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    Tinnitus - Six Frequently Asked Questions
    General Questions About Tinnitus

    1. Overview
    2. I have not heard of Tinnitus, is it common?
    3.Which is the correct pronunciation?
    4. What are the suspected causes of  Tinnitus?
    5. Are children suseptible to Tinnitus?
    6.Do genetics play a role?


    Tinnitus - Overview

    Tinnitus is the medical term for the perception of sound in one or both ears or in the
    head when no external sound is present. It is often referred to as "ringing in the ears,"
    although some people hear hissing, roaring, whistling, chirping, or clicking. Tinnitus
    can be intermittent or constant-with single or multiple tones-and its perceived volume
    can range from subtle to shattering.


    Is Tinnitus common?

    By some estimates over 50 million Americans experience tinnitus to some degree.
    Of these, about 12 million have severe enough tinnitus to seek medical attention.
    And about two million patients are so seriously debilitated that they cannot function
    on a "normal," day-to-day basis.


    What is the correct pronunciation?

    Tinnitus has two pronunciations: tin-NIGHT-us or TIN-it-us. Both are correct, though
    the American Tinnitus Association uses tin-NIGHT-us. The word comes from Latin
    and means "to tinkle or to ring like a bell."


    What are the suspected causes of Tinnitus?

    The exact physiological cause or causes of tinnitus are not known. There are, however,
    several likely sources, all of which are known to trigger or worsen tinnitus.

  • Noise-induced hearing loss - Exposure to loud noises can damage and even
    destroy hair cells, called cilia, in the inner ear. Once damaged, these hair cells
    cannot be renewed or replaced. Hearing loss can also be caused by excessive
    noise exposure. Coincidentally, up to 90 percent of all tinnitus patients have some
    level of hearing loss.

  • Wax build-up in the ear canal - The amount of wax ears produce varies by
    individual. Sometimes, people produce enough wax that their hearing can be
    compromised or their tinnitus can seem louder. If you produce a lot of earwax,
    speak to your physician about having excess wax removed manually-not with a
    cotton swab, but by an otolaryngologist (also called an ear, nose, and
    throat doctor).

  • Certain medications - Some medications are ototoxic-that is, the medications
    are toxic to the ear. Other medications will produce tinnitus as a side effect
    without damaging the inner ear. Effects, which can depend on the dosage of
    the medication, can be temporary or permanent. Before taking any medication,
    make sure that your prescribing physician is aware of your tinnitus, and discuss
    alternative medications that may be available.

  • Ear or sinus infections - Many people, including children, experience tinnitus
    along with an ear or sinus infection. Generally, the tinnitus will lessen and
    gradually go away once the infection is healed.

  • Jaw misalignment - Some people have misaligned jaw joints or jaw muscles,
    which can not only induce tinnitus, but also affect cranial muscles and nerves
    and shock absorbers in the jaw joint. Many dentists specialize in this
    temporomandibular jaw misalignment and can provide assistance with
    treatment.

  • Cardiovascular disease - Approximately 3 percent of tinnitus patients experience
    pulsatile tinnitus; people with pulsatile tinnitus typically hear a rhythmic pulsing,
    often in time with a heartbeat. Pulsatile tinnitus can indicate the presence of a
    vascular condition-where the blood flow through veins and arteries is
    compromised-like a heart murmur, hypertension, or hardening of the arteries.

  • Certain types of tumors - Very rarely, people have a benign and slow-growing
    tumor on their auditory, vestibular, or facial nerves. These tumors can cause
    tinnitus, deafness, facial paralysis, and loss of balance.

  • Head and neck trauma - Physical trauma to the head and neck can induce tinnitus.
    Other symptoms include headaches, vertigo, and memory loss.


    Are children susceptible to Tinnitus?

    Tinnitus does not discriminate: people of all ages experience tinnitus. However,
    tinnitus is not a common complaint from children. Children with tinnitus are less
    likely than adults to report their experience, in part because children with tinnitus are
    statistically more likely to have been born with hearing loss. They may not notice or be
    bothered by their tinnitus because they have experienced it their entire lives.

    Children, like people of all ages, can be at risk for tinnitus if they are exposed to loud
    noises. Recreational events like fairs or car races or sports games can all include
    high-decibels activities that can damage kids' ears. Hearing protection is always
    recommended, as is a discussion about the danger of loud noises and the choices
    kids have to turn it down or walk away.


    Do genetics play a role?

    There appears to be a predisposition based on heredity for some people when
    they are exposed to loud sounds, but whether or not tinnitus is genetically indicated
    is not certain.


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