This is one of the annoying symptoms which only the person who is having it will be allowed to experience . The reason can be anything from outer ear or the hearing nerve that is attached to the brain or sometimes the brain tissues can also produce a tinnitus or a sound inside the ear. Ideally the sound comes from the outside and the brain recognizes it by the way of the hearing pathway but now because of some reason the hearing apparatus or the nerves or the brain can start producing noise themselves. The causes can be wax in the ear or a foreign body obstructing the ear can produce a humming sort of tinnitus and it can be cleared by removing the wax. having some fluid in ear drum or some other disease like otosclerosis here the hearing also goes down and there is a noise inside the ear needs to be dealt with by the specialist. You have to diagnose the cause first where is the sound coming from, we can deal with it. There are other issues like vascular or blood vessel tumors in the era or in the neck or tumors inside the inner part of the ears or tumours inside the inner part of the era or nerves. Tumors in the brain can also induce tinnitus. Dong simple tests like clinical examination, hearing tests and if required you have to do a CT scan or MRI of the brain and the ear can give us the basic information as to where is the problem and we can deal with it in a more effective way. Most of the tinnitus is spontaneous and we cannot determine particular reason. When we do these tests and the results come out normal, the inner ear and the nerves are normal and if we do a scan also there is nothing coming out and there is an incessant ringing sound coming out annoying the person. Once we determine there is nothing major we can wait for the sound to reduce spontaneously is it also tends to disappear by itself but the duration of persistence can vary from individual to individual. It can be form few days to few years to the lifetime where tinnitus can be persistent. Once the important causes are excluded by basic examination, we can learn to live with it an learn to ignore it and if the is additional hearing loss, along with hearing loss along with wearing a hearing aid it will boost your hearing. So it is a double benefit that can be done there are certain benefits that can be seen but the benefits are subjective. None o f these results are guaranteed or fool proof. So we don’t have a specific or recommended treatment for the ringing sound in the era. First thing we should do is where the noise is being produced from and we can try out the medicines and use hearing aid and there are tinnitus maskers and it will suppress the sound and as long as you are wearing it the sound it off and we can try out some medication in different combinations and dosages and whichever suits you best, the loudness and annoyance you can go on it on a long time. Beyond it if you are accepted mentally because of the sound, we cannot determine the because, there are more destructive measures were we have to destroy the hearing nerve then tinnitus might stop.

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