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Tinnitus is a common disease with a variety of clinical manifestations, ranging from unilateral tinnitus to bilateral tinnitus, to cranial tinnitus, which can be continuous or intermittent. The sound is also diverse, and can be high-pitched, tinnitus like a cicada, or a low-frequency humming sound, which can be accompanied by hearing loss or normal hearing.
There are many clinical causes of tinnitus, such as cerumen embolism of the external auditory canal, foreign bodies in the external auditory canal, various otitis media, otosclerosis, Meniere's disease, sudden deafness, noise deafness, presbycusis, acoustic neuroma, etc., as well as systemic factors can also be caused, such as cardiovascular and cerebrovascular diseases, hypertension, arteriosclerosis, mental stress, depression, thyroid dysfunction, diabetes, cervical spondylosis, temporomandibular joint disorders, etc.
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Tinnitus itself is a symptom of our ears, so different diseases, in addition to tinnitus, are often accompanied by other symptoms, such as one of our secretory otitis media, tinnitus, ear stuffiness, hearing loss, ear we see the eardrum cloudiness, and then puncture can pierce some secreted fluid. If there is sudden deafness, there is significant tinnitus, vertigo, and a sudden onset of severe hearing loss, the patient may have a history of upper respiratory tract infection. In addition to tinnitus, patients with cerebral infarction can have brain pain, increased blood pressure, and even consciousness disorders.
Then the anemia patient presents tinnitus, we can see it with an anemia appearance, and then the examination we can find a decrease in hemoglobin.
So, all in all, tinnitus itself is a symptom, different diseases, in addition to tinnitus, at the same time have the unique symptoms and occlusion of this different disease itself, we need to analyze, these tinnitus and this is the rapid relationship between the disease, and then it is conducive to the evaluation of the condition of the disease.
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Tinnitus is usually heard when there is no sound from the outside world, but the sound is heard in the ear, and the sound heard without the sound source of the outside grinding shed is called tinnitus. The causes of tinnitus are particularly complex, and there are local causes of the ear, such as diseases of the external auditory canal, cerumen embolism, otitis externa, otitis media, and diseases of the inner ear. First of all, it is necessary to clarify the ** of tinnitus.
In most cases, the first step is to determine whether there is a lesion in the ear itself, such as cerumen embolism in the outer tract and otitis media in the middle ear. Most tinnitus may be related to diseases of the inner ear, such as sudden deafness, Meniere's disease, etc., which can cause tinnitus. Therefore, it is necessary to ask the patient whether there is tinnitus accompanied by hearing loss, whether it is accompanied by other systemic diseases, such as high blood pressure, diabetes, thyroid disease, etc.
Therefore, after having tinnitus, it is necessary to go to the hospital as soon as possible to find out the cause. If you have neuropathic tinnitus, it is better to ** the effect as soon as possible. If tinnitus lasts for a long time, there may be some interventions** for tinnitus at this time.
Therefore, if you have tinnitus, you must go to the hospital as soon as possible to clarify the cause.
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The sound quality is varied and is often described as cicada chirping, buzzing, clicking, pulsating, or other noises.
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1. Hearing loss.
After tinnitus, the patient's ears will often be buzzing, and the patient will have a little dizziness and headache, which is an important manifestation of early onset. After a long time, as the tinnitus worsens, the patient will feel that there is a problem with his hearing, and he may even be unable to hear others clearly in the process of interacting with others.
2. Ear pain.
If the tinnitus is caused by ear disease, the patient will feel a slight pain in the ear when the tinnitus appears, and after the tinnitus appears, many patients will cause the nervous system in the ear, causing ear pain. And as the condition worsens, the condition of ear pain will also increase.
3. Tinnitus. After tinnitus, the most obvious symptom is low-key, intermittent tinnitus, such as running water or buzzing. When the patient yawns or makes head movements, a breathless sound is felt in the ears. And tinnitus will also have persistent symptoms, which will have a great impact on patients, most patients will cause lack of sleep, mental depression, and mental illness after a long time because of tinnitus.
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Tinnitus is the result of different pathological changes in many diseases that affect the auditory system.
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The ** of tinnitus is more complex and can generally be divided into two categories:
Otogenous diseases (i.e., associated with ear diseases) are often accompanied by hearing loss, such as due to ototoxic drug poisoning, viral infections, and inadequate blood supply to the inner ear.
