I have Tinnitus.

I HAVE TINNITUS. 

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What should I do if I experience tinnitus? Can my tinnitus be treated or cured?

If you suffer from tinnitus, you are not alone. Hundreds of millions of people in the world live with tinnitus and experience sounds in their heads and constant ringing, buzzing or whistling in their ears that are not related to external sounds.

Unfortunately, at present there is no cure for tinnitus. There is no pill, no diet, no surgery that can cure or reduce tinnitus. Many say that they can treat tinnitus, say that they have a treatment that can cure or reduce tinnitus, but so far there is no scientifically proven treatment against tinnitus. So if you have tinnitus, it is there to stay.

Some are greatly affected by their tinnitus while others are not bothered by it that much and experience only weak tinnitus.

Living with tinnitus can be difficult, but you can learn to live with your tinnitus and coping strategies can help. Many people learn to live with their tinnitus, even though it is strong.

Tinnitus and hearing loss

Surveys have shown that there is often a connection between tinnitus and hearing loss. Many people suffering from tinnitus also suffer from hearing loss.

If you think that you have both tinnitus and a hearing loss, the best advice is to contact a hearing health professional to get your hearing checked. If an examination shows that you have both tinnitus and a hearing loss, you may benefit from using hearing aids.

Source: https://www.hear-it.org/i-have-tinnitus

Tinnitus and sleeping.

Sleeping with tinnitus.

Tinnitus may interfere with your sleeping. But with the steps below, you can learn more about sleeping with tinnitus.

However, you can take several steps to help you sleep with tinnitus. The RNID fact sheet on how to sleep with tinnitus provides the following useful advice:

• Try relaxation exercises.

• Try regular exercise. Fit people tend to sleep better. But avoid exercising too close to bedtime.

• Go to bed when you feel sleepy and not just because it is a certain time. If you are not asleep in 20 or 30 minutes, get up, go to another room and do something quiet and relaxing, like reading. Go back to bed when you feel sleepy again.

• Get up at the same time every day. This is one of the most important things you can do to improve sleep.

• Try to limit the amount of caffeine and nicotine you have at night, as these are stimulants.

• Keep your room at a temperature neither too cold nor too hot.

• Do not read or watch TV in bed before trying to go to sleep. This would only make you feel more alert.

• ”?Wind down' for at least an hour before bedtime.

• A special clock radio or sound pillow, emitting soothing sounds in your bedroom, including the sounds of waves and birdsong may help you relax and fall asleep.

In the quiet of your bedroom the constant ringing in your ear may become particularly annoying and deprive you of a good night's rest.

Source:WWW.GOOGLE.COM https://www.hear-it.org/Sleeping-with-tinnitus RNID, Fact Sheet About Tinnitus and Sleep,

Tinnitus coping strategies.

Other coping strategies.

There is no cure for tinnitus, but a variety of therapies and coping strategies may ease your life with tinnitus.

Tinnitus varies from one person to the next and finding an effective treatment, therapy or coping strategy is often a hit-or-miss process supported by few, if any, scientific certainties.

Relaxation exercises

In recent years, researchers have identified a number of factors influencing the treatment of tinnitus, such as the patient's general well-being, autonomic reaction patterns and how the patient handles stress. Specifically, they have found a connection between stress and increased symptoms of tinnitus.

Learning how to relax and how to handle stress in your every day life may be of great help in alleviating symptoms.

Group therapy and counseling

Group therapy and counseling may ease the daily suffering of people with tinnitus.

As psychology plays a major part, therapy can help you accept your tinnitus and reduce the emotional impact. Often the therapy includes thought control, instructions in relaxation techniques and stress management.

Sound therapy

Listening to comforting sounds may make tinnitus less noticeable.

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Sound therapy is used to de-stress, increase energy, focus and performance and may offer better relief from the constant ringing and buzzing in your ears.

Alternative therapies

Acupuncture, chiropractic and hypnosis are some of the alternative therapies offered to treat you holistically in trying to ease the effects of tinnitus. The effects are not scientifically documented.

