Causes of tinnitus

Tinnitus (ringing in the ears or head) is a common symptom of hearing loss. In fact, an estimated 90% of people with tinnitus have some degree of hearing loss.[1]

There are many ways to alleviate tinnitus symptoms, with hearing aids being one of the most effective tools.

What causes tinnitus?

1. Exposure to loud, sudden, or excessive noise
2. The natural ageing process
3. Middle ear infections
4. Head, neck, and/or temporomandibular joint (TMJ) injuries or dysfunction
5. Headaches and migraines
6. Reaction to medication
7. Emotional distress
8. Diabetes
9. Hyperacusis (intolerance to noise)
10. Other untreated medical conditions such as Ménière's disease, otitis media (middle-ear infection), etc. 

Do I need a hearing test?

Image shows a woman suffering from tinnitus

Online tinnitus test

People with tinnitus often experience hearing loss too. Our quick online tinnitus test can help give you an idea of whether or not you might have tinnitus and/or hearing loss, and what you can do about it.

Question 1
Do you ever experience ringing or buzzing sounds in your ear(s) when no external sound is present?
Do you ever have trouble falling asleep or concentrating due to any ringing or buzzing sounds in your ear(s)?
Do you ever have trouble following conversations because you don’t hear properly?
Do you find yourself turning up the volume on the TV or radio louder than normal?

Your result:

Indications of tinnitus and hearing loss

Your answers indicate that you may experience symptoms of tinnitus and hearing loss. We recommend that you visit one of our clinics. There are hearing aids that can treat your hearing loss and might give you relief from your tinnitus.*

Book a FREE hearing test in a clinic near you

* The result of the test may only be used for guidance. Official conclusions about hearing loss/tinnitus can be provided by our registered hearing care experts.

Your result:

Indications of hearing loss

Your answers indicate that you may experience symptoms of hearing loss but it's unlikely that you have symptoms of tinnitus. We recommend that you visit one of our clinics to to see if you have a hearing loss that should be treated.*

Book a FREE hearing test in a clinic near you

* The result of the test may only be used for guidance. Official conclusions about hearing loss/tinnitus can be provided by our registered hearing care experts.

Your result:

Symptoms of tinnitus indicated

Your answers indicate that you may experience symptoms of tinnitus. We recommend that you read about tinnitus treatment options to learn about how to cope with and find relief from tinnitus symptoms.*

* The result of the test may only be used for guidance. Official conclusions about hearing loss/tinnitus can be provided by our registered hearing care experts.

Your result:

Tinnitus or hearing loss unlikely

Your answers indicate that it is unlikely that you have tinnitus - or that you have non-bothersome tinnitus that is not currently affecting your everyday life. If you experience symptoms of tinnitus in the future, we recommend visiting one of our hearing clinics.

* The result of the test may only be used for guidance. Official conclusions about hearing loss/tinnitus can be provided by our registered hearing care experts.

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Can stress or anxiety cause tinnitus?

While it's unlikely that stress may be a direct cause of tinnitus, research shows that there could be a link.2

Some main causes of stress include bereavement, emotional or physical health changes, divorce, feeling under pressure, facing big changes in your life, and excess worry about something. The stress this puts on your mind and body may cause temporary tinnitus, or cause existing tinnitus to flare up.

But tinnitus can cause stress and anxiety, and affect people in different ways and to different degrees. Some also find that it makes them irritated or depressed, while others aren't affected much or at all. Tinnitus may also make it difficult to fall asleep and stay asleep.

Can certain medications cause tinnitus?

There are some medications that can affect your ears and your hearing health; these are referred to as being ototoxic.

Which medications can cause tinnitus?
Ototoxic drugs may temporarily intensify tinnitus symptoms, while some are thought to cause tinnitus and/or long-term hearing loss. There are more than 200 known ototoxic medications (prescription and over-the-counter) on the market today.3

Ototoxic drugs are often used for purposes where the benefits outweigh the risks of hearing loss or tinnitus. It's always a good idea to ask your doctor about the potential side effects when prescribed a new medication.

Hearing aids can help with tinnitus

The better you hear, the less your tinnitus stands out.

Hearing aids amplify sounds around you, which helps redirect your attention away from the tinnitus sounds. Your brain can focus more easily on external sounds, making your tinnitus less noticeable.

The latest hearing aid models even have specially designed programmes with built-in, soothing sound options to help ease your tinnitus symptoms.

Hearing aids for tinnitus Tinnitus treatment
Grace Sims
Grace Sims BSc, Audiologist and Mentor

Grace Sims completed her Bachelor of Science in Audiology at the University of Bristol and has previously worked in the ENT department at Southmead Hospital in Bristol. She joined Hidden Hearing in 2014 and is an audiologist at the Cheltenham clinic. She has been a practice educator for four years and is now a Hidden Hearing mentor. 

Last reviewed 2023-12-20

Sources

1. https://hearinghealthfoundation.org/hearing-loss-tinnitus-statistics

2. Ciminelli, P., Machado, S., Palmeira, M., Carta, M. G., Beirith, S. C., Nigri, M. L., Mezzasalma, M. A., & Nardi, A. E. (2018). Tinnitus: The Sound of Stress?. Clinical practice and epidemiology in mental health : CP & EMH, 14, 264-269.

3. https://www.asha.org/public/hearing/Ototoxic-Medications/

4. Jafari, Z., Kolb, B., & Mohajerani, M. (2022). Hearing Loss, Tinnitus, and Dizziness in COVID-19: A Systematic Review and Meta-Analysis. Canadian Journal of Neurological Sciences, 49(2), 184-195.