Tinnitus

Clinic

• Tinnitus is the perception of sound when no corresponding external sound is present, often described as a ringing, it may also sound like a clicking, buzzing, hissing or roaring. It may be soft or loud, low- or high-pitched, and may seem to come from one or both ears or from the head itself.
• It may interfere with concentration, and in some cases is associated with anxiety and depression.
• Usually associated with a degree of hearing loss and decreased comprehension of speech in noisy environments.
• It is common, affecting about 10–15% of people. Most, however, tolerate it well, and it is a significant problem in only 1–2% of all people.
• Rather than a disease, tinnitus is a symptom that may result from various underlying causes and may be generated at any level of the auditory system and structures beyond that system.

Associated Entities/ Disease

	Static	Dynamic
Conductive hearing loss	Acoustic shock Loud noise or music Middle ear effusion / Earwax Otosclerosis Eustachian tube dysfunction Temporomandibular joint disorders	Otitis media
Sensorineural hearing loss	Excessive or loud noise; e.g. acoustic trauma Presbycusis (age-associated hearing loss) Superior canal dehiscence Acoustic neuroma Mercury or lead poisoning Ototoxic medications	Ménière's disease Endolymphatic hydrops
Neurologic disorders:	Arnold–Chiari malformation Head injury Giant cell arteritis	Multiple sclerosis Migraine
Other causes	Temporomandibular joint dysfunction Metabolic disorders (Vit-B12 / Iron deficiency) Psychedelic drugs Intracranial hyper or hypotension caused by cerebrospinal fluid leak	Psychiatric disorders such as Depression /Anxiety disorders Vasculitis Intracranial hyper or hypotension caused by encephalitis

Remedies

• Banerji protocols same as Meniere's disease

	Type of Noise	Other symptoms
Petr	Ringing noises in ears, A clear bell-like sound in the ear. include	Dryness, intense itching deep in the ear. They cannot tolerate the sound of several people talking together Old deaf people
Kali-m	Top Grade remedy Popping and crackling noises in the ear The latter sounds agg upon swallowing.	Excessive buildup or discharge of mucus in the nose or throat area. A history of long-standing ear discharges (otorrhea) Deafness from ear catarrh
Nat-sal	Vertigo and Tinnitus Tinnitus as a result of Meniere’s disease triad of symptoms including noises in the ear, hearing loss, and vertigo appears. The sounds are low in tone and almost constant.	Vertigo agg on sitting up or rising from bed and lying down provides relief.
Chen-a	Tinnitus with Sudden spells of Vertigo The noises in the ear in these cases are mainly buzzing, ringing or roaring in nature.	He may be able to hear high pitched sounds but be deaf to human sounds. Tinnitus synchronous with heartbeats
Graph	Tinnitus sounds Hissing and Buzzing or roaring in nature Somatic tinnitus, where the symptoms of tinnitus agg when there is a movement of the head and jaw. In some cases, cracking sounds in the ears are present.	Feeling of ‘stuffed ear’ and dryness
Chinin-s	Ringing, roaring or buzzing n ear Good remedy for Meniere’s disease.	Vertigo and a decline in the hearing ability Severe headache may be present. Chininum Sulph is also used as an effective homeopathic

Second class remedies

	Type of Noise	Concomittants
Form	Buzzing noises in the ear are present.	Pain in the ear which radiate to the temporal region Hearing impaired also common. Earache agg in the morning Ears feel hot and sensitive to touch.
Sal-ac	Roaring sounds in the ear. Meniere’s disease Tinnitus due to influenza Tinnitus as a result of consuming Aspirin	Hearing loss Episodes of vertigo. Nausea + Sensation of blood rushing to the brain
Mang-act	Whistling noises are heard within the ear.	Hearing impaired that agg in damp weather Obstructed sensation in the ears and shooting pain that agg upon speaking or laughing.
Sil	Hissing sounds inside the ear Blocked sensation in the ear	Shooting pain Hardness of hearing Sensitivity to cold air Ear discharges esp purulent, blood-stained and offensive. A history of a perforated ear-drum is also present in some cases.
Chin	Humming noises in the ear Fine ringing in ears + Debility. A ticking noise is heard inside the ears	Stitching/ Tearing pain in the ears that agg with touch. There may be overall weakness, debility, and headache. Hearing impaired After loss of fluids have been lost through vomiting, diarrhea, heavy sweating
Bry	Tinnitus with chirping noises inside the ear. The ear may feel blocked In cases of tinnitus where he hears a particular sound, like the pouring of water over a dam.	Intolerance towards noises in the environment + Spells of vertigo A deep Stitching/ Shooting pain that agg in the open air Ear is usually sensitive to touch.
Lach	Drumming sounds in the ear. A	Decrease in hearing along with excessive dryness Hardness of the ear wax Ear is sensitive towards the wind Ear may feel stiff Ear pain may develop towards the evening or night time.
Ant-t	Fluttering or flapping noises in the ear.	A prominent warm sensation inside the ear Twitching and tearing pain in the ear during the evening
Hydr	Machinery-like sound inside the ear.	Thick mucus discharge from the ear Sensation of fullness in the in the forehead
Caust	Re-echo of words is heard in the ear.	Pulsating, burning sensation in the ear Pressure in the head and ears Purulent / Gluey/ Sticky ear discharge Excessive accumulation of the ear wax
Ther	Noises of a waterfall present in the ear.	Sensitivity along with pressure and fullness in the ears.
Puls-n	Sounds of the wind inside the ear.	Difficulty in hearing in Cold / Damp weather, Earache, and chronic ear infection with a thick yellowish-greenish colored discharge

Other remedies

Calc

• Hearing impaired
• Singing and roaring or crackling in the ears.
• Cracking in the ears when chewing.
• Strange and peculiar noise in the ears when swallowing.

Carb-v

• Ringing in ears : buzzing.
• Something heavy seems to lie before the ears; they seemed stopped, hearing not diminished.
• Deafness after acute skin infection
• Ears are too dry
• Offensive otorrhoea

Cimic

• Pain and muscle tension in the neck and back.
• They are usually energetic, nervous, and talkative, but become depressed or fearful when not feeling well.

Tissue Salt Remedies

• FP
• KM
• NP