Consult your ear specialist before deciding on any course of treatment.

Source:www.google.com https://www.hear-it.org/tinnitus-other-coping-strategies

How to live with tinnitus.

Living with tinnitus can be difficult. Treatment and coping strategies can help.

Here is some simple advice which may help you cope with the constant noise of tinnitus also known as ringing ears:

• Avoid anxiety or stress, as these stimulate an already sensitive hearing system.
• Have adequate rest and avoid fatigue.
• Avoid the use of stimulants to the nervous system, including coffee (caffeine), alcohol, and smoking (nicotine).
• Sleep with your head propped up in an elevated position. This may usually be accomplished with the use of one or two extra pillows. This lessens head congestion, and tinnitus may become less noticeable.
• Be aware that tinnitus is usually more noticeable after retiring for the night and the surroundings are quieter. Any noise in the room, such as a ticking clock or softly playing radio, helps to mask tinnitus and make it less irritating.
• Use a tinnitus masker if you find this helpful
• Some people benefit by using a hearing aid as it amplifies outside noise (like masking)
• Avoid situations that can further damage hearing (excessive noise), and protect your ears from injury and occupational hazards. Use protective ear wear when appropriate.
• Some people receive considerably relief in alternative therapies
• Counseling may be beneficial, especially if people are afraid that they have a serious or progressive disease, such as a brain tumor. Some people worry they may have a mental illness, because the noise is "in their head." Reassurance by a specialist helps to calm such fears and anxieties.
• Occasionally, the cause of tinnitus can be treated. For instance, if the noise in the ears is caused by a middle ear infection, antibiotics may solve the problem.
  
  Source:www.google.com Living with tinnitus from ehealthMD
• https://www.hear-it.org/How-to-live-with-tinnitus

7 myths about tinnitus

Tinnitus Sound therapy CLICK IMAGE:

Tinnitus is probably causing that ringing or buzzing in your ear that doesn’t seem to go away. Maybe your doctor told you that tinnitus can’t be helped – that you’ll just have to deal with it?

Well, tinnitus is a condition that’s annoying at best and debilitating at worse – but there are ways to make it better. Here are some of the misconceptions that we have heard about tinnitus – and the facts you need to know.

MYTH: There is nothing I can do about tinnitus.

FACT: Many people go to their doctor with complaints about ringing or buzzing in their ears and are told that there is little they can do about it. “Tinnitus is just something you will have to deal with,” they say. “Try to ignore it.” But the fact is that there is a LOT you can do to lessen the effects of tinnitus.

Here are some proven ways to help decrease the buzzing in your ears:

• Tinnitus Sound Therapy - An important element in tinnitus treatment is the use of sound. Amplified sound from hearing aids, environmental influences, music, or noise generators can help minimize the contrast between the buzzing or ringing of tinnitus and the surrounding sound environment.
• Ear Protection – Noise exposure is a leading cause of tinnitus. Wear ear protection when around loud sounds.
• Tinnitus Counseling – Assessment and counseling with an experienced hearing healthcare professional trained in managing tinnitus can help determine the cause of your tinnitus and minimize the negative impact it may have on your quality of life. The effects of tinnitus can often be lessened by a combination of counseling and sound therapy.
• ZEN tones in hearing aids - ZEN tones can help you to get relief from tinnitus. ZEN tones are available as an individual program in all of Widex' newer hearing aids. By amplifying natural environmental sounds and the sounds of nature, ZEN tones can make ringing in the ears less prominent.


• Relaxation exercises – Stress can often make tinnitus worse. Read a book, go for a walk, and practice breathing techniques and relaxation exercises.

MYTH: Tinnitus is temporary. It will go away soon.

FACT: Some forms of tinnitus are temporary and caused by recent exposure to loud noise. Others are more long-lasting or consist of recurring episodes. Tinnitus affects people in many ways. According to the UK’s National Healthcare System, there are several different “sounds of tinnitus.”

