L'tinnitusis a hearing disorder characterized by the perception of annoying noises (such as ringing in the ear, continuous buzzing, rustling, rhythmic pulsations ...) that can have a negative impact on the quality of life.
L'tinnitusis often described as aringing in the earor aringing in the ear but, in some patients it takes on different connotations. This is the case ofpulsating tinnitus.
Some people experience a rhythmic hearing disorder: it's calledpulsating tinnitusand when the perceived sound is synchronized with the heart rate, it is called vascular tinnitus.
It is easy to highlight thepulsating tinnitus: the subject who is affected can check the heartbeat recorded on the wrist with his fingers and understand if the sound perceived in the ear occurs in conjunction with the beat.
L'pulsating tinnitusit can be both objective and subjective. Subjective tinnitus is characterized by anoise perceived only in the ear of those affected. Objective tinnitus, on the other hand, is characterized by a sound that can be perceived with the use of a stethoscope and in rare cases, can be measured as spontaneous otoacoustic emission.
Pulsating tinnitus: causes
Pulsating tinnitus, when associated with the heartbeat, can be detected by third parties with a stethoscope and for this reason it is calledobjective tinnitus. When objective in nature, this tinnitus can becausedfrom an alteration of blood flow (linked to the presence of atherosclerosis or other circulatory problems).
Statistics show rare cases in which pulsating tinnitus is associated with dangerous conditions such as aneurysm from the carotid artery. Pulsating tinnitus can be associated with vasculitis or a symptom of idiopathic intracranial hypertension.
In many cases, thecauseof this perception ofnoiserhythmic, is linked to an increase in the resonance of the tympanic cavity given by:
- Catarrhal otitis
- Chronic otitis
- Tubal narrowing
- Inflammations of the tympanic cavity ...
- Hyperacusis (especially if it comes to nocturnal tinnitus)
- Dysfunction of the eardrum-mandibular joint
In some cases thepulsating tinnituscan be described as a rhythmic noise perceived only by one ear (unilateral pulsating tinnitus). L'unilateral pulsating tinnitusneeds more attention both during the examination of the eardrum and during other diagnostic tests.
Since this type of tinnitus can be a symptom of various vascular anomalies or intracranial anomalies, it must be carefully evaluated and one must necessarily rely on a specialist, completely abandoning the idea ofnatural remediesiscaredo-it-yourself.
Pulsating Tinnitus: Diagnosis and Treatment
How to cure pulsating tinnitus? Certainly without do-it-yourself natural remedies but relying on a good doctor. First of all, a diagnosis and investigation is required to identify the possible onescausesof tinnitus.
Who to contact in case of ear noise?
You can refer to an otolaryngologist or an audiologist. In this first step, the specialist will carry out:
- Examination of the eardrum
- Micro oscopy of the blood vessels of the head and neck
- Basic audiometric examination
- Basic impedance test
First of all, the diagnosis will aim to understand if it is aobjective tinnitus(therefore also perceived by the specialist) or asubjective tinnitus(audible only from the inside and reported by the patient). To the exams mentioned above, more in-depth investigations could then be added such as:
- CT scan
- Nuclear Magnetic Resonance (MRI)
- Resonance angiography (MRA)
- Doppler color echo of epiortic (carotid) vessels
- trans-cranial doppler of the brain vessels (to rule out any intracranial abnormalities)
Based oncausedetected it will then be possible to establish a correct treatment. As stated, it is not possible to explainhow to treat pulsating tinnituswithnatural remediesprecisely because the causes can be multiple.
Pulsating tinnitus: cure
If pulsating tinnitus is related to otitis, it will be enough to treat the inflammation in the ear. In more complex frameworks, appropriate treatment will be required.
Theretreatment of pulsating tinnitusis consequential to thediagnosisdetected with the exams listed above.
If the specialist identifies onecausepathological of a vascular nature, it will be necessary to intervene on this problem.
Since thetinnitusit is often associated with emotional distress, psychological stress, depression and anxiety, psychological support is recommended for physiological treatment.
When a patient reports persistent noise, that noise can really lower the stress threshold and worsen the affected person's quality of life. Depression, anxiety, sleep disturbances and difficulty concentrating aresymptomscommon associated with tinnitus. Constant noise can trigger negative emotions and unpleasant symptoms related to fear and anxiety.