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Op. Dr. Erdem Yıldız
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Ear

Ringing in the Ears — Tinnitus

Tinnitus is the perception of sound without an external source. It may sound like ringing, buzzing, humming or hissing, in one ear, both ears or the head. It can come and go or remain present. Assessment helps explore possible causes and ways to reduce its impact.

A red-haired woman sits at a table in the evening light, touching the area behind her ear with a worried look while an open book lies in front of her

How can tinnitus affect daily life?

Some people barely notice tinnitus, while others find it affects sleep, concentration or emotional well-being. It may become more noticeable in quiet surroundings. Persistent or troublesome symptoms deserve assessment, even when hearing seems unchanged.

What can cause tinnitus?

Tinnitus is often associated with hearing loss or loud-noise exposure. Earwax, ear infections, certain medicines and jaw-joint problems can also contribute. Sometimes no specific cause is identified.

Do not stop prescribed medication yourself; discuss any suspected connection with your clinician.

How is tinnitus assessed?

Assessment includes discussing when the sound began, which ear is affected, whether it follows your heartbeat, and any accompanying symptoms. Its effect on sleep and daily activities also matters.

An ear examination and hearing assessment help guide further care. Imaging may be appropriate in selected cases, particularly with pulsating tinnitus; it is not necessary for everyone.

What can help?

Treating an identifiable cause may reduce symptoms. For persistent tinnitus, management focuses on reducing its impact rather than promising to eliminate the sound.

Options may include:

  • Hearing aids when hearing loss is present
  • Gentle background sound to make tinnitus less noticeable
  • Cognitive behavioural therapy to help reduce tinnitus-related distress
  • Support for associated sleep or anxiety difficulties

There is no single treatment that works for everyone. Vitamins and herbal supplements have not been proven to cure tinnitus.

When should you seek medical help?

Arrange an assessment if tinnitus is regular, persistent, worsening or affecting sleep and concentration.

A sound that beats in time with your pulse needs urgent medical assessment.

Seek emergency care if tinnitus follows a head injury or occurs with sudden hearing loss, facial weakness or a spinning sensation. Do not wait for a routine appointment or WhatsApp reply.

Everyday steps

Avoid complete silence if it makes tinnitus more intrusive; soft background sound may help. Maintain a regular sleep routine and try relaxation techniques. Protect your hearing in loud environments and keep listening volumes comfortable.

For questions about tinnitus assessment or to arrange a consultation, please get in touch.

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This information is intended as a general guide and does not replace an individual medical assessment.

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