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Understanding the Causes of Tinnitus: Why That Ringing in Your Ears Happens

Man in gray shirt touching ear highlighted in red, indicating tinnitus. Gray background. Focus on ear, signifying discomfort or hearing issue.

Tinnitus—a persistent ringing, buzzing, or clicking sound in the ears—can stem from various causes, ranging from common triggers to less prevalent medical conditions. Let's explore both.


Common Causes of Tinnitus

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  1. Exposure to Loud Noise – Damage to inner ear hair cells from loud sounds (concerts, machinery, fireworks, personal audio devices at high volume).

  2. Age-Related Hearing Loss (Presbycusis) – The auditory system declines naturally with age, leading to tinnitus.

  3. Earwax Buildup or Blockages – Excessive earwax can press against the eardrum and interfere with normal hearing.

  4. Ototoxic Medications – Certain drugs (antibiotics, chemotherapy agents, diuretics, high-dose aspirin) can affect inner ear function.

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  5. Head or Neck Injuries – Trauma from accidents or whiplash can damage auditory pathways.

  6. Underlying Health Conditions – High blood pressure, cardiovascular disease, TMJ disorders, or Meniere’s disease can contribute to tinnitus.

  7. Stress and Anxiety – Emotional distress can heighten tinnitus perception.

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Less Prevalent Causes of Tinnitus

  • Eustachian Tube Dysfunction – The tube connecting the middle ear to the throat may fail to open/close properly, leading to muffled hearing and tinnitus.

  • Otosclerosis – Abnormal bone growth in the middle ear can cause hearing loss and tinnitus.

  • Vestibular Schwannoma (Acoustic Neuroma) – A rare non-cancerous tumor on the auditory nerve can result in one-sided tinnitus.

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  • Autoimmune Inner Ear Disease – The immune system mistakenly attacks the inner ear, causing tinnitus and hearing loss.

  • Superior Canal Dehiscence Syndrome – A rare condition where thinning of skull bone affects balance and hearing, causing tinnitus.

  • Anemia – Reduced oxygen supply to the ears can contribute to tinnitus symptoms.

  • Idiopathic Causes – In some cases, no clear cause is identified, making management strategies crucial.


Seeking Solutions for tinnitus

Identifying the underlying cause is essential for effective management. While tinnitus can't always be cured, professional evaluation can guide treatment options, from hearing aids and tinnitus retraining therapy (TRT) to lifestyle modifications and sound therapy.


At Unicare Speech & Hearing Clinic, specialists provide tailored guidance to help individuals manage tinnitus and improve their auditory health. If you’re experiencing persistent ringing in your ears, seeking professional assistance can make a significant difference.

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