Non-otogenic diseases, in addition to tinnitus, such patients are often accompanied by other symptoms of corresponding diseases, such as cardiovascular diseases, hypertension, diabetes, traumatic brain injury, etc. Tinnitus, like other diseases, can be treated early to help improve the condition. Because tinnitus often precedes other symptoms, this is undoubtedly an "alarm", such as the ototoxicity of aminoglycoside antibiotics often precedes tinnitus, followed by hearing loss, and the drug should be stopped immediately when tinnitus occurs; Patients with anemia and hypertension have tinnitus or worsening tinnitus, indicating that the condition is further deteriorating and should be vigilant; If you have tinnitus if you have been working in a noisy environment for a long time, you should consider changing your work environment.
Some tinnitus is clear in the early stage, such as staring embolism, secretory otitis media, etc., corresponding measures can be taken, and the tinnitus will disappear. But about 40 percent of patients have tinnitus that can't find a clear ** doctors call it unexplained tinnitus. **Vary.
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In most cases, tinnitus is the brain's sensory response to damage to the auditory system of the ear, and tinnitus is often associated with hearing loss. There are hundreds of diseases that can produce symptoms of tinnitus, mainly seen in the following:
2. Tinnitus caused by hearing loss, hearing loss related to aging, that is, presbycusis, usually starts from around 60 years old.
3. Long-term exposure to high-decibel noise or long-term exposure to a noisy environment can also damage the human auditory system and lead to hearing loss, such as large-scale entertainment activities or violent chainsaws.
4. Middle ear blockage or Eustachian tube dysfunction, ear canal blockage can lead to increased pressure in the inner ear, affect the function of the eardrum, excessive earwax, middle ear effusion, etc., and abnormal opening of the Eustachian tube can cause tinnitus.
5. Head and neck trauma, severe head or neck trauma can damage nerves, blood flow and muscles, thereby causing tinnitus.
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Typical symptoms of tinnitus include: vocal quality characteristics, tonal characteristics, and vasogenic tinnitus. Clause.
1. Sound quality characteristics. The performance of sound quality is varied, and is often described as clicking, rattling, humming, cicada chirping, and other noises. Clause.
2. Tonal characteristics. Low-pitched tinnitus, more common in patients with Meniere's disease or specific tinnitus that is unclear; High-pitched tinnitus, a common symptom in people with deafness, is usually caused by sensorineural hearing loss. Clause.
3. Vasogenic tinnitus. Patients may present with more pronounced pulsatile tinnitus or buzzing tinnitus, which increases in frequency and intensity during exercise.
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1. I always hear abnormal sounds in my ears.
For example, the sound of water flowing, ticking, birdsong, etc., belongs to neurological tinnitus. Neurogenic tinnitus is a sound that the patient hears from the periphery or in the ear that has no source or does not appear at all, but the person can hear it. Tinnitus is a subjective symptom that does not belong to a real disease, just like a headache and dizziness, it is a feeling of its own.
2. The most obvious symptom of tinnitus is ear ringing.
The severity of the patient determines the type of sound and how long it sounds. Generally, neurological tinnitus is louder and lasts longer. Conductive tinnitus is quieter and similar to the rhythm of breathing.
The frequency of pulsatile tinnitus is similar to that of vascular pulsation. Different types of tinnitus, the method is also different. Be symptomatic**.
3. Vascular pulsatile tinnitus.
If the patient always hears the sound of blood vessels pulsating in his or her ears, it is called vascular pulsatile tinnitus. These patients always feel like pulsating sounds in their ears, rhythmic. However, it does not affect hearing.
Vascular pulsatile tinnitus is mainly caused by carotid body aneurysms or venous globulomas. It can be accompanied by serious complications. For example:
Headaches, stuffiness, etc. Moreover, such tinnitus can be aggravated by poor sleep quality and staying up late.
In summary, the specific symptoms of tinnitus vary from person to person, and patients who hear different sounds and still hear sounds similar to pulsations belong to tinnitus. As long as the patient has abnormal hearing or often hears abnormal sounds, he should go to the hospital for examination in time, the sooner **, the better the effect.
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