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.

The ringing in your head is telling us that there is any pathological or trauma factor that is causing. This buzzing or ringing is called tinnitus and when it occurs in both ears is called tinnitus bilateral or bilateral tinnitus. When the perception of this annoying sound occurs with equal intensity in both ears, indicating that patients often feel “a buzzing in his head” as if the sound source was the center of the brain.

There are hundreds of diseases or factors (cytologic or not) that can cause this symptom that affects a large proportion of the population with varying degrees of impact on their lives.

Although the intimate mechanisms that produce it are still under study in recent years has made great strides in the treatment and identification of this condition.

The most common otologic factors associated with the ringing in your head are:

- Acoustic trauma (chronic or sudden).
- Presbycusis.
- Plugs of wax.
- Otosclerosis.
- Eardrum perforation.
- Neurinoma.
- Meniere’s Syndrome

It would also be important as a first step before the onset of ringing in the head (or any other sound subjective), ruled that this is due to the consumption of drugs is commonly associated with tinnitus such as:

- Non-steroidal pain relievers: aspirin, ibuprofen and naproxen.
- Diuretics: Furosemide and ethacrynic acid
- Antibiotics: Aminoglycosides, Erythromycin, Doxycycline and Minocycline.
- Topical agents otologic: antiseptics, antibiotics and anti-inflammatory.

In an initial interview with the otolaryngologist, it will make a general history of the patient and after a review of all of the ORL area, indicate the steps in diagnosing the problem according to medical information obtained in the primary examinations.