Tinnitus is classified into two types: subjective tinnitus and objective tinnitus. The former is a common type of tinnitus which is characterized by hearing ringing and hissing sounds unheard by other people. Objective tinnitus, on the other hand, is a rare type of tinnitus wherein the sounds produced can also be heard by others. For instance, the sounds can be heard by a doctor just by using a stethoscope. This is also more disturbing than the other type as it is accompanied by serious medical conditions like cardiovascular problems. This type of tinnitus occurs in 3% of all cases of tinnitus.
People with objective tinnitus frequently hear rhythmic clicking, low humming, or thumping sounds which are heard along with the breathing or heartbeat; hence its other name pulsatile tinnitus. This type of tinnitus may therefore be treated not only by treating the sounds or noise produced by tinnitus but also by treating the medical condition it indicates.
Objective tinnitus may be caused by two things. First, the sudden alteration in the blood circulation in the arteries or veins surrounding the ears can cause the production of ear thumping tinnitus sounds. Second, the heightened or increased sensitivity to the noise caused by the blood circulation in the ears can make a person hear tinnitus sounds. There are few cases however when this condition is accompanied by aneurysm or other fatal or life-threatening conditions making it imperative for the patient to receive proper diagnosis as there are root causes that must be pinned down.
The clinical investigation of this condition involves analyzing the patient’s medical history to check for prior cardiovascular conditions. The doctor may suggest that the patient undergoes CT scan, magnetic resonance angiography (MRA), magnetic resonance scanning (MRI), angiography, and ultrasound. These tests and examinations show the images of blood flow and blood vessels thereby helping the doctor identify the main problem. The doctor may also do some blood tests to check if the patient has anemia.
Relief against objective tinnitus depends mainly on the primary condition, which upon identification must receive immediate treatment. For example, if the cause of the condition is hypertension, it must be treated by taking medication that can lower the blood pressure, diet change, and lifestyle modification.
Patients with this type of tinnitus should avoid indulging in the following:
• High sodium diet
• Diet rich in fat
• Beverages with caffeine
Atherosclerosis is one of the main causes of tinnitus and this is unfortunately caused by diet rich in cholesterol and fats. Therefore, it is important for tinnitus patients to get rid of them. High blood pressure, one of the common causes of tinnitus, is caused by an increased intake of salt since it can alter the fluid retention in the body. Caffeine can cause increased heart rate and blood pressure. The fluid balance in the body and in the ears can be caused by too much alcohol consumption. Stress can trigger the symptoms of tinnitus to strike. Fatigue and anxiety management is important to keeping the tinnitus symptoms at bay. You should not forget that cognitive-behavioral therapy, alternative remedies, and relaxation can also help a person acquire relief against objective tinnitus.