These tinnitus sounds include:

• Mild tinnitus – This form of tinnitus can often be masked by louder sounds. People with mild tinnitus may only notice the ringing or buzzing in their ears when in very quiet surroundings like when trying to sleep or reading a book.
• High-pitched tinnitus – Most people experience tinnitus as a high-pitched hissing, whistling, or buzzing in their ears. Sometimes these sounds are related to your posture – you may only hear them when you are sitting or lying down, or when you turn your head a certain way.
• Low-frequency tinnitus – Sometimes tinnitus can be heard as a low-pitched sound like a rumbling.
• Musical hallucinations – Rarely, tinnitus will manifest itself as a musical hallucination that leaves you hearing a song repeatedly in your head.

MYTH: There are pills that will provide a tinnitus cure.

FACT: Some companies will try to point you to a miraculous tinnitus cure where a few pills will stop all signs of tinnitus. While much research has been done around the effects of medication and vitamin supplements on tinnitus, there is currently no proven tinnitus cure.  Only tinnitus management devices and sound therapy have been proven to decrease the effects of tinnitus.

MYTH: Hearing aids can’t help tinnitus.

FACT: Hearing aids are one of the most effective ways to beat tinnitus. Widex hearing aids are especially helpful for tinnitus patients because they:

• Provide maximum amplification for very quiet environments thus reducing the contrast between tinnitus and silence
• Limit the overall loudness of sound delivered to the ear in noisier environments, which may be critical for people with hearing loss

Hearing aids can also come equipped with Widex ZEN, a functionality that plays soothing tones give relief from tinnitus when you need it.

MYTH: Tinnitus and hearing loss aren’t linked.

FACT: Many people with tinnitus will also have a hearing loss. In fact, a recent French study showed that of 123 people with tinnitus surveyed only one did not have hearing loss.  The British Tinnitus Association estimates that 90 percent of people with tinnitus also have a hearing loss. Moreover, research says that those who don’t may have a “hidden hearing loss.”

MYTH: I never listened to loud music, so I won’t get tinnitus.

FACT: Noise exposure is one cause of tinnitus – but there are several more.

MYTH: Tinnitus is a new condition caused by MP3 players.  People didn’t have it in the old days.

FACT: Tinnitus has been around for as long as people have been writing things down. A 2004 study says that even people in ancient Egypt made reference to the condition. Other research shows that the great composer Ludwig Van Beethoven had tinnitus.

Source:www.google.com

https://global.widex.com/en/blog/myths-about-tinnitus

Tinnitus therapies.

Tinnitus Remedies.

                                                                                 

Overview.

Tinnitus is usually described as a ringing in the ears, but it can also sound like clicking, hissing, roaring, or buzzing. Tinnitus involves perceiving sound when no external noise is present. The sound can be very soft or very loud, and high-pitched or low-pitched. Some people hear it in one ear and others hear it in both. People with severe tinnitus may have problems hearing, working, or sleeping.

Tinnitus is not a disease — it’s a symptom. It’s a sign that something is wrong with your auditory system, which includes your ear, the auditory nerve that connects the inner ear to the brain, and the parts of the brain that process sound. There are a variety of different conditions that can cause tinnitus. One of the most common is noise-induced hearing loss.

There is no cure for tinnitus. However, it can be temporary or persistant, mild or severe, gradual or instant. The goal of treatment is to help you manage your perception of the sound in your head. There are many treatments available that can help reduce the perceived intensity of tinnitus, as well as its omnipresence. Tinnitus remedies may not be able to stop the perceived sound, but they can improve your quality of life.

Tinnitus remedies

1. Hearing aids

Most people develop tinnitus as a symptom of hearing loss. When you lose hearing, your brain undergoes changes in the way it processes sound frequencies. A hearing aid is a small electronic device that uses a microphone, amplifier, and speaker to increase the volume of external noises. This can mollify neuroplastic changes in the brain’s ability to process sound.

