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Ringing in the Ears: Causes and When to See a Doctor

Know the causes and the warning signs.

Quick answer

Ringing, buzzing, hissing or humming in the ears without an outside sound is called tinnitus. It is common: about 1 in 10 US adults have experienced it for at least five minutes in the past year. Common causes include loud noise exposure, age-related hearing loss, earwax buildup, ear infections, some medicines (such as high-dose aspirin and certain antibiotics or chemotherapy drugs), jaw (TMJ) problems, stress and high blood pressure. See a doctor or audiologist if ringing lasts more than a week or bothers you. Get urgent care for sudden hearing loss, ringing in only one ear, a sound that pulses with your heartbeat, or ringing with dizziness or facial weakness. Approaches that help include hearing aids, sound therapy and cognitive behavioral therapy.

Key takeaways

Almost everyone has noticed a brief ringing after a loud concert. When it lingers, it's worth understanding why.

Common causes

CauseNotes
Loud noise exposureConcerts, power tools, firearms, headphones
Age-related hearing lossCommon after 60
Earwax buildupEasy for a doctor to remove
MedicinesHigh-dose aspirin, some antibiotics and chemotherapy
Jaw (TMJ) problemsClenching or misalignment
Stress and poor sleepCan make sounds more noticeable
Blood pressure and circulationCan cause pulsing sounds

Warning signs: get urgent care

Sudden hearing loss is a medical emergency; treatment works best when started quickly.

How doctors evaluate it

  1. Ear examination
  2. Hearing test (audiogram)
  3. Review of medicines and health history
  4. Imaging in some cases

Approaches that help

Clinical guidelines do not recommend dietary supplements as a treatment for tinnitus. Tinnitrol is a daily hearing support formula, not a tinnitus treatment, and works best alongside professional care.

Sources

  1. NIDCD (National Institutes of Health) – "Tinnitus."
  2. Bhatt JM, et al. "Prevalence, severity, exposures, and treatment patterns of tinnitus in the United States." JAMA Otolaryngology–Head & Neck Surgery, 2016.
  3. Tunkel DE, et al. "Clinical practice guideline: tinnitus." Otolaryngology–Head and Neck Surgery, 2014.

Common questions

What causes ringing in the ears?

Noise exposure, hearing loss, earwax, some medicines, jaw problems and stress.

When is ringing in the ears urgent?

With sudden hearing loss, one-sided ringing, pulsing sounds or dizziness.

What helps?

Hearing aids, sound therapy, CBT and protecting your ears.

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