Local Life - Wigan - January 2021

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58 What is Tinnitus? By Darren Glancey of <strong>Wigan</strong> Hearing Tinnitus is an abnormal noise (or noises) that you can hear, however the noise does not come from outside your ear. Some of the noises that people can hear include ringing, buzzing, whistles, roaring, and humming. Tinnitus can be either constant or come and go and it can vary in loudness and character. You can hear the noise or noises in one ear or in both ears, making it difficult to pinpoint where the noise is coming from. The noise is often more prominent when you are in a quiet place, as there is less background noise to distract you, such as when you are in bed and trying to get to sleep. It may also be more noticeable when you are tired. Some people with tinnitus are also more sensitive to normal everyday sounds; the radio or TV can be painfully loud when it is at a normal volume for most other people. Tinnitus red flags · Pulsatile tinnitus · Tinnitus in association with significant vertigo · Unilateral tinnitus · Tinnitus in association with asymmetric hearing loss · Tinnitus causing psychological distress · Tinnitus in association with significant neurological symptoms and/or signs It is though that around 10% of the population experience tinnitus and both sexes are equally affected and although tinnitus is more common in the elderly it can occur at any age, including childhood. Most tinnitus is mild, and it is relatively rare for it to develop into a chronic problem of life-altering severity. The natural history of tinnitus in most patients is of an acute phase of distress when the problem begins, followed by improvement over time. But for a minority of patients the distress is ongoing and significant, and they will require specialist support. For reasons that are not clear tinnitus and sensorineural hearing loss can give rise to a blocked feeling in the ears despite normal middle ear pressure and eardrum mobility; and therefore, decongestants and antibiotics are rarely helpful. It is all too common to hear that patients have been told nothing can be done about tinnitus. Such negative statements are not only unhelpful but also tend to focus the patient’s attention on their tinnitus and exacerbate the distress. And whilst there is no direct role for drugs, they can be used to treat associated symptoms such as vertigo, insomnia, anxiety or depression. Referral routes vary and will depend on local protocols, but in most cases, referrals are directed to ENT or audiology services. Tinnitus prevalence is greater amongst people with hearing impairment but the severity of the tinnitus correlates poorly with the degree of hearing loss. Hearing aids are helpful if there is associated hearing loss and straining to listen can allow tinnitus to emerge or, if already present, to worsen. Correcting any hearing loss reduces listening effort and generally reduces the level of the tinnitus. Hearing aids are useful even if the hearing loss is relatively mild and at a level where aids would not normally be considered. Some modern hearing aids have sound therapy devices incorporated within the aid specifically for tinnitus patients. In our view, all people who describe tinnitus deserve an audiological assessment. Decisions on when to start using a hearing aid and what sort to use are up to the individual patient and audiologist. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions.
59 Is your Hearing Loss Due To Earwax? Find our with a FREE hearing consultation Micro-suction & Irrigation Ear wax removal available • Earwax Removal • FREE Hearing Tests • Hearing Aids & Repairs • FREE 1 Week Hearing Aid Trial Ask us about our wide range of hearing aids Drop in or contact Darren on: 01942 215 391 8-10 Gathurst Road, Orrell, WN5 8QH www.wiganhearing.co.uk
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Local Life - Wigan - January 2021

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