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Hearing Conditions

What is Tinnitus? Causes, Symptoms & Treatment Options

Dr. Anita Verma, Audiologist15 min readUpdated: 5 March 2025

What is Tinnitus?

Tinnitus is the perception of sound when no external sound is present. Often described as "ringing in the ears," tinnitus can manifest as buzzing, hissing, whistling, clicking, or roaring sounds. It affects approximately 15-20% of people and is especially common in older adults.

Tinnitus is not a disease itself but a symptom of an underlying condition, such as age-related hearing loss, ear injury, or circulatory system problems.

Types of Tinnitus

**Subjective Tinnitus** The most common type, heard only by the person experiencing it. Usually caused by problems in the outer, middle, or inner ear, or issues with the auditory nerves.

**Objective Tinnitus** Rare type that can be heard by a doctor during examination. Usually caused by blood vessel problems, muscle contractions, or middle ear bone conditions.

**Pulsatile Tinnitus** A rhythmic sound that often beats in time with your heartbeat. Usually caused by blood vessel disorders.

Common Causes

- Age-related hearing loss - Exposure to loud noise - Earwax blockage - Ear bone changes (otosclerosis) - Ménière's disease - TMJ disorders - Head or neck injuries - Certain medications (aspirin, antibiotics, diuretics) - High blood pressure - Stress and anxiety

Treatment Options

While there's no cure for most types of tinnitus, several treatments can help:

**Hearing Aids with Tinnitus Masking** Many modern hearing aids include tinnitus masking features that play soothing sounds to mask the tinnitus.

**Sound Therapy** Using external sounds to alter your perception of or reaction to tinnitus.

**Cognitive Behavioral Therapy (CBT)** Helps change the way you think about and respond to tinnitus.

**Tinnitus Retraining Therapy (TRT)** Combines sound therapy with counseling to help you become less aware of tinnitus.

Frequently Asked Questions

Can tinnitus go away on its own?

Temporary tinnitus from noise exposure often fades within hours or days. Chronic tinnitus lasting more than 3 months is less likely to resolve on its own.

Is tinnitus dangerous?

Tinnitus itself is not dangerous, but it can significantly impact quality of life and may indicate an underlying condition that needs treatment.

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What is tinnitus? Learn causes, types, and relief options. HearClear offers free hearing tests across 41+ clinics in India. Book yours today.

If you have ever noticed a persistent ringing, buzzing, hissing, or whooshing sound in your ears — even when the room is completely silent — you have likely experienced tinnitus. So, what is tinnitus exactly? It is the perception of sound that originates internally rather than from any external source. It is not a disease in itself but a symptom that can signal an underlying condition affecting your auditory system. Millions of people across India live with tinnitus daily, many of them unaware that effective management options exist.

This guide breaks down everything you need to know: the different types of tinnitus, what commonly causes it, how it connects to hearing loss, and what relief looks like in practice. Whether your ears have been ringing for a few days or several years, understanding what is tinnitus is the first step toward managing it confidently. At HearClear India, our audiologists across 41+ clinics are trained to evaluate tinnitus alongside your overall hearing health — and a free hearing test is available at every one of our centres to get you started.

  • Tinnitus is the perception of phantom sounds — ringing, buzzing, or hissing — with no external source causing them.
  • It is most commonly linked to noise-induced hearing loss, age-related hearing changes, or earwax blockage.
  • Tinnitus can be subjective (heard only by you) or, rarely, objective (audible to a clinician during examination).
  • Modern hearing aids from brands like Signia, Phonak, and Widex include built-in tinnitus masking features.
  • A free hearing test at any HearClear clinic is the quickest way to understand whether tinnitus is connected to underlying hearing loss.

What Is Tinnitus and How Does It Feel?

Tinnitus is described differently by almost everyone who experiences it. Some people hear a high-pitched ringing, others notice a low hum, a steady hiss, or even a pulsing beat that mirrors their heartbeat. Understanding what is tinnitus means recognising that these sounds are neurological in origin — your auditory system generates them independently of any external noise. The experience can range from a mild, barely noticeable background tone to a loud, intrusive sound that disrupts sleep, concentration, and daily conversation.

Tinnitus can affect one ear, both ears, or feel as though it originates from inside the head. It may be constant or come and go unpredictably. Because it is invisible to others, it is often misunderstood or dismissed — but its impact on quality of life can be very real. Recognising the specific character of your tinnitus (pitch, rhythm, and when it is loudest) helps an audiologist assess it accurately.

Common Causes of Tinnitus in India

The most frequent cause of tinnitus is prolonged exposure to loud noise — whether from heavy traffic, factory environments, construction sites, or extended use of earphones at high volume. Age-related hearing loss (presbycusis) is another leading contributor, particularly for people above 50. Earwax build-up, middle-ear infections, and Eustachian tube dysfunction are common reversible causes that an audiologist can identify quickly.

