Ringing in your ears, known as tinnitus, may not seem like a big deal. But for many, it’s a condition that can interfere with your day-to-day activities and quality of life. Thankfully, there are several ways to relieve the problem.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
Tinnitus is also a common complaint. Nearly 50 million Americans report some type of tinnitus, according to audiologist Sharon Sandridge, PhD. For about 12 million people, the problem is described as bothersome and impacts their lives.
“Many may have problems sleeping, relaxing or reading a book because the tinnitus is always there,” says Dr. Sandridge. “It can cause stress, anxiety and even depression.”
Causes of tinnitus
While the exact cause of tinnitus is typically unknown, one common cause is exposure to sounds that are too loud for too long. If you work in a noisy environment like a factory, construction site, or even a busy and crowded exercise facility, it can expose your ears to levels of sounds that put them at risk. Using power tools, lawnmowers and leaf blowers for extended time periods can harm your hearing, too. One of the first signs of sound-induced damage is the presence of a soft, or sometimes not so soft, ringing in your ears.
Tinnitus is one of the most common service-related disabilities among veterans returning from Iraq and Afghanistan, too, according to the National Institute on Deafness and Other Communication Disorders (NIDCD).
No matter your age, it’s a good idea to take steps to protect your ears and hearing. To reduce your risk, it’s important to physically remove yourself from loud sounds, turn down the volume or wear hearing protection. The longer you are in a loud environment without protecting your ears and hearing, the risk for hearing loss and tinnitus increases.
Besides sound-induced causes, there are a few lesser-known potential causes of tinnitus. They include:
- Earwax. Something as simple as a buildup of earwax in your outer ear may cause your ears to ring. Your healthcare provider can remove the wax to eliminate the ringing.
- Medications. Some medicines may affect your hearing. High doses of aspirin, certain antibiotics, antidepressants and chemotherapy drugs may cause tinnitus. Check with your healthcare provider to determine if any medications you take could be a culprit.
- Dental issues. Ringing ears sometimes may relate to a non-auditory problem with your jaw or teeth. For example, a temporomandibular joint (TMD) disorder can cause noises like popping or clicking in the joint in your jaw. If you recently had dental work or your jaw is bothering you, you may want to revisit your dentist. Sometimes a night guard or a dental orthotic device can help with dental issues and stop the annoying sounds you’re hearing.
- Head injuries. If you were in a motor vehicle accident recently or you bumped your head, that ringing you hear may be a symptom of a biomechanical problem of the head, neck or jaw. Talk to your healthcare provider if you have any concerns after your head injury. To help prevent a head injury, wear head protection if you play high-contact sports, such as hockey, or if you work at a high-risk location, such as a construction site.
- Diseases. Ringing in your ears is sometimes a symptom of a medical condition, such as Meniere’s disease. This occurs when abnormal fluid pressure builds up in your inner ear. Hypertension and diabetes may cause tinnitus as well and need to be addressed with your doctor.
Work with your audiologist to find relief
“Before you pursue any non-medical options for tinnitus management, you need to see a doctor to rule out any underlying problem requiring medical or surgical intervention,” says Dr. Sandridge. “The next step is to have a hearing test done by an audiologist to determine if hearing loss could be the cause as well as to determine if you can benefit from sound therapy.”
Unfortunately, at this point, there is no FDA-approved medication to treat tinnitus. The majority of management options are non-medical and should be directed by your audiologist who may work with other specialty professionals such as a dentist, a physical therapist or a psychologist to find the best treatment option for you.
These may include different types of counseling such as cognitive behavioral therapy (CBT), mindfulness therapy, acceptance and commitment therapy (ACT) or sound therapy such as fans, sounds apps on your smartphones, hearing aids or sound generators.
Hearing aids can do double duty
Hearing aids may be the answer to tinnitus for people who have hearing loss.
“By using hearing aids, you not only help reduce the awareness of the tinnitus, but you also improve your ability to hear as well,” says Dr. Sandridge.
Some hearing aids have a built-in sound generator that produces ocean wave sounds or white or pink noise. These sounds provide relief by decreasing your awareness of the tinnitus by having your brain pay attention to the other neutral, non-threatening sounds. This promotes a process called habituation (helping you get to a point where you no longer pay attention to the tinnitus), which eventually will allow you to be aware of your tinnitus only when you actively listen for it.
“In this case, the tinnitus is not gone, but you no longer pay attention to it unless you focus on it,” she says. “Our goal is to get you to the point where you’re basically tuning the tinnitus out.”
All in all, don’t just wait and hope your tinnitus will go away. Talk to your primary care physician and audiologist if you notice ringing in your ears or other problems with your hearing. They can help you pinpoint your problem and help you find the relief you need.