Tinnitus is defined as the perception of sound without a sound source producing it.

There are a variety of tinnitus, as well as causes that produce them. Pulsatile tinnitus is a variation of these, whose diagnosis down to a much smaller number of possible causes of it.

The pulsatile tinnitus (or pulsatile tinnitus) is characterized by the perception of sound in the ears, and those suffering from this symptom defendant heard a tapping, drumming or beating continued in the ear. This type of tinnitus tend to be chronic if not treated and their elimination or reduction of treatment depends on the condition that produces them.

Possible causes of pulsating tinnitus can be divided into two groups according to the focus of the abnormality giving rise to it.

Vascular anomalies: Glomus tumor, carotid stenosis, congenital arteriovenous malformations, high jugular bulb benign intracranial hypertension and aneurysms of the intratemporal portion of the internal carotid.

Other anomalies: cardiac valve dysfunction, Paget’s disease, hyperthyroidism, anemia, fever, Arnold Chiari malformation, multiple sclerosis and other diseases of high cardiac output.

In many cases the associated condition is very treatable, and after removal of the primary condition, the pulsatile tinnitus symptoms disappear. For example in the case of hyperthyroidism, the excessive size of the thyroid gland is responsible for the compression of the neck arteries, which generates an amplified heartbeat sound in the ear. By removing the gland by surgery or being stunted by radioactive iodine, the pressure on the arteries and it stops the heartbeat in the ear.

For cases of untreatable disease or birth defects, there are many possible treatments to lessen the irritating effects of tinnitus. All treatment options should be examined by the doctor, who must find the treatment that best suits the patient.

Many people said that after a concert or to leave the club, has confounded beep heard often very annoying especially at bedtime or to remain in a quiet environment.

In most cases, the ear ringing is disappearing with the passing hours, but many times people who suffer, they say that the sound perception (Tinnitus) each time it appears it takes longer to go away or that every time the beep intensity is higher.

In these cases, the ear ringing is directly related to hearing saturation (either for concerts, work environment, explosions, etc..) Should take precautions to prevent the problem from becoming a nuisance more or a chronic symptom.

When the tinnitus takes greater intensity or duration with each occurrence, is likely to be a cytologic abnormality that increases susceptibility to suffer hearing this symptom. In this case, the patient should know that if you can not stay away from high or shrill sound, the use of earplugs will be an important factor in protecting the delicate and complex canal. In the same way can be helpful to know that there are many factors that increase the incidence of tinnitus (or tinnitus) and others may decrease.

Factors that aggravate or intensify the tone of hearing:

- Alcohol.

- Caffeine (Coffee, tea, mate, cola, etc.).

- Drugs (Aspirin, ibuprofen, naproxen, antibiotics, diuretics strong)

- Snuff.

- Chocolate.

- Stress.

Factors that decrease the intensity of tinnitus:

- Foods rich in zinc (spinach, cabbage, eggplant, cucumber, asparagus)

- Foods rich in potassium (bananas, carrots, pumpkin)

- Relaxation exercises (Yoga, aikido, etc.).

- Vitamins (C, D, B12)

- Natural extracts (Ginkgo Biloba, Soy Lecithin, cohosh)

The buzz of hearing is a nuisance that affects millions of people around the world and in many cases without a correct diagnosis to help eliminate or reduce this symptom.

Statistically speaking, there are few cases where the tinnitus becomes a more annoying that can greatly affect the lives of those suffering. But precisely these dramatic cases are those that have allowed great progress in treatment to reduce its effects.

Tinnitus (perception of sound without any external source to provoke it), in extreme cases can cause mood disorders in patients, because it prevents them from concentrating on their daily tasks, affects communication with others and may even generate sleep disorders. Usually the effect on the psychic does not happen in a bad mood, irritability or nervousness, but there are also many documented cases of depression is mild to moderate.

It is worth mentioning that in the cases presented depressive symptoms associated with tinnitus, patients usually present a predisposition prior.

First, the patient should go to the clinician, who shall make the diagnosis of the disease that is causing the tinnitus. And while address its treatment (if any) will refer the patient to a psychologist, who will accompany you with your mood disorder, and the psychiatrist, who, if required, may administer the drugs that best conformed to this picture patient.

In many cases of tinnitus, and without a depressive component, are treated with antidepressants affected by tinnitus to reduce the incidence of this symptom in the patient’s daily life.

Clinical trials of some drugs shown to be effective in the treatment of tinnitus:

Benzodiazepines Aprazolam dose of 1 to 1.5 mg / day.

Antidepressants: Nortriptyline (50 to 150 mg / day) and amitriptyline (50 to 100 mg / day)