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SIDEBAR: YOU’RE IN GOOD COMPANY

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One day you seem to be hearing normally, and the next you experience an uncanny buzzing, pounding or screeching in your ear that only you can hear. At first you may think that you are the only one on planet Earth hearing these things. But, you’re not! You’re in good company. It has been estimated that one in every 10 people is walking around hearing similar Tinnitus noises, and some of them are quite famous including the former President Ronald Reagan; the famed singer Barbara Streisand and actors Peter Townsend, William Shatner and Tony Randall.

Want to learn more about the others out there who are suffering from Tinnitus? Here are a few facts that have been compiled by researchers at the Oregon Health Sciences University:

  • 42% of Tinnitus sufferers can link no direct cause to their symptoms
  • 51% of sufferers noticed their Tinnitus coming on gradually, while 39% reported a sudden onset of symptoms
  • 53% of sufferers only report hearing one noise; while the rest may hear three or more noises at a time
  • 44% of sufferers report sleeping problems, at least on some nights due to the noises they constantly hear
  • Only 2% of Tinnitus sufferers report a reduction in noise without any type of therapy

 

DETERMINING YOUR TINNITUS TYPE

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There are many different types of Tinnitus, and your treatment can depend a great deal on which type you have. For instance, while most sufferers actually hear noise that is not present, some people can actually experience an exaggeration of both external noises in their environment, as well as internal noises that their body constantly makes.

To see what type of Tinnitus you may have, let’s take a look at some of this affliction’s main categories:

Objective Tinnitus

You may not be aware of it, but your body makes a lot of noise throughout the day. Your heart thumps, your lungs extract, and your arteries pulsate among other things. Although these sounds are constant, few of us ever notice them. So, if our bodies are so noisy, why don’t we hear what’s going on? There are several reasons for this. Firstly, most of our organs are insulated by protective tissues, muscles and skin, and because of this the noise is kept down. But, the most important reason why we don’t normally hear our body at work is because our brain filters out (or simply ignores) these normal noises. Until they change, thus signaling trouble, the brain simply doesn’t let us “hear” the noises within. That’s a good thing too, since they would likely drive us mad if we did notice every sound our internal organs made.

There are people, however, who can hear the sounds within their bodies. This is called objective Tinnitus.

For those with objective Tinnitus, these internal bodily noises become more acute (and noticeable), causing hearing distress, and it seems that there is no way to get away from the constant noise.

One way to better understand objective Tinnitus is to become aware of the most common sound culprits within the human body:

1. The Circulatory System – one of the most common causes of objective Tinnitus is the flow of blood through larger vessels in the head or even small arteries in the ear, or those that lead to the ear.

2. The Heart – the heart can beat quite loudly at times, so people with an acute awareness of sound may easily pick up on the noise it makes.

3. The Skeleton – you may have thought that your skeleton remains relatively silent throughout the day, but that’s wrong! Next to circulation, the skeleton (usually the bones in the jaw, neck and back) is the biggest source of objective Tinnitus. The most common cause includes some type of injury, deterioration or arthritis. Of course some people report clicking joints in other parts of the body as well, but in Tinnitus, what affects most are the ones that are nearest to the head and ears.

4. The Soft Palate. While muscles rarely cause any type of Tinnitus noise, the contraction of the soft palate has been reported to be a source of Objective Tinnitus.

Subjective Tinnitus

All-too-often, a patient describes the sounds he/she hears only to be told that it is merely in the head. When no outer or internal noises can be found to be the root cause of a patient’s Tinnitus, it is considered subjective. This in no way means that the patient isn’t hearing these sounds, or that they are only imagined. The sounds of Tinnitus are real. It’s just that, sometimes, no one else can hear them, or is able to find a reason for them.

Whether a reason can be found for the malfunction or cannot be found, it does not mean that the brain is not recording or replaying previously heard sounds in the sufferer’s head. As a matter of fact, most subjective Tinnitus is eventually linked to some sort of malfunction within the body, including the auditory center and the nervous system. When this happens, the malfunctioning organ or system may actually send sound impulses to the brain, telling it that a sound has been heard, even when it hasn’t. This can cause confusion with the medical community regarding what is really being heard, and what sounds are only perceived.

Another source for subjective Tinnitus is all those unknown internal sounds that originate deep within the body itself. If no one else has ever reported hearing a certain sound before, it may be considered subjective, when in reality, it is actually objective. This is because it is indeed a real sound that is being made by the body, and one that only the patient can hear.

Stereo vs. Mono Tinnitus

Tinnitus presents itself in a lot of different ways, but the most common are in relation to how loud the noise that the person hears is (their frequency); how often they are heard (their duration); and how many are heard. While the majority of Tinnitus sufferers report only hearing a single noise at a time, as many as 26% report hearing two noises and 6% can hear three or more at a given time.

In addition, sufferers may hear noises in one or both the ears at a time; or the noise may move from one ear to another in a type of stereo effect. In rarer cases, it has been noted that some sufferers experience the sensation of noise without really hearing it per se.

These types of stereo Tinnitus may be even more severe if such noises feature an especially high frequency on an ongoing basis.

Significant vs. Insignificant Tinnitus

It can be especially difficult to determine how significant an individual’s Tinnitus is due to the simple fact that different people react to the noise created by the disorder in different ways. While one person may be able to tolerate several different noises at a lower frequency, others hearing just one continuous buzz at a higher volume may find the disorder disabling.

Generally speaking, if the Tinnitus is more sporadic, despite its volume and frequency, the patient will be able to deal with its symptoms better. Many sufferers admit that it isn’t necessarily the loudness of the noise that they find so distressing, but the constant nature of it. “If only I could get a break,” many report, “I could handle it.”

For diagnosis purposes, insignificant Tinnitus is simply Tinnitus that is experienced occasionally, and the patient is able to “live with” it during an attack. Significant Tinnitus on the other hand is considered more debilitating, and can cause other serious problems such as depression, immune system deficiency and even hearing loss.

 

THE NOISES YOU HEAR

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Tinnitus can be experienced by hearing any type of ongoing noise, but the most common include:

  • Ringing Sounds. The most common Tinnitus symptom, which is ringing in the ears, usually refers to a constant shrill telephone-like ring that patients hear.

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