What causes tinnitus?

Tinnitus has numerous potential causes, yet many people remain unaware of what specifically triggers it. So, what exactly causes tinnitus?

What Causes Tinnitus?

Tinnitus is often attributable to otogenic (ear-related) disorders—for instance, otitis media or otoliths (ear stones). In such cases, dizziness may also occur concurrently. Conditions like Ménière’s disease, though not strictly otogenic, can still cause tinnitus. Similarly, vascular disorders—such as insufficient blood supply to the inner ear—may also lead to tinnitus. Treatment must therefore be tailored to the underlying cause. In Traditional Chinese Medicine (TCM), treatment commonly focuses on nourishing the liver and kidneys, as this approach helps alleviate tinnitus. Additionally, blood deficiency can likewise induce tinnitus. According to TCM theory, the liver stores blood; thus, blood deficiency leads to liver deficiency, which in turn manifests as one of the primary contributing factors to tinnitus.

Tinnitus is relatively common, and kidney deficiency is another frequent cause. Accurate identification of the underlying etiology is essential: for example, otitis media requires prompt anti-inflammatory treatment, whereas vascular disorders necessitate therapies promoting blood circulation and resolving stasis. When no clear organic cause is identified, TCM diagnosis often points to yin deficiency of the liver and kidneys—requiring treatment strategies focused on nourishing the liver and kidneys to resolve the tinnitus.

Common causes also include foreign bodies in the external auditory canal or impacted cerumen (earwax). We recommend undergoing otoscopic examination by an otolaryngologist to confirm the presence of a foreign body. Removal under otoscopic guidance typically results in full recovery. Note: If a live insect enters the external auditory canal, instilling edible rapeseed oil may suffocate it before safe removal. We hope this article has been helpful. Wishing you a joyful life and optimal health!