If you have tinnitus, you may find that the better you hear, the less you notice your tinnitus. A 2007 survey of healthcare providers published in The Hearing Review, found that roughly 60 percent of people with tinnitus experienced at least some relief from a hearing aid. Roughly 22 percent found significant relief.

2. Sound-masking devices

Sound-masking devices provide a pleasant or benign external noise that partially drowns out the internal sound of tinnitus. The traditional sound-masking device is a tabletop sound machine, but there are also small electronic devices that fit in the ear. These devices can play white noise, pink noise, nature noises, music, or other ambient sounds. Most people prefer a level of external sound that is just slightly louder than their tinnitus, but others prefer a masking sound that completely drowns out the ringing.

Some people use commercial sound machines designed to help people relax or fall asleep. You can also use headphones, television, music, or even a fan.

A 2017 study in the journal Frontiers in Aging Neuroscience found that masking was most effective when using broadband noise, such as white noise or pink noise. Nature sounds proved much less effective.

3. Modified or customized sound machines

Standard masking devices help to mask the sound of tinnitus while you are using them, but they have no long-lasting effects. Modern medical-grade devices use customized sounds tailored specifically to your tinnitus. Unlike regular sound machines, these devices are only worn intermittently. You may experience benefits long after the device is turned off, and over time, you may experience long-term improvement in the perceived loudness of your tinnitus.

A 2017 study published in the Annals of Ontology, Rhinology, and Laryngology, found that customized sound decreases the loudness of tinnitus and may be superior to broadband noise.

4. Behavioral therapy

Tinnitus is associated with a high level of emotional stress. Depression, anxiety, and insomnia are not uncommon in people with tinnitus. Cognitive behavioral therapy (CBT) is a type of talk therapy that helps people with tinnitus learn to live with their condition. Rather than reducing the sound itself, CBT teaches you how to accept it. The goal is to improve your quality of life and prevent tinnitus from driving you crazy.

CBT involves working with a therapist or counselor, typically once per week, to identify and change negative thought patterns. CBT was initially developed as a treatment for depression and other psychological problems, but it seems to work well for people with tinnitus. Several studies and meta-reviews, including one published in the Korean Journal of Audiology, have found that CBT significantly improves irritation and annoyance that often comes with tinnitus.

5. Progressive tinnitus management

Progressive tinnitus management (PTM) is a therapeutic treatment program offered by the U.S. Department of Veterans Affairs. Tinnitus is one of the most common disabilities seen in veterans of the armed services. The loud noises of war (and training) often lead to noise-induced hearing loss.

If you’re a veteran, talk to your local VA hospital about their tinnitus treatment programs. You may want to consult the National Center for Rehabilitative Auditory Research (NCRAR) at the VA. They have a step-by-step tinnitus workbook and educational materials that may be helpful.

6. Antidepressants and antianxiety drugs

Tinnitus treatment often involves a combination of approaches. Your doctor may recommend medication as part of your treatment. These drugs may help make your tinnitus symptoms less annoying, thereby improving your quality of life. Antianxiety drugs are also an effective treatment for insomnia.

A study published in Medical Science Monitor found that an antianxiety drug called alprazolam (Xanax) provides some relief for tinnitus sufferers.

According to the American Tinnitus Association, antidepressants commonly used to treat tinnitus include:

• clomipramine (Anafranil)
• desipramine (Norpramin)
• imipramine (Tofranil)
• nortriptyline (Pamelor)
• protriptyline (Vivactil)

7. Treating dysfunctions and obstructions

According to the American Tinnitus Association, most cases of tinnitus are caused by hearing loss. Occasionally though, tinnitus is caused by an irritation to the auditory system. Tinnitus can sometimes be a symptom of a problem with the temporomandibular joint (TMJ). If your tinnitus is caused by TMJ, then a dental procedure or realignment of your bite may alleviate the problem.

Tinnitus can also be a sign of excess earwax. Removal of an earwax blockage may be enough to make mild cases of tinnitus disappear. Foreign objects lodged against the eardrum can also cause tinnitus. An ear, nose, and throat (ENT) specialist can perform an exam to check for obstructions in the ear canal.

