Ringing In The Ears Causes
In order to determine the causes of tinnitus, or a persistent ringing in the ears, it is important to separate out the different organs of the ear.
There is the outer ear area, the middle ear area, the inner ear area and then the part of the brain that processes sound. What is not normally understood is that a certain amount of noise in the ears is normal.
We are generally not aware of this noise, because it is overshadowed by other, louder sounds in our environment. When outside noise is blocked by ear wax or some other obstruction, we sometimes become more aware of the normal level of noise we naturally harbor in our ears. If these sounds become excessive, that is considered to be tinnitus.
The most likely cause of ringing in the ears for most people is damage to the nerve cells of the inner ear.
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There are microscopic hairs on the inside of the inner ear that move with the pressure of sound stimuli, and spark an electrical message that is then sent to the brain and interpreted as sound. If these hairs become bent or broken, the message they send to the brain becomes somewhat scrambled, and tinnitus can occur.
Sometimes the cause of a ringing in the ears is simply nothing more than getting older. Hearing can worsen for some people in old age. This loss of hearing then amplifies the natural sounds that occur in the ear, resulting in tinnitus. This condition is medically known as presbycusis.
Those who are exposed without protection to loud noises, discharging firearms, or high decibel music can damage their hearing. Other causes of hearing damage from loud noise could involve chainsaws or heavy equipment. Short-term contact with loud noises can cause tinnitus that gradually recedes over time, but repeated long-term exposure to such noise can fall permanent damage.
Certain medications, such as aspirin, can cause a ringing in the ears, or any of the other manifestations of tinnitus. Such medications are actually toxic to the inner ears. Streptomycin, while a great boon to those suffering from tuberculosis when it was discovered, also led to the degeneration of the hairs inside the cochleovestibular system and permanent damage. Other medicines that produced the same effect included aminoglycosides, some chemotherapy medications, or quinine. Some of the ototoxic damage that occurs with these medications can be treated by taking a round of antioxidant therapy in order to minimize free radical damage.
Some diseases of the inner ear can be causes of a ringing in the ears, though rare. Foremost among these are Meniere’s disease. When the fluid volume in the inner ear changes and the portion of the ear called the labyrinth begins to balloon, then Meniere’s disease is present. When the normal fluid volume of the ear changes or is disrupted, symptoms such as vertigo, nausea and/or vomiting, pressure in the ear, and tinnitus are often present.
In very rare cases, one of the many causes of tinnitus, or a ringing in the ears, can be a tumor growing within the structures of the ear, blocking outside noises and placing pressure on the inner ear. Such tumors are mostly benign and do not spread, but treating them often requires surgery and perhaps radiation treatments, depending on the individual case.
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