Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
152 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction
Article Home Ear Nose and Throat Disorders Tinnitus


Tinnitus is defined as the perception of sound in absence of corresponding external sound.It can be unilateral or is not a disease by itself.but a symptom caused by various is a disease which is subjective in nature hence it is very difficult to measure the intensity using audiometric tests.It is also objective in some rare conditions such as pulsatile paraganglioma.


Conductive hearing loss


Sensineural loss

  • Loud noise
  • Presbycusis
  • Some medications such as aspirin,some diuretics such as bumetanide ethacrynic acid and some antimalarials such as quinine and chloroquine
  • Antibiotics such as gentamicin,chloramphenicol
  • Metabolic disorders such as thyroid disorders vitamin b 12 deficiency and hyperlipidaemia.


Pschiatric disorders


Rare causes such as lyme disease,hypnogogia(before sleeping),sleep paaralysis.

Diagnostic procedures

  • After a careful history including drug history hearing test ,
  • Angiography(to study blood vessesls)
  • X-ray
  • MRI



Cleaning the ear in case of ear wax.

Withdrawal of the drug causing it also stops tinnitus .

Reduction of alcohol intake is supposed to play a huge role in reducing tinnitus.

Niacin is recommended by many otolaryngologists to reduce tinnitus.but it has side effects of skin flushing

Middle ear effusion is treated with antibiotics and drainage