What could be the cause of persistent tinnitus without any other symptoms?

Jun 06, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
In general, persistent tinnitus without other symptoms may be caused by conditions such as cerumen impaction, sensorineural tinnitus, or otitis media. Besides these three causes, it could also result from atherosclerosis, diabetes, uremia, and other conditions. Patients are advised to seek prompt medical attention when symptoms occur and undergo systematic examinations for an accurate diagnosis. Cerumen impaction commonly occurs when there is excessive cerumen secretion or impaired natural expulsion from the ear canal.

Generally, persistent tinnitus without other symptoms may be caused by conditions such as cerumen impaction, sensorineural tinnitus, or otitis media. A detailed analysis is as follows:

1. Cerumen Impaction

Cerumen impaction tends to occur when there is excessive secretion of earwax in the external auditory canal or when its natural expulsion is blocked. It often presents no obvious symptoms, but some patients may experience a sensation of fullness in the ear, tinnitus, or hearing loss. In such cases, visiting a hospital for professional removal of the impacted cerumen usually provides relief.

2. Sensorineural Tinnitus

Sensorineural tinnitus is a common type of tinnitus, typically defined as the perception of abnormal sounds in the ear in the absence of external stimuli. Under medical guidance, patients may use medications such as lincomycin and lidocaine gel or flunarizine capsules for treatment.

3. Otitis Media

Otitis media refers to inflammation within the middle ear cavity. Its main symptom is ear pain, often accompanied by tinnitus and otorrhea (ear discharge). Patients can be treated under medical supervision with medications such as prednisolone tablets or enteric-coated erythromycin tablets.

In addition to the above three causes, tinnitus may also result from conditions such as atherosclerosis, diabetes, or uremia. It is recommended that patients seek prompt medical attention when symptoms arise and undergo comprehensive examinations to establish an accurate diagnosis.


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