Above all one should know that even though the tinnitus usually occurs associated with a hearing loss, hearing loss does not mean it is on the increase and ending on anacusia or total deafness.

Tinnitus is defined as the perception of sound without any external source and cause it usually presents as a ringing in my ear right or left (in the case of unilateral tinnitus), or both (bilateral tinnitus)

Many patients charge that the sound they perceive sounds like a buzz or beep, and in other cases may present with more complex sounds, such as the hiss of a boiling kettle, the sound of a cricket, the murmur of the sea, etc.

It is considered that one in three people suffer or have suffered from ringing in the right ear. And while still not known conclusively the mechanisms by which it occurs, in recent years has made considerable progress in the identification, diagnosis and pathology medical documentation that is associated with this symptom.

It is now well advanced (especially in the U.S. and England) in trials and controlled trials of treatments, drugs and specialized therapies in reducing disorders caused by tinnitus in those people who so badly affected that prevents them from making a living normal.

It is imperative that at the first consultation with the doctor, he addresses the issue with optimism and showing empathy and understanding with the patient, who in the most serious cases of perception of this symptom, come to office with great discomfort of mind and even some degree of depression.

The patient, meanwhile, should provide accurate information to the expert on your right tinnitus and other symptoms that may accompany tinnitus, such as headaches, dizziness, disorientation, palpitations, etc. Enabling accurate based on the symptoms, the doctor locate the most appropriate diagnostic strategy.

There are many medical causes or conditions that are declared with noise, ringing or throbbing in the ears and do not always have to do with otological disorders.

The main action to be taken by those who feel a constant noise in the ear (or tinnitus) is go to a specialist and provide as much information as possible about the trouble you are experiencing. The ENT doctor will also establish a good empatización with the patient in order to determine the degree of impact on your life, because the latter is usually the most important factor in deciding the beginning of treatment.

Once the tinnitus severity index and the type of tinnitus experienced, determined by its characteristics (whether pulsatile or nonpulsatile, if continuous or intermittent, etc..), The doctor will order a series of studies to determine the cause.

Initially, the specialist will perform a physical examination focused primarily ENT laryngeal area, neck and heart and circulatory system.

In most cases the constant noise in the ear is associated with a hearing loss or hearing loss. Depending on the primary test results for cases of unilateral hearing loss (in one ear) also ordered the otolaryngologist “cerebellopontine angle Magnetic Resonance” and if the hearing loss is bilateral, check your “Otoacoustic Emissions” and “Potential Auditory Evoked Brain Stem. ”

While most cases of tinnitus arises from otologic causes, there are other possible conditions that cause such as: vascular factors, blood factors, drugs, topical agents otological, neurological factors and metabolic factors.

For each of these triggers permanent noise in the ear, the specialist may offer a more or less effective depending on the condition and the patient, who at all times who will determine the effectiveness of such treatment on his condition.

Once the doctor has determined the illness associated with tinnitus (a symptom that often comes as a ringing in the ear), shall endeavor to drug treatment depending on age and sex of the patient, the intensity of tinnitus and the condition or physical factor associated with symptoms.

The drugs have been proven and accepted by medical specialists for treatment of tinnitus are Aprazolam, nortriptyline and amitriptyline.

The Aprazolam is a benzodiazepine that showed remarkable improvement in the quality of life of patients with tinnitus without appeasing the perception of tinnitus.

Amitriptyline and nortriptyline are both antidepressants showed very good results especially in patients with depressive symptoms associated. In the case of nortriptyline are the most effective factors that the patient is female and that the type of tinnitus suffered cause sleep disorders.

Other drugs have been used and tested for tinnitus, but without great results with little clinical or scientific consistency in the trials.

The downside to drug treatments are natural or alternative therapies, which often have significantly greater improvements to the formal treatment, perhaps depending in large part to the subjectivity of each patient.

Among the natural treatments there is a wide range of options ranging from acupuncture to hypnosis through homeopathic preparations, biofeedback, electrical stimulation, ultrasound, etc.

A widely accepted treatment for tinnitus is “tinnitus retraining therapy.” This therapy consists of retraining the patient’s ear using specific audio transmitters that act on the ear for a few hours per day for a period of one or two years. All this accompanied by psychological therapy and monitoring professionals.