Q. How can the ringing in my ears be treated?

Hello,

Welcome to icliniq.com.

You seem to be suffering from tinnitus which is nothing but a ringing sensation in the ears. There are various causes for tinnitus and the most common among them are a sensorineural hearing loss, Eustachian tube dysfunction, otosclerosis, ossicular discontinuity where ear bones become dislodged from their joints, chronic middle ear infection etc. But, the most common cause for ringing sound in the ear is a sensorineural hearing loss, probably age-related. Even unrecognizable minimal sensorineural hearing loss can cause disturbing tinnitus.

Usually, fungal or bacterial infection of the external ear will not cause tinnitus. It is unlikely that it is bacterial or fungal. Infection of the ear canal is causing the ringing sound in the ear. There may be a small perforation of your eardrum or there may be a collection of fluid in your middle ear which can cause the ringing sensation in the ear. There can also be ear blockage.

In that case, your symptoms should resolve with antibiotics within a few weeks. You should undergo pure tone audiogram to assess your hearing threshold. If there is a significant change in higher frequency hearing then that is the cause for your tinnitus. If your symptoms persist then hearing aids or tinnitus maskers will help you to overcome your problems.

There are other treatment modalities such as a tinnitus retraining therapy which can be helpful in some patients You should consider visiting an audiologist also after consultation with your doctor.

For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist

Hello,

Welcome back to icliniq.com.

• I cannot be certain about the diagnosis without examining the ear, I think sensorineural hearing loss being most common cause for tinnitus needs to be ruled out. It is commonly bilateral. However, you need a physical examination of the ear to determine this. A sensorineural hearing loss will not cause any ear discharge. Infection in your ear may be an incidental finding associated with regular cleaning of the ears which might have caused bleeding too.

• Another diagnosis is acute suppurative otitis media where pus comes out of the middle ear through a small perforation in the tympanic membrane. Though it is not commonly bilateral, it can occur in both ears. This condition can cause a ringing sensation in ears but usually, there will be an associated minimal hearing loss. Usually, in this case, the perforated eardrum will heal within a week of antibiotics but fluid inside the middle ear during periods of healing may take some time to resolve.

• Unless the presence of active infection is confirmed, no antibiotics can help. Fluid collecting inside the middle ear without any perforation of the tympanic membrane does not require any antibiotics and usually will resolve spontaneously.

For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Vinay. S. Bhat

Experience: 17 + Yrs

Otolaryngology (E.N.T)

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