Epistemis

Ring in the ears

Specialty: Otolaryngology.

  • tinnitus
  • ringing in the ear
  • tinnitus

Why it occurs

  • Presbycusis / exposure to noise
  • Earwax plug
  • Ototoxic drugs
  • [object Object]

Initial workup

Otoscopy and audiometry; MRI if unilateral, pulsatile or with asymmetric hearing loss.

red flags

Pulsatile or unilateral tinnitus with hearing loss → imaging study (vascular/tumor).

Standard management

  • Treat the cause — remove ototoxics; hearing aids if there is hearing loss

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

Area
Otolaryngology
Listed causes
4
Treatment options
1
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