Tinnitus for Beginners: Where to Start
Tinnitus: the few things that matter most, and the mistakes that catch people out early.
Hearing sound that has no external source, commonly ringing or buzzing.
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.
Why bother
It is very common, rarely dangerous, and the distress it causes responds far better to treatment than the sound itself does.
Start here
Begin here, with two things rather than ten.
- Have a hearing test; treating hearing loss often helps the tinnitus
- Use background sound rather than silence
Then add these
Once the basics are in place, add these.
- Ask about CBT, which has the best evidence for distress
The numbers, in one place
| 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 |
Common early mistakes
- Loud noise exposure, which worsens it
- Focusing on silence, which makes it more noticeable
- Supplements marketed for tinnitus; the evidence does not support them
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.
Spotted something wrong? Report an error on this page. We correct on the page and say what changed.
