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| Tinnitus is the hearing of sound when no external sound is present.[1] While often described as a ringing, it may also sound like a clicking, hiss or roaring.[2] Rarely, unclear voices or music are heard.[3] The sound may be soft or loud, low pitched or high pitched and appear to be coming from one ear or both.[2] Most of the time, it comes on gradually.[3] In some people, the sound causes depression, anxiety or interferes with concentration.[2] Tinnitus is not a disease but a symptom that can result from a number of underlying causes. One of the most common causes is noise-induced hearing loss. Other causes include: ear infections, disease of the heart or blood vessels, Ménière's disease, brain tumors, exposure to certain medications, a previous head injury and earwax.[2] It is more common in those with depression.[3] The diagnosis is usually based on the person's description. Occasionally, the sound may be heard by someone else using a stethoscope: in which case, it is known as objective tinnitus. A number of questionnaires exist that assess how much tinnitus is interfering with a person's life.[3] People should have an audiogram and neurological exam as part of the diagnosis.[1][3] If certain problems are found, medical imaging such as with MRI may be recommended. Those who have tinnitus that occurs with the same rhythm as their heartbeat also need further testing.[3] |
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