Hearing Things? Why Your Ears are Ringing

Ringing in the ears, tinnitus, is a common condition that affects millions of people worldwide. It can present as a ringing, buzzing, hissing or even a clicking sound in one or both ears. Tinnitus is a symptom of another underlying issue. Understanding the causes of tinnitus is essential to finding relief and improving quality of life.

One of the most common causes of tinnitus is prolonged exposure to loud sounds. Whether it’s from loud music at concerts, noisy workplaces or personal audio devices, excessive noise can damage the tiny hair cells in the inner ear, leading to hearing loss and tinnitus. This type of noise-induced tinnitus can be temporary or permanent, depending on the severity and duration of exposure.

As we age, natural wear and tear on the auditory system also results in hearing loss, which may be accompanied by tinnitus. Age-related hearing loss usually affects those over the age of 60. The diminished ability to hear external sounds can make the internal ringing or buzzing of tinnitus more noticeable. Luckily, hearing aids are an accessible fix for age-related hearing loss.

A less obvious but easily treatable cause of tinnitus is buildup of earwax. When earwax accumulates, it can block the ear canal and create pressure on the eardrum. This pressure can cause tinnitus symptoms. Removing the excess earwax can often alleviate the ringing sound.

Inflammation or infections of the ear or sinuses can lead to temporary tinnitus. Ear infections can cause fluid buildup and swelling in the ear canal, leading to pressure changes that trigger tinnitus. Similarly, sinus infections can increase pressure in the ear, resulting in a temporary ringing or buzzing sensation. In these cases, treating the underlying infection typically resolves the tinnitus.

In some instances, tinnitus may be linked to physical injuries, especially those involving the head or neck. Trauma to these areas can disrupt normal auditory processing or lead to nerve damage, which may result in tinnitus. This type of tinnitus can sometimes be accompanied by dizziness, headaches or changes in hearing.

Certain medications, especially in high doses, can cause or worsen tinnitus. Medications like aspirin, some antibiotics, diuretics and chemotherapy drugs are known to have ototoxic effects, meaning they can harm the inner ear and lead to tinnitus. If tinnitus begins after starting a new medication, it’s important to consult with a healthcare provider about possible alternatives or adjustments.