What causes ringing in the ears and hearing loss?
Ringings in the ears accompanied by hearing loss may be caused by conditions such as otitis media, Ménière's disease, or sudden sensorineural hearing loss.
1. Otitis Media
Hearing loss caused by secretory otitis media and similar conditions can be treated during the acute phase with medications such as amoxicillin. Under medical guidance, oral prednisone tablets or dexamethasone tablets may be used as adjunctive therapy. In the chronic phase, treatments such as nasal blowing with pinched nostrils (Valsalva maneuver), Politzer balloon inflation, or catheterization may be applied.
2. Ménière's Disease
Clinically characterized by episodic vertigo, progressive hearing loss, tinnitus, and a feeling of fullness in the ear, Ménière's disease can be managed under medical supervision using diazepam tablets or diphenhydramine hydrochloride tablets to improve inner ear microcirculation and reduce endolymphatic hydrops.
3. Sudden Sensorineural Hearing Loss
This condition primarily involves sudden hearing loss, often accompanied by symptoms such as tinnitus and a sensation of ear blockage. Treatment typically includes vasodilators, anticoagulants, thrombolytics, and corticosteroids. Additionally, underlying conditions such as hypertension, hyperlipidemia, and diabetes should also be managed.
If you experience persistent ringing in the ears and hearing loss, it could also be due to long-term sleep deprivation, fatigue, or excessive alcohol consumption. It is recommended to seek medical evaluation at a hospital.