Tinnitus

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What is Tinnitus

Tinnitus is not a disease but a symptom resulting from a range of underlying causes that can include ear infections, foreign objects or wax in the ear, nose allergies that prevent (or induce) fluid drain and cause wax build-up, and injury from loud noises. Tinnitus can also be caused by hearing impairment and as a side-effect of some medications. Some cases of tinnitus are medically unexplained.

As tinnitus is often defined as a subjective phenomenon, it is difficult to measure using objective tests, such as by comparison with noise of known frequency and intensity, as in an audiometric test. The condition is often rated clinically on a simple scale from “slight” to “catastrophic” according to the practical difficulties it imposes, such as interference with sleep, quiet activities, and normal daily activities.

Tinnitus is common. About one in five people between 55 and 65 years old report tinnitus symptoms on a general health questionnaire and 11.8% on more detailed tinnitus-specific questionnaires. So you want to master tinnitus?

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Prevention

Tinnitus and hearing loss can be permanent conditions, and therefore precautionary measures are advisable. If a ringing in the ears is audible following lengthy exposure to a source of loud noise, such as a music concert or an industrial workplace, it means that lasting damage may already have occurred. Prolonged exposure to noise levels as low as 70 dB can result in damage to hearing (see noise health effects). For musicians and DJs, special musicians’ earplugs play a huge role in preventing tinnitus and can lower the volume of the music without distorting the sound and can prevent tinnitus from developing in later years. For anyone operating loud electrical appliances, such as vacuum cleaners, hair dryers, and lawn mowers, earplugs are also helpful in reducing noise exposure.

It is also important to check medications for potential ototoxicity. Ototoxicity can be cumulative between medications, or can greatly increase the damage done by noise. If ototoxic medications must be administered, close attention by the physician to prescription details, such as dose and dosage interval, can reduce the damage done.

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