What causes persistent tinnitus?

Aug 12, 2022 Source: Cainiu Health
Dr. Xu Gang
Introduction
Persistent tinnitus is most commonly sensorineural in origin and may be associated with insufficient blood supply to the inner ear or impaired inner ear microcirculation. Common underlying causes include endolymphatic hydrops, microthrombosis in the inner ear, vasospasm of inner ear vessels, and damage to inner hair cells. Additionally, external auditory canal foreign bodies—such as cerumen impaction or insects entering the ear canal—may mechanically stimulate the tympanic membrane and thereby induce tinnitus.

With improvements in material living standards, overall living conditions have significantly improved. Yet paradoxically, the incidence of tinnitus is rising—increasingly affecting even younger individuals. So, what causes recurrent tinnitus?

What Causes Recurrent Tinnitus?

The most common cause of persistent tinnitus is sensorineural tinnitus, which may be associated with insufficient blood supply to the inner ear or impaired microcirculation within it. Common underlying factors include endolymphatic hydrops (fluid accumulation in the membranous labyrinth), microthrombus formation in the inner ear, vasospasm of inner ear blood vessels, and damage to inner hair cells.

Additionally, tinnitus may be triggered by foreign bodies in the external auditory canal—clinically common examples include cerumen impaction (earwax buildup) or insects entering the ear canal, both of which can stimulate the tympanic membrane and provoke tinnitus. Middle ear infections (otitis media) or middle ear effusion may also induce tinnitus, typically presenting as low-pitched ringing. A simple breathing technique may help alleviate symptoms: after calming your emotions, take a deep breath, close your mouth, pinch both nostrils shut with your fingers, and gently blow outward—applying pressure until you hear a “gurgling” sound in your ears. Performing this maneuver several times daily may provide symptomatic relief.

Once tinnitus improves, consider incorporating iron- and blood-nourishing foods into your diet—such as pork liver, egg yolks, and lean meat—as well as nourishing soups like chicken soup, fish soup, and bone broth. Increase your intake of fruits and vegetables rich in vitamins, consume light, bland meals, and avoid spicy or irritating foods—these dietary adjustments may help reduce tinnitus symptoms. If tinnitus becomes severe, seek prompt medical evaluation and treatment at a hospital. We hope this information proves helpful!