TINNITUS

• Tinnitus is ringing sound or noise in the ear in the absence of an external source. It can be unilateral or bilateral, acute or chronic, and intermittent or constant
• Tinnitus is not a specific disease but a symptom that can be connected to a wide variety of etiologies, most commonly conditions associated with hearing loss

TYPES OF TINNITUS

• Subjective, which can only be heard by the patient
• Objective, which can even be heard by the examiner with the use of a stethoscope

SUBJECTIVE TINNITUS

• Otologic - Impacted wax, Fluid in the middle ear, Acute otitis media, Chronic otitis media, Meniere’s disease, Otosclerosis, Presbycusis, Noice trauma, Ototoxic drugs, Tumours of VIII nerve
• Metabolic - Hypothyroidism, Hyperthyroidism, Obesity, Hyperlipidaemia, Vitamin deficiency
• Neurologic - Head injury (labyrinthine concussion), Temporal bone fractures, Whiplash injury, Multiple sclerosis
• Cardiovascular – Hypertension, Hypotension, Anaemia, Cardiac arrhythmias
• Psychogenic – Anxiety, Depression

OBJECTIVE TINNITUS

• Vascular - AV shunts, Congenital AV malformations, Glomus tumour of the middle ear
• Arterial bruit - Carotid aneurysm, Carotid stenosis, high riding carotid artery ,Persistent stapedial artery
• Idiopathic - Stapedial or tensor tympani myoclonus

• The patient will experience different types of sounds without an external source ( ringing, buzzing, roaring, hissing , rustling, swishing etc)
• Tinnitus is more annoying in a quiet surrounding, particularly at night
• Symptoms of underlying disease may be present as well (e.g. Hearing loss)

• Audiological exams (Audiometry)
• Imaging techniques according to cause
• Need specific investigations to rule of non-otalgic causes of tinnitus

• Reassurance and psychotherapy
• Techniques of relaxation and biofeedback
• Sedation and tranquillizers
• Masking of tinnitus

Ayurvedic Treatment

Internal medicines

• Drakshadi kashaya
• Dusparshakadi kashaya
• Dhanwanthara Gritha
• Aswagandharishtham
• Balarishtam
• Hinguvachadi choorna + lime juice

Procedures

• Thalam - Nimbamrutha eranda +Rasnadi choorna
• Karnapoorana - Eranda sigruadi , Vachalasunadi
• Jaloukavacharana- karnamoola
• Shirodhara - Dhanwanthara taila
• Oil for head – Asna vilwadi, Balaguduchyadi, Ksheerabala, Dhanwantara