EAR- Tinnitus – Roar in ear
A noisy world creates disturbances and is found to be ruining the hearing process of the ear. Even though the world is aware of noise pollution, no one takes care of the ear unlike taking care of eyes with dark glasses. Ear is the messenger of words to the brain. Clarity in hearing is very essential to avoid confusion. Unnecessary noises may lead to misunderstanding and may lead to trouble. Such noises in the ear usually distract people and often lead to hardness of hearing. Noises in the ear are medically termed as ‘tinnitus aurium’. Tinnitus often threatens to become deafness. Many people find tinnitus a nuisance but often ignore and wait for it to go away on its own. This often leads to making people hard of hearing. So it is crucial to learn/follow preventive measures to take care of the ear.
About ear – The ear is a miniature gramophone of our body. It helps in hearing even the minute sound that may be whispered. The ear makes us learn, communicate, love music, admire beauty of nature acoustically, etc. It warns us about a strange situation when there is a strange sound. Sound perception is as important as vision perception. For example – theatre sound system needs to be good to provide good impact of the film.
The ear is one of the most sensitive and delicate organs of our body. It is a complex tiny organ with tiny bones and labyrinth. The ear consists of external (outer) ear, middle ear and inner ear. The external ear is nothing but a trumpet/flap of tissue which marks the entry route for sound. It simply collects and projects the sound inside. The middle ear consists of tympanic membrane (ear drum), tympanic cavity and tiny bones which conduct vibration to the inner ear. The inner ear (labyrinth) consists of vestibule, semicircular canals and cochlea. The vestibular apparatus gives balance to our body with respect to head positions and movement. Cochlea is a snail-shaped, lymph-filled organ that responds to the vibrations of sound and converts vibrations into impulses. These impulses are carried to the brain by the vestibulo cochlear (acoustic) nerve. Sound perception is attained by two ways i.e. air conduction and bone conduction (through vibration).
About hearing – Normal conversation scales about 50-60 decibels and it can be heard for 20–30 feet. The ear can tolerate up to 95 decibels. Any more should be considered as noise pollution as it may lead to hearing loss. Crackers, fire weapons, factory machinery, etc., often cross 110 decibels. Short time exposure won’t cause any serious hearing loss or tinnitus whereas sustained hearing of sounds that are more than 115 decibels often induces temporary hearing loss and tinnitus. Loss of hearing and tinnitus may be temporary or permanent depending upon the intensity of the noise pollution. It can affect one ear or both ears. In case of elderly people, nervous weakness caused by diabetes, hypertension or natural ageing process may induce tinnitus and hearing loss. Hearing loss can be easily noticed with requirement of high volume speech and confusion caused by noises.
Incidences – Tinnitus is common in the aged. Its incidence is higher after the age of 40 irrespective of sex. Anyway, women have higher incidences around menopause. Youths may also suffer from it when they are exposed continuously to loud noises. Almost everyone would have experienced tinnitus at one time or the other in one ear or both ears, for a few seconds to minutes, i.e. while diving, jumping, traveling by flight, head injury, blowing nose hard, in hill stations, etc. Mostly these will return to normalcy soon.
Symptoms
Usually tinnitus is referred for ear noises like buzzing, hissing, blowing, ringing,
whistling, roaring, pulsating, etc. This often refers to a sound like the roar of the tides in the seashore or shell acoustic sound. Occasionally, according to the intensity of the suffering, nausea, vomiting, vertigo, headache, restlessness, irritability, loss of concentration, etc., may accompany tinnitus. Since tinnitus itself is a symptom, its presence sometimes represents a symptom of inner diseases. It may also sometimes seem to be a hallucination of the sufferer.
Types – Tinnitus is classified medically as objective & subjective tinnitus. Objective tinnitus can be heard by the doctor also while doing auscultation, whereas subjective tinnitus cannot be heard by others and can only be heard by the sufferers/patients. Nowadays, objective tinnitus is managed well with surgery by treating the causes. But, most of the time, tinnitus seems to be subjective.
Causes – No known cause will be the end result, in most of searches in tinnitus cases. Anyway, the possible related causes are
- Maltreated middle ear infection
- Neglected hole in the ear drum
- Negligence in caring for the ear by letting water enter it
- Increased wax and impaction
- Obstruction with foreign substances
- Eustachian tube infection which arises from throat complaints
- Age-related hearing loss due to nervous weakness
- Meniere’s disease – inner ear disease with vertigo, tinnitus, nausea and hearing loss
- Prolonged use of drugs like Aspirin, pain-killers and antibiotics
- Continuous exposure to loud sounds like rock music, machinery sounds in factories, crackers, firing weapons, etc.
