Tinnitus is the medical term for hearing a sound in your ears or head that has no external source. People often describe it as ringing, but it can also sound like buzzing, hissing, whistling, or humming. It is extremely common, affecting millions of people, and while it can be annoying, it is usually a symptom rather than a disease in itself.

Why does it happen?

Tinnitus most often develops after exposure to loud noise, which damages the delicate hair cells in the inner ear. Other common causes include age-related hearing loss, a build-up of ear wax, ear infections, and certain medications. Sometimes it is linked to high blood pressure, jaw joint problems, or stress. In many cases, the brain becomes more aware of internal signals when normal hearing input is reduced.

What does it feel like?

The sound may be constant or come and go, and it can affect one or both ears. For some people it is a minor background noise, while for others it interferes with concentration, sleep, and mood. It is often more noticeable in quiet surroundings, such as at night.

What can help?

The first step is a proper ENT assessment to identify any treatable cause, such as ear wax or infection. If hearing loss is present, hearing aids can be very effective because they restore sound input and make the tinnitus less noticeable. Sound therapy, which uses gentle background noise to mask the ringing, helps many people. Relaxation techniques and good sleep habits reduce the distress it causes, and counselling approaches can retrain how the brain responds to the sound.

When should you see a doctor?

See an ENT specialist if your tinnitus is persistent, occurs in only one ear, is pulsating in time with your heartbeat, or comes with hearing loss, dizziness, or ear pain. Sudden tinnitus with hearing loss should be assessed promptly.

While there is often no instant cure, the great majority of people learn to manage tinnitus successfully and find that it fades into the background over time with the right support.

Disclaimer: This article is for general information only and is not a substitute for professional medical advice. Please consult a qualified doctor for diagnosis and treatment.