- Content version
- 1.0
- Last scientific review
- مايو 2026
What is tinnitus?
Tinnitus is hearing a sound in the ear or head without any external source — such as ringing, hissing, buzzing, or humming. It may occur in one or both ears, and be constant or intermittent.
Tinnitus is very common, and rarely a sign of a serious illness.
What are the causes?
- Hearing loss — the most common cause
- Exposure to loud noise
- Earwax or ear infections
- Aging
- Certain medications
- Jaw joint or neck problems
- Stress and poor sleep, both of which increase the perception of tinnitus
Pulsatile tinnitus, which beats in time with the heartbeat, is a different type and needs evaluation by a doctor.
Why does tinnitus bother some people more?
The brain notices tinnitus more in quiet settings, and with anxiety and focus on it. Over time, many people adapt and it becomes less bothersome.
How is it diagnosed?
- The doctor asks about the nature and duration of the tinnitus and your current medications.
- The ears are examined.
- A hearing test is performed — an essential step.
- Imaging may be requested if tinnitus is in one ear, pulsatile, or accompanied by asymmetric hearing loss.
Is there a treatment?
No medication reliably eliminates tinnitus, but there are effective ways to significantly reduce how bothersome it is:
Treating the cause
Such as removing wax or treating an ear infection.
Hearing aids
If you have hearing loss, a hearing aid reduces the perception of tinnitus for many patients.
Cognitive behavioral therapy
A type of psychological therapy that helps change how you think about and react to tinnitus, and is one of the most scientifically proven ways to reduce its impact.
Sound therapy
Using calm background sounds, such as a fan or rain, reduces the noticeability of tinnitus, especially at bedtime.
Be careful
There isn't enough evidence that dietary supplements and herbs help treat tinnitus, such as ginkgo, zinc, and melatonin. Don't spend money on products promising a quick cure.
Helpful tips
- Avoid complete silence — use light background sound.
- Protect your ears from loud noise.
- Keep a regular sleep schedule and exercise regularly.
- Try relaxation and breathing exercises.
- Reduce caffeine if you notice it worsens your tinnitus.
- Fill your time with enjoyable activities instead of focusing on the tinnitus.
When should I see a doctor?
- If tinnitus is in one ear only.
- If it's pulsatile, beating with your heartbeat.
- If accompanied by hearing loss or dizziness.
- If it lasts more than a few weeks.
- If it affects your sleep, concentration, or mood.
See a doctor urgently if:
- Tinnitus begins with sudden hearing loss
- Accompanied by facial or limb weakness, or difficulty speaking
- It begins after a head injury
If tinnitus causes you significant anxiety or persistent distress, tell your doctor. Psychological support is an important part of care.
Remember
- Tinnitus is common and rarely serious.
- A hearing test is an essential step.
- Distress usually decreases over time for most people.
- Tinnitus in one ear or with sudden hearing loss needs evaluation.
This information is for health awareness and education, and does not replace a doctor's consultation or direct medical assessment.
Prepared by: Saudi Society of Otolaryngology–Head & Neck Surgery · Version 1.0 · Last reviewed: May 2026 · saudiorl.com