- Systemic illnesses like hypertension, diabetes and anaemia
- Tension and anxiety
- Hardening and sclerosis of bones and ligaments of the middle ear
- Tumours
- Increased vascularity in blood vessels due to deformity or malformation
Head Injury causing damage to brain/ear
Diagnosis –A series of diagnostic tests with physical examination reveals nothing. A detailed history and enquiry about feeling and nature of sound gives some idea about the disease, i.e., in case of vascular origin, it will be pulsating or rhythmic. Routine tests are Audiometry, X-rays and angiography. CT scan/MRI may help to rule out any tumour or deformities.
Complication – Tinnitus often complicates hearing and can cause deafness. Many a time, tinnitus also points to inner diseases like hypertension, anaemia, vascular tumour/aneurysm where care is very essential. If it is left uncared-for, there may be a lot of complications. Continuous exposure to noise will also lead to hearing loss.
Management – Pin drop silence often reveals even the ticking of the clock. Likewise, a silent situation often seems to amplify tinnitus. So, people often use radio or watch TV to get sleep without noise/tinnitus. Tinnitus can be managed temporarily with any sound masker. Treatment should be started soon or otherwise hearing loss will be rewarded in a slow manner. For self management,
- Taking coffee, tea and alcohol
- Tobacco chewing and smoking
- Continuous exposure to loud noises
- Tension and anxiety since it usually increases the volume of the tinnitus
Prevention – To hear properly,
Do’s
- Use ear plug, if you happen to be in a loud sound area
- Learn to listen to music in a pleasant volume, especially when using headphones
- Maintain BP with low salt, brisk walking and better sleep without tension
Don’t
- Clean ears with hairpins, matchsticks, keys, etc.
- Pour oil or water into the ear on your own
- Bathe without cotton plugs in the ear to avoid water getting into it (in case of ear complaints)
- Use unnecessary medications unless otherwise prescribed for specific time
General treatment – Since finding out the cause is difficult, treatment also seems to be difficult in most of the cases. Unless doctor finds a cause, patients are helpless. The latest advanced surgery often treats the cause and improves hearing. But, sometimes, tinnitus may happen to persist, making doctors helpless. So, most of the time, the patient gets prescribed with multi-vitamins and maskers (hearing aids). Maskers usually amplify the surrounding sound for winning over (masking) the noises. Due to hesitation in using hearing aid, most people train themselves to live with tinnitus. Some doctors use vasodilators and sedatives for tinnitus. Treatment results usually vary.
Homeopathic approach
Suffering silently for a long time may lead to permanent silence in the ear (deafness). Silence is very powerful as it even kills with depression, emotional problems, etc. Here comes the spectacular opportunity for Homeopathy to show its efficacy where other systems fail to cure the patients. Homeopathic treatment will have dramatic cure in cases of tinnitus, if it is cared for from the initial days i.e. before loss of hearing arises. Most times, tinnitus is felt as a subjective feeling. Sometimes, patients are even blamed for complaining about tinnitus with hallucination.
Homeopathy usually gives importance to subjective feelings / symptoms of the patients, which are characteristic to that individual. Homeopathy medicines are often prescribed individually, i.e., for the exact feeling they experience, i.e. buzzing, hissing, humming, roaring, whistling, gushing, ringing, drumming, reverberating, echoing, pulsating, steaming, clicking and even for the sound of air escaping through the ear or water flowing in the ear, etc. Even the sound of silence can be very well heard with out any noises, after taking proper homeopathic treatment.
Homeopathic medicines commonly used in cases of tinnitus are Acid Mur, Acid Nit, Acid Salicy, Ammon Carb, Aurum Mur, Baryta Carb, Bryonia, Calc Carb, Cannabis Indica, Causticum, Chamomilla, Chinchona, Chin Sulp, Conium, Graphites, Hepa Sulp, Ferrrum Picricum, Kali Bich, Kali Iod, Kali Mur, Kali Sulp, Nat Salicy, Petroleum, Pulsatilla, Sulphur, Tellurium, Viola Odorata, Viscum alb, etc. These Medicines should be taken under the advice and diagnosis of a qualified Homeopath.
for new hope
Dr. S. Chidambaranathan, BHMS, MD
(Homeo)
Laxmi Homeo Clinic
24 E. New Mahalipatti Road
Madurai, TN 625 001
India
Tel: +91-452-233-8833 | +91-984-319-1011
(Mob)
Fax: +91-452-233-0196
E-mail: drcheena@yahoo.com
www.drcheena.com / www.drcheena.in
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(Disclaimer: The contents of this column are for informational purpose only. The content is not intended to be a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of healthcare professional for any health problem or medical condition.)