pulsatile tinnitus and headaches

pulsatile tinnitus and headaches


If you have a pulsating tinnitus with a headache and you want to know the causes of a pulsating tinnitus with a headache

If you want to know how to get rid of throbbing tinnitus and headaches, we recommend that you read on.

Our doctors recommend reading the following article for those who suffer from pulsating tinnitus and headache at the same time



Definition of throbbing tinnitus

Can throbbing tinnitus be associated with headaches?

What causes throbbing tinnitus?


How is pulmonary tinnitus treated?




Some people say that they hear sounds that are not in the environment inside their ears.

Tinnitus is actually hearing sounds from inside the body that are described by the person, in other words, there is no cause for these sounds in the outside environment, or other people around the person will not be able to hear these sounds. This sensation of sound in the ear is described by the affected person in different ways. For example, in the form of rattling, squeaking, wickedness and dripping water droplets. Some people also say that they hear sounds like music or melody in their ears.


Definition of throbbing tinnitus

Pulsating tinnitus is a rhythmic sound that is heard by the affected person at the same time as the heartbeat and as blood flows around the body around the ear, and when his pulse is taken by someone else, he himself can refer to this synchronicity.

When we talk about ordinary tinnitus in which the sound is constantly felt by the sick person, it means that the person hears a sound that others do not hear; But in a pulsating tinnitus, the noise is from inside the body, meaning that the person feels the fluctuations in their blood pressure or the changes that occur during the finding of blood in the arteries around the ear in the form of a rhythmic or pulsating tinnitus or sound.

It seems that only sometimes other factors, such as the interruption of communication between the sounds received by the ear and the center of their interpretation in the brain, may be the cause of tinnitus. So tinnitus is a rare beat and will have a physical origin.


Can throbbing tinnitus be associated with headaches?

A person with throbbing tinnitus may hear a sound in the ear at the same time as the pulse, only in one ear.

For many people with pulsating tinnitus, the sound can be loud and uncomfortable. People with the disease sometimes say that it is impossible for them to tolerate these sounds.

If you have pulsating tinnitus with accompanying symptoms of intracranial hypertension of unknown origin or "idiopathic intracranial hypertension" you are likely to experience other symptoms in addition to the above. Symptoms may include hearing loss, vision problems, and confusion.

People with idiopathic intracranial hypertension are mostly young and middle-aged, and women are more likely than men to have the condition. It is also more common in young, overweight middle-aged women.

For treatment, it is recommended that the person lose weight and receive medication depending on the condition, or that pressure reduction be possible through surgical procedures.


What causes throbbing tinnitus?

If the ear becomes aware of changes in blood flow in adjacent blood vessels, the person develops pulsating tinnitus. The arteries and vessels in the neck, the base of the skull, and the ears themselves change their blood flow, which causes a throbbing sensation of tinnitus.

These causes are:


  • Increased generalized blood flow

When the blood moves fast and the blood flow is fast or the person is pregnant or has done intense exercise, more noise will be received from the blood flow.

Severe anemia or hyperthyroidism can also cause increased overall blood flow to the body.


  • Increased localized blood flow

Sometimes the increase in blood flow is only around the ears, head and neck, and the person feels this local increase in blood in the form of throbbing tinnitus.

Tumors of the head and neck can be mentioned among the cases that increase localized blood flow.

When lumps form, abnormal angiogenesis occurs as they grow, so more vascular coils form around the ear, causing more blood to flow.

This increased blood flow in abnormal arteries is