The Tinnitus Checklist: What to Do and What to Skip
Tinnitus: what is worth doing, what is worth avoiding, and when to stop and see a doctor.
Hearing sound that has no external source, commonly ringing or buzzing. It is very common, rarely dangerous, and the distress it causes responds far better to treatment than the sound itself does.
Key takeaways
- Very common: most people experience it at some point
- Often associated with: hearing loss
- Most useful single change: Have a hearing test; treating hearing loss often helps the tinnitus.
- Commonest mistake: Loud noise exposure, which worsens it.
- See a doctor if any of the signs under "When to speak to a doctor" below apply to you.
Do
- Have a hearing test; treating hearing loss often helps the tinnitus
- Use background sound rather than silence
- Ask about CBT, which has the best evidence for distress
Do not
- Loud noise exposure, which worsens it
- Focusing on silence, which makes it more noticeable
- Supplements marketed for tinnitus; the evidence does not support them
The numbers behind the list
Those two lists follow from the published figures here.
| Measure | Figure |
|---|---|
| Very common | most people experience it at some point |
| Often associated with | hearing loss |
| Best-supported treatment | CBT for the distress, plus hearing aids where there is loss |
| One-sided or pulsatile tinnitus | needs assessment |
If you change one thing
Have a hearing test; treating hearing loss often helps the tinnitus. It is first on the list above. If the rest feels like too much at once, start there and leave the others.
Where to go next
- Tinnitus in Five Minutes
- What the Guidance Really Says About Tinnitus
- Tinnitus — the reference entry
- Ear Wax: Sorting the Evidence From the Noise
- What the Guidance Really Says About Protecting Your Hearing
When to speak to a doctor
See a GP promptly for tinnitus in one ear only, tinnitus that pulses in time with your heartbeat, tinnitus with sudden hearing loss, vertigo, facial weakness, or after a head injury. Sudden hearing loss needs same-day assessment.
Where this comes from
How this page was put together
Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.
Medical disclaimer
This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.
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