question-icon

What causes buzzing sensation in head?

default
Posted on Fri, 18 Jul 2014
Question: When I lay down at night I feel a buzzing sensation in my head. this has been happening for about 5 years. Also, my forehead pulsates. One time I laid down and woke up in the night and it felt really bizare like fluid was coming down on both sides. Everytime I sit up these symptoms go away.. Also, when this happens laying down I forget what I am thinking. Just now, I felt pulsating and this does not usually happen while I am sitting up. I have told this to my PCP and she just looks at me blankly and changes the subject. ?? She doesn't offer opinions or anything. I have told her this over a couple years and thought if she doesn't think it's serious it must not be.. I hope everything is okay because I just got accepted into graduate school. I have an appointment with the neurologist on the 1st... But, even some opinions from you would be helpful...
doctor
Answered by Dr. Naveen Kumar (1 hour later)
Brief Answer:
Middle ear problems need to be ruled out

Detailed Answer:
Hi

Thanks for posting the query; I'll try my best to help you with this query.

According to the description provided, you seem to be having either of the following conditions which has to be examined and confirmed with investigations.

1. Eustachian tube catarrh is the commonest condition which gives the feeling of fluid sensation in the ear and more so while lying down (due to increased congestion in the supine position). Eustachian tube is a connection between nose and the ear which maintains the pressure between the atmosphere and the middle ear. Blockage of the nasal end of this tube can vary the middle ear pressure giving the sensation of fluid in the ear.

2. Secondly, a blood vessel may be close to the eardrum or a vein similar to a varicose vein may make enough noise to be heard.

3. Other possibilities include dehiscence of the jugular bulb, an enlarged jugular bulb on the involved side is common in persons with venous type pulsatile sensations. This is more pronounced in the supine position due to increased blood flow towards the heard.

4. Finally, the pulsations over the forehead may not be related to the ear. The possibility of stress induced headache or migraine cannot be ruled out.

All the above mentioned are the most probable causes, this requires a thorough evaluation by an apt ENT Specialist.

Hope I have answered your query; I'll be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Naveen Kumar (5 hours later)
Hi i didnt say it was my ear... i said its my head..
doctor
Answered by Dr. Naveen Kumar (7 hours later)
Brief Answer:
Other causes are anxiety and vascular related..

Detailed Answer:
Hi

Thanks for writing back

My sincere apologies, if you feel I have deviated from the actual query. I do understand and respect your concern. But, most of the patients who present to ER with the complaints of buzzing in the head will actually turn out to be having tinnitus secondary to middle ear causes.

There are various other conditions which can also cause buzzing in the head such as anxiety and vascular related disorders in the brain. I avoided quoting these in the initial response, because, I did not want to confuse you and create unnecessary apprehension.

In many individuals having anxiety related issues, they seldom complain of buzzing in the head, which, they actually experience as weird vibrations or tremors in the in the body. There would be no underlying explainable cause for this and usually treated with anti-anxiety medicines.

Other causes related to the brain such as arterio-venous malformations, small intracranial aneurysms and cavernous carotid fistula can give rise to buzzing in the head. This has to be confirmed with appropriate investigations such as MRI and MR angiogram of the brain.

My sincere advice to you is to get a complete examination done by a team of Neurotologist and Neurologists to diagnose the problem and plan the management accordingly.

Hope this answers your query.

Wish you good health

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Naveen Kumar

ENT Specialist

Practicing since :2001

Answered : 2498 Questions

premium_optimized

The User accepted the expert's answer

Share on
What causes buzzing sensation in head?

Brief Answer: Middle ear problems need to be ruled out Detailed Answer: Hi Thanks for posting the query; I'll try my best to help you with this query. According to the description provided, you seem to be having either of the following conditions which has to be examined and confirmed with investigations. 1. Eustachian tube catarrh is the commonest condition which gives the feeling of fluid sensation in the ear and more so while lying down (due to increased congestion in the supine position). Eustachian tube is a connection between nose and the ear which maintains the pressure between the atmosphere and the middle ear. Blockage of the nasal end of this tube can vary the middle ear pressure giving the sensation of fluid in the ear. 2. Secondly, a blood vessel may be close to the eardrum or a vein similar to a varicose vein may make enough noise to be heard. 3. Other possibilities include dehiscence of the jugular bulb, an enlarged jugular bulb on the involved side is common in persons with venous type pulsatile sensations. This is more pronounced in the supine position due to increased blood flow towards the heard. 4. Finally, the pulsations over the forehead may not be related to the ear. The possibility of stress induced headache or migraine cannot be ruled out. All the above mentioned are the most probable causes, this requires a thorough evaluation by an apt ENT Specialist. Hope I have answered your query; I'll be available for the follow-up queries. Regards Dr. Naveen Kumar N. ENT and Head & Neck Surgeon