus. The sound is transmitted directly into the inner ear when drilling the teeth in the dental office. This also happens when teeth are grinding, dental injury involving TMJ, hearing defect, or circulatory disorders. Analgesics, antidepressants, a nightguard can relieve discomfort.

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I have pulsatile tinnitus. What can I do?

Query: Hi doctor, I have had pulsatile tinnitus for over a year. I have had MRA, MRV, MRI, CT of the brain, CT of the temporal bone, and angiogram of the head and neck. I had a second opinion, and the doctor thought he saw something on MRV. He wants me to have a CT of the brain. My question is, will CT ca...  Read Full »


Dr. Ismail Kabakus

Answer: Hi, Welcome to icliniq.com. First of all, I am pretty sure that you know there is no radiation from MRI (Magnetic resonance imaging), MRV (Magnetic resonance venography), and MRA (Magnetic resonance angiography). When it comes to CT (computed tomography), I will give you some numbers and compara...  Read Full »

Why am I hearing pulsatile sound in my right ear after eating and running?

Query: Hello doctor, I am 35 years old, and my weight is 95 kg with five feet seven-inch height (overweight). I have felt that if I bend my head to my knees to pick something, I get a pulsatile or heartbeat-type sound in my right ear; it does not happen in the morning rather it happens after I eat food or ...  Read Full »


Dr. Rajesh Kumar Padhan

Answer: Hi, Welcome to icliniq.com. For gastroesophageal reflux disease (GERD), I would suggest you take - Tablet Esomac D (Domperidone 30 mg and Esomeprazole 40 mg) once daily before food for one month. Consult your specialist doctor, discuss with them and take medicines with their consent. Avoid fa...  Read Full »

Should I be concerned about being exposed to a lot of radiation at the age of 65?

Query: Hi doctor, I have been experiencing pulsatile tinnitus for a year. I had a CTA of the brain with and without contrast, CT of the temporal bone, and an angiogram of the brain and neck. I went for another opinion, and my doctor suggested doing a CTV of the brain and redo temporal bone CT both with and...  Read Full »


Dr. Muhammad Shoyab

Answer: Hello, Welcome to icliniq.com. I understand your concern. It is quite natural to be concerned about radiation hazards, particularly when doing several scans consecutively. However, please be assured that the radiation of each scan is kept "as low as reasonably achievable" (ALARA) so that it does not...  Read Full »

Is my back pain due to hypoplastic or absent left transverse sinus or a transverse sinus thrombosis?

Query: Hi doctor, Two months back, I had an angiogram of head and neck, which came back negative. Is it possible to develop a pulmonary embolism just two months after the angiogram? For the past several days, I have back pain. What other symptoms can I expect?  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I understand your concern. Your symptoms are not suggestive of pulmonary embolism as symptoms of this disorder are much more dramatic and acute. On the other hand, angiography does not lead to pulmonary embolism. In my opinion, the back pain could be related to a wr...  Read Full »

Is there a link between COVID-19 vaccine and tinnitus?

Query: Hi doctor, I have dermatomyositis with ILD. I am doing fine. I take CellCept 2 g once daily. I had completed two doses of the COVID-19 vaccine four months ago. I had all testing, and everything was fine. After the first vaccine, I developed pulsatile tinnitus in both ears. It seems to be gon...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Did the tinnitus worsen after the second dose? If it has not worsened after the second dose and as testing did not show any significant abnormalities (ruling out significant damage to the ear), I would recommend you to go for the third dose as anti...  Read Full »

Will Meniere's disease cause pulsatile tinnitus 24/7 for three months?

Query: Hi doctor, I have had pulsatile tinnitus for the past three months 24 hours a day. It is loud, except when lying down, I am so upset. It is not my BP, although it has risen since the beginning of this. They upped my Benicar from 5 mg to 25 mg. so now it is fine. I have had every test like MRI brain...  Read Full »


Dr. Chirag Solanki

Answer: Hello, Welcome to icliniq.com. As all the tests, including MR (magnetic resonance), CT (computed tomography), etc., have turned out to be normal, there is no secondary reason causing tinnitus. So the problem lies inside the inner ear, only nothing else. TMJ disease process, especially if in...  Read Full »

Do pain in the cheeks near the ear, and pulse tinnitus indicate TMJ disorder?

Query: Hi doctor,I have had pain in my cheeks near my ear for the past year. I know it was from TMJ, so I tried to quiet it down with some exercises. I never went to the dentist until recently because of the COVID. Next thing about three months ago, I got pulse tinnitus in my ears the whole day, and I cont...  Read Full »


Dr. Krishna Swaroop Achanta

Answer: Hi, Welcome to ilciniq.com. The continuous jaw pain signifies even after a month that either your facial muscles and joints are tight or that you may be suffering from an underlying condition like osteoarthritis. The tightness of the joint or muscle accompanied by tinnitus may be what the dentist ...  Read Full »

Can TMJ disorder cause pulsatile tinnitus?

Query: Hi doctor, Can TMJ disorder cause pulsatile tinnitus? I have had pulsatile tinnitus for six weeks. I also have a TMJ disorder. It hurts intermittently inside my ear and sometimes on the sides of my face. But my concern is about the 24/7 pulsatile tinnitus. I have had every test. MRI without contrast...  Read Full »


Dr. Krishna Swaroop Achanta

Answer: Hi, Welcome to icliniq.com. The oceanic noise which you feel you are hearing in your inner ear may have nothing to do with your TMJ (temporomandibular joint) disorder. TMJ disorders usually produce clicking, grating or popping sounds along with tinnitus that increases in intensity over time or aggr...  Read Full »

Is temporomandibular joint disorder related to pulsatile tinnitus?

Query: Hi doctor,I have pulsatile tinnitus for six weeks. I have done MRI and CT angiography. But the doctor cannot find anything abnormal in the tests. I have TMJ disorder and I am trying to do exercise for my mouth. I am planning to get a mouthguard from the dentist. Kindly tell me whether pulsatile tinn...  Read Full »


Dr. Upendra Kumar Shah

Answer: Hi, Welcome to icliniq.com. Temperomandibular disorders do not cause pulsatile tinnitus. But temporomandibular joint can cause tinnitus and it occurs in association with the movement of TMJ. It does not cause pulsations. It should have some relationship with jaw movement by increasing or decre...  Read Full »

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