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What causes hissing sounds in ear?

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Posted on Mon, 1 Jun 2015
Question: I am having some kind of hearing issue from last few days. I can hear some kind of hissing sound in my ear everytime. Actually, during diwali season some people feel/hear this kind of sound after a cracker brust near to their ear. Its very irritaing and i want to get rid of it at the earliest.
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Answered by Dr. Sumit Bhatti (18 minutes later)
Brief Answer:
Tinnitus. This is very common. PTA, I/A, Ear examination. More Details.

Detailed Answer:
Hi.

Thank you for your query.

1. This hissing sound is known as Tinnitus. Is this in one ear or both?

2. First get an ear examination to rule out earwax build-up as this is one of the commonest causes.

3. A PTA (Pure Tone Audiogram) will help rule out any hearing loss that is associated. However, Tinnitus can exist without hearing loss. Also get an Impedance Audiogram (Tympanogram) done.

4. Check if the sound matches the heartbeat, changes with different positions of the neck or by clenching the teeth (jaw).

5. Upload the PTA. I/A and ear examination findings for further treatment options.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sumit Bhatti (22 minutes later)
I don't have any hearing problem as of now and can hear very clearing.The sound is is both the ears and i don't see an change with different positions of the neck or clenching of the teeth. Even sound doesn't matches the heartbeat.
doctor
Answered by Dr. Sumit Bhatti (33 minutes later)
Brief Answer:
Seems to be Cochlear Synaptic Tinnitus.

Detailed Answer:
Hi,

Thank you for writing back.

1. Almost all people at some point in their lives experience tinnitus. Tinnitus does not have a cure, however, it may be controlled. How severe is your tinnitus on a scale of 1 to 10? I must emphasize that in a vast majority of patients of tinnitus, the cause is never found.

2. Get your ears examined to rule out any ear wax and get the hearing tests done. You cannot assess your hearing yourself. This is the ideal protocol.

3. The exact cause of Tinnitus is unknown. However one of the the agreed pathology is damage to or loss of to hair cells in the inner ear. The role of the brain in the perception of Tinnitus also exists. For example, some people have been relieved of Tinnitus after a cerebral stroke, while some continue to hear it even after the Cochlear (Hearing) Nerve is cut.

4. What is your exposure to occupational noise and loud music / earphones / XXXXXXX phones? Exposure to loud noise is also a leading cause for tinnitus.

5. I have noticed patients who have increased Tinnitus when they are stressed, have fluctuations of blood pressure, low hemoglobin, low blood sugar levels and so on.

6. Cochlear Synaptic Tinnitus may be treated in up to 50% people with Caroverine infusion followed by capsules for two months. Other treatments such as transtympanic steroids, gingko biloba, multi-vitamins, anti-oxidants, HBOT (HyperBaric Oxygen Therapy) may also help in reducing Tinnitus.

7. Kindly let me know the results of your investigations. This will help in suggesting further treatment.

I hope that I have answered your query. If you have nay more questions, I will be available to answer them.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sumit Bhatti (2 hours later)
Thanks ..i will get the test done and let you know..but i have started feeling uncomfortable during a conversation over the XXXXXXX phone and also while listening loud music while driving my car
doctor
Answered by Dr. Sumit Bhatti (2 hours later)
Brief Answer:
Moderate Tinnitus.

Detailed Answer:
Hi.

Thank you for writing back.

1. If you have started feeling uncomfortable during conversations over the XXXXXXX phone and also while listening to loud music while driving, it means that your tinnitus has become moderately severe.

2. This will require treatment to reduce / control the tinnitus. We can discuss this after you upload the Audiograms and ear examination notes.

3. Use a corded earphone and keep the XXXXXXX earphone volume low. Avoid listening to loud music at present.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2662 Questions

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What causes hissing sounds in ear?

Brief Answer: Tinnitus. This is very common. PTA, I/A, Ear examination. More Details. Detailed Answer: Hi. Thank you for your query. 1. This hissing sound is known as Tinnitus. Is this in one ear or both? 2. First get an ear examination to rule out earwax build-up as this is one of the commonest causes. 3. A PTA (Pure Tone Audiogram) will help rule out any hearing loss that is associated. However, Tinnitus can exist without hearing loss. Also get an Impedance Audiogram (Tympanogram) done. 4. Check if the sound matches the heartbeat, changes with different positions of the neck or by clenching the teeth (jaw). 5. Upload the PTA. I/A and ear examination findings for further treatment options. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.