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

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

Chin

• This remedy is often indicated after fluids have been lost through vomiting, diarrhea, heavy sweating, and surgery or other conditions involving blood loss.
• Fine ringing in ears, debility.
• Hearing impaired humming in ears
• Stitches in the ears.

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