8. Exercise

Exercise contributes significantly to your overall well-being. Tinnitus can be aggravated by stress, depression, anxiety, lack of sleep, and illness. Regular exercise will help you manage stress, sleep better, and stay healthier.

9. Mindfulness-based stress reduction

During an eight-week course of mindfulness-based stress reduction (MBSR), participants develop the skills to control their attention through mindfulness training. Traditionally, the program was designed to draw people’s attention away from their chronic pain, but it can be equally effective for tinnitus.

The similarities between chronic pain and tinnitus have led researchers to develop a mindfulness-based tinnitus stress reduction (MBTSR) program. The results of a pilot study, which were published in The Hearing Journal, found that participants of an eight-week MBTSR program experienced significantly altered perceptions of their tinnitus. This included a reduction in depression and anxiety.

10. DIY mindfulness meditation

You don’t need to enroll in an eight-week program to get started with mindfulness training. Participants in the MBTSR program all received a copy of the groundbreaking book “Full Catastrophe Living” by Jon Kabat-Zinn. Kabat-Zinn’s book is the premier manual for practicing mindfulness in daily life. You will learn about, and be encouraged to practice, meditation and breathing techniques that can help draw your focus away from tinnitus.

11. Alternative treatments

There are several alternative or complementary tinnitus treatment options, including:

• nutritional supplements
• homeopathic remedies
• acupuncture
• hypnosis

None of these treatment options are supported by science. Many people are convinced that the herb gingko biloba is helpful, however large-scale studies have been unable to prove this. There are many nutritional supplements claiming to be tinnitus remedies. These are usually a combination of herbs and vitamins, often including zinc, ginkgo, and vitamin B-12.

These dietary supplements have not been evaluated by the U.S. Food and Drug Administration (FDA) and are not supported by scientific research. However, anecdotal reports suggest that they may help some people.

When to see your doctor

Tinnitus is rarely a sign of a serious medical condition. Talk to your primary care doctor if you are unable to sleep, work, or hear normally. Your doctor will probably examine your ears and then provide you with a referral to an audiologist and otolaryngologist.

However, if you are experiencing facial paralysis, sudden hearing loss, foul-smelling drainage, or a pulsating sound in sync with your heartbeat, you should go to your local emergency department.

Tinnitus can be extremely distressing for some people. If you or someone you love is thinking about suicide, you should go to the emergency room right away.

Takeaway

Tinnitus is a frustrating condition. There’s no simple explanation for it and there’s no simple cure. But there are ways to improve your quality of life. Cognitive behavioral therapy and mindfulness meditation are promising treatment options.

Article sources

www.google.com

https://www.healthline.com/health/tinnitus-remedies#takeaway

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• Henry JA, et al. (2010). A triage guide for tinnitus. 
  ncrar.research.va.gov/Education/Documents/TinnitusDocuments/Triage_Guide.pdf
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  ncrar.research.va.gov/Education/Documents/TinnitusDocuments/HowToManageYourTinnitus.pdf
• Jalali MM, et al. (2009). The effects of alprazolam on tinnitus: a cross-over randomized clinical trial. 
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• Jun HJ, et al. (2013). Cognitive behavioral therapy for tinnitus: Evidence and efficacy. DOI: 
  10.7874/kja.2013.17.3.101
• Kochin S, et al. (2008). Tinnitus treatment and the effectiveness of hearing aids: Hearing care professionals’ perceptions. 
  hearingreview.com/2008/12/tinnitus-treatment-and-the-effectiveness-of-hearing-aids-hearing-care-professional-perceptions/
• Mahboubi H, et al. (2017). Customized versus noncustomized sound therapy for treatment of tinnitus: A randomized crossover clinical trial. DOI: 
  10.1177/0003489417725093
• Sound therapies. (n.d.). 
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• TMJ treatments. (n.d.). 
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