Tinnitus and anxiety: causes and remedies

Author: EarPros Team

Elevated levels of stress and anxiety are closely associated with tinnitus. The impact of stress and anxiety, which are common in today's fast-paced world, extends throughout the body, particularly affecting the nervous system and the brain. This phenomenon, where tinnitus symptoms become more pronounced with stress and anxiety, is commonly referred to as stress-related tinnitus. Additionally, pulsatile tinnitus, characterized by rhythmic pulsing sounds, can increase stress and anxiety.

Can stress cause tinnitus and ears ringing?

When stress and anxiety levels are high, tinnitus can become more bothersome, often peaking during challenging periods. Even mild cases of tinnitus can flare up in response to heightened stress or anxiety, leading to difficulties in concentration and relaxation.

Can anxiety cause tinnitus?

Anxiety has the potential to trigger tinnitus, affecting one or both ears. While the exact relationship between anxiety and ears ringing remains unclear, various studies and experts suggest a correlation. Anxiety manifests differently in individuals, ranging from discomfort to disturbances in sleep patterns. It's not uncommon for anxiety and ear-ringing to be intertwined.

Why does stress cause tinnitus?

The precise reasons of why stress causes tinnitus remain largely elusive but researchers worldwide are actively exploring this issue. In cases where stress triggers tinnitus, one factor that stands out is the increase in glutamate, a neurotransmitter that helps nerve cells communicate in the brain. When stress levels shoot up, the brain pumps out more glutamate, bombarding nerve cells with extra signals. This overload can damage parts of the brain linked to hearing, possibly leading to stress-related tinnitus.

Living with tinnitus can be tough. The constant ringing in your ears can make you struggle with your focus, disrupt conversations, and even ruin your sleep routine. This can lead to even more stress, which in turn boosts glutamate levels, making tinnitus worse. It's a tough cycle to break.

Pulsatile tinnitus and anxiety: how are they related?

Pulsatile tinnitus presents as a rhythmic beating, whooshing, or pulsing sound in the ear, often synchronized with the heartbeat, giving the impression of hearing one's pulse in the ears. This less common form of tinnitus may be caused or increased by stress and anxiety, especially during moments of attempting to sleep, when stress and anxiety levels may peak. It's crucial for individuals grappling with pulsatile tinnitus and anxiety to seek medical advice to find out about any potential underlying medical conditions.

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How to overcome anxiety tinnitus

Overcoming anxiety-related tinnitus involves addressing its underlying causes and managing associated symptoms, like anxiety. Here are key considerations regarding tinnitus, anxiety, and medications:

  • Medications for Tinnitus: Certain drugs can help manage tinnitus symptoms, particularly when anxiety is a contributing factor.
  • Anxiety Medications for Tinnitus: Anti-anxiety medications may be prescribed to alleviate anxiety, which can exacerbate tinnitus discomfort.
  • Antidepressants for Tinnitus: Tricyclic antidepressants like amitriptyline and imipramine are commonly used to alleviate symptoms associated with tinnitus.

It's essential to understand that medication effectiveness and selection vary from person to person and should be determined in consultation with a healthcare professional. Additionally, addressing the underlying causes of tinnitus and incorporating coping strategies like sound therapy and counseling are crucial components of a comprehensive treatment approach.

How to cure tinnitus naturally

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Effective natural remedies can assist in managing and alleviating symptoms of stress-induced tinnitus, including:

  • Magnesium-Rich Foods: Incorporating foods high in magnesium into your diet can help mitigate tinnitus symptoms by counteracting the effects of glutamate and its "excitotoxicity."
  • Physical Activities: Engaging in activities like yoga, meditation, and long walks has been shown to reduce the impact of stress-related tinnitus and promote relaxation.
  • Bach Flower Remedies: These remedies are beneficial for easing negative emotions and addressing stress-related issues, potentially providing relief from tinnitus symptoms.

How to treat tinnitus caused by stress

Managing stress-induced tinnitus is essential to minimize its impact on daily life, as it may resolve when stress levels decrease but can also become chronic. Healthcare professionals play a crucial role in providing support for stress and anxiety, often recommending counseling to address psychological factors.

While there's no definitive cure, various strategies can help treating tinnitus caused by stress. Reducing anxiety to balance glutamate levels is one approach, although it can be challenging as tinnitus itself may heighten stress levels, affecting sleep and concentration.

Before exploring psychological methods to manage anxiety, it's advisable to seek a specialist consultation and undergo a hearing test to rule out other potential causes. Beginning with an evaluation at a specialist or hearing center is the initial step.

Strategies for managing stress-induced tinnitus include:

  • Relaxation Techniques: Practices such as deep breathing, meditation, and yoga can reduce stress and anxiety, potentially alleviating tinnitus symptoms while promoting overall well-being.
  • Sound Therapy: Listening to soft music or utilizing apps with relaxing sounds can help mask tinnitus. White noise machines or hearing aids with white noise features may also offer relief.
  • Physical Activity: Engaging in activities like walking can reduce stress and positively influence perception of tinnitus.
  • Counselling and Support Groups: These resources provide coping strategies and emotional support for individuals experiencing stress-related tinnitus.
  • TRT Treatment: Tinnitus Retraining Therapy focuses on retraining the brain to ignore tinnitus by utilizing sound habituation techniques.

FAQs about tinnitus stress and anxiety

Does stress-caused tinnitus go away on its own?

Generally, tinnitus caused by stress and anxiety tends to decrease or become less bothersome once the stressful situation resolves. Research suggests that most individuals observe a reduction in symptoms following periods of stress. However, there's a possibility that stress-induced tinnitus may persist as a chronic condition. In such cases, it's essential to implement strategies for managing or alleviating tinnitus, as discussed previously.

Currently, there is no specific cure for tinnitus caused by stress and anxiety. However, various strategies can help individuals cope with it. These may include efforts to reduce anxiety and stress levels to normalize glutamate production.

How long does anxiety tinnitus last?

The duration of tinnitus triggered by anxiety varies depending on individual circumstances and underlying causes:

  • Short-term Tinnitus with Anxiety: Tinnitus stemming from stress or anxiety is often temporary, typically occurring during periods of heightened anxiety. It tends to fade as anxiety levels subside.
  • Persistent Tinnitus: In cases where tinnitus is associated with ongoing anxiety or depression, it may persist over time, potentially becoming chronic and requiring specialized treatment.

In summary, anxiety-induced tinnitus can be short-lived, coinciding with periods of heightened anxiety, or more long-lasting, particularly when linked to chronic anxiety or depression. Addressing the underlying anxiety is essential for managing tinnitus effectively. Persistent tinnitus should be assessed and treated by a healthcare professional to ensure personalized care and effective management. 

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