What causes frequent tinnitus in young people?

Dec 03, 2022 Source: Cainiu Health
Dr. Xu Gang
Introduction
Young people frequently experiencing tinnitus may be due to various causes such as habitual late-night sleeping, cerumen impaction, eardrum retraction, neurasthenia, or secretory otitis media. Treatment should be based on the specific condition. Many young people do not have the habit of going to bed early and often stay up late, leading to insufficient rest and resulting in various symptoms such as fatigue, weakness, and drowsiness.

Young people frequently experiencing tinnitus may be due to various reasons such as habitual late-night熬夜, cerumen impaction, tympanic membrane retraction, neurasthenia, or secretory otitis media. Treatment should be based on specific causes, with detailed analysis as follows:

1. Habitual Late-Night熬夜

Many young people do not have the habit of going to bed early and often stay up late, leading to insufficient rest. This can result in symptoms such as fatigue, weakness, and drowsiness. Poor sleep also affects the nervous system, potentially causing tinnitus. In most cases, symptoms improve significantly after adequate rest.

2. Cerumen Impaction

Cerumen, commonly known as earwax, when accumulated in large amounts, can expand upon exposure to water, thereby pressing against the eardrum and causing symptoms such as pain and tinnitus. Symptoms typically disappear once the blockage is removed. Patients should visit a hospital where a doctor can safely remove the cerumen. If removal is difficult, sodium bicarbonate drops may be used to soften the wax before further cleaning.

3. Tympanic Membrane Retraction

The eardrum is normally slightly bulging; when it retracts inward, patients may experience ear fullness, mild hearing loss, or tinnitus. These symptoms can often be improved by gently pinching the nose and blowing forcefully (Valsalva maneuver).

4. Neurasthenia

This condition is mainly caused by excessive mental stress or psychological disorders such as anxiety and depression, which can reduce sleep quality and lead to neurological tinnitus. Patients may take antidepressant medications under a doctor's guidance, such as fluoxetine hydrochloride capsules or paroxetine hydrochloride tablets, to alleviate symptoms of anxiety and depression.

5. Secretory Otitis Media

In secretory otitis media, the Eustachian tube drainage becomes impaired, preventing fluid from draining out of the middle ear through the tube. This leads to fluid accumulation in the middle ear, which can trigger tinnitus. After diagnosis, patients can undergo Eustachian tuboplasty (e.g., Eustachian tube inflation) at a正规 hospital to improve symptoms.

Patients are advised to maintain good sleep habits. For tinnitus caused by pathological conditions, timely medical evaluation at a正规 hospital is recommended.