Tinnitus is any sound you hear in your ears or head that is not coming from the external environment. It may sound like a ringing, hissing, buzzing, roaring, screeching, or other noise. Its pitch may be high or low, and it may be in one or both ears. It can seem loud or soft. It can also change from day to day, or may seem worse when you are tired or stressed. It may be present with a rhythm that you hear in time with your heartbeat. It is unique to you, so your tinnitus may sound different than someone else's tinnitus sounds to them. It may be mild, or just occasional, or it may be intensely loud, irritating, and persistent.
Noise induced tinnitus results from exposure to loud sounds, either in one single instance or after many repeated exposures over time. This is particularly common among those who frequently spend time in loud environments. It is often accompanied by some degree of hearing loss.
Less commonly, tinnitus may be a side effect of a medication, as over 200 medications are known to be ototoxic (able to damage the hearing system). It can also result from head injury, anemia, hormonal changes, an ear or sinus infection, thyroid abnormalities, impacted ear wax, or can be a symptom of another condition such as Meniere's disease. An evaluation can help to identify these, but often the exact cause is unknown.
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