Certain medications — including some antibiotics, non-steroidal anti-inflammatory drugs, and diuretics — are known to be ototoxic and can trigger or worsen tinnitus. High blood pressure, anaemia, thyroid disorders, and jaw joint (TMJ) dysfunction have also been linked to the condition. Stress and anxiety do not cause tinnitus directly, but they significantly amplify how loud and distressing the sound feels. Identifying the underlying cause is central to choosing the right management approach.

Types of Tinnitus: Subjective vs Objective

Tinnitus is broadly classified into two types. Subjective tinnitus is by far the more common form — only you can hear the sound, and it originates from abnormal activity in the auditory nerve pathways. This type is most often linked to hearing loss, noise exposure, or neurological changes, and it is what most people mean when they ask what is tinnitus.

Objective tinnitus is rare and accounts for fewer than 1% of cases. In this form, the sound has a physical origin — such as turbulent blood flow near the ear or a muscular spasm — and can occasionally be heard by a clinician using specialised instruments. Pulsatile tinnitus, where the sound pulses in sync with your heartbeat, falls partly into this category and warrants prompt evaluation. Knowing which type you have helps determine whether the approach should focus on auditory management, medical investigation, or both.

How Tinnitus Connects to Hearing Loss

Tinnitus and hearing loss frequently occur together, though one does not always cause the other. When hair cells in the cochlea are damaged — by noise, ageing, or illness — the auditory cortex can become hyperactive in trying to compensate for the missing input. This overactivity is believed to generate the phantom sounds characteristic of tinnitus. In many cases, addressing the hearing loss directly can reduce the perceived loudness of the tinnitus.

Hearing aids prescribed for hearing loss often provide secondary tinnitus relief by amplifying ambient sound, which naturally masks the internal ringing. Devices like the Signia Pure and Widex Moment include dedicated tinnitus relief programmes that deliver customisable sound therapy alongside hearing amplification. Starting with a proper audiological evaluation — including a free hearing test — gives you a clear picture of how much your hearing loss and tinnitus are interrelated.

Tinnitus Management Options and Hearing Aids in India

There is currently no universal cure for chronic tinnitus, but a range of evidence-based management strategies can significantly reduce its impact. Sound therapy — using broadband noise, nature sounds, or customised audio signals — is one of the most widely used approaches. Tinnitus Retraining Therapy (TRT) combines sound therapy with counselling to help the brain habituate to the tinnitus signal over time.

Modern hearing aids are among the most practical tools available. The Signia Pure Charge&Go AX, Phonak Audeo Lumity, Oticon Real, and Widex Moment all carry built-in tinnitus management programmes and are available at HearClear clinics, with prices starting from ₹19,990 for entry-level devices and reaching ₹4.5 lakh for premium bilateral fittings. Cognitive Behavioural Therapy (CBT) delivered by trained counsellors helps manage the emotional distress tinnitus causes. At HearClear's 41+ clinics across India, our audiologists assess your specific tinnitus profile and recommend a personalised combination of these approaches.

Frequently Asked Questions

What is tinnitus in simple words?

Tinnitus is a ringing, buzzing, hissing, or humming sound you hear in one or both ears that has no external source. It is a symptom rather than a disease, and it is often linked to hearing loss or prolonged noise exposure.

Is tinnitus dangerous or a sign of something serious?

In most cases tinnitus is not dangerous, but it should always be evaluated by an audiologist, especially if it starts suddenly, occurs in only one ear, or is accompanied by dizziness or hearing loss. Pulsatile tinnitus that beats in time with your heart warrants prompt medical attention.

Can tinnitus be cured permanently?

There is no universal cure for chronic tinnitus, but many people experience significant relief through sound therapy, hearing aids with built-in tinnitus programmes, and counselling. Addressing a reversible cause — like earwax or medication — can sometimes eliminate it completely.

Which hearing aids are good for tinnitus in India?

Hearing aids with built-in tinnitus relief features — such as the Signia Pure, Widex Moment, and Phonak Audeo Lumity — are widely recommended. HearClear audiologists can help you trial suitable devices across 41+ clinics in India, with prices starting from ₹19,990.

What triggers tinnitus to get louder?

Common triggers include loud noise exposure, stress, lack of sleep, excess caffeine, and certain medications. Identifying and reducing your personal triggers, alongside professional management, can noticeably lower the perceived volume of tinnitus.

How do I get a tinnitus evaluation in India?

You can book a free hearing test at any of HearClear India's 41+ clinics. Our audiologists will assess both your hearing levels and your tinnitus profile to recommend the most suitable management plan for you.

Book your free hearing test at a HearClear clinic near you and take the first step toward understanding and managing your tinnitus — call us today on +91 99719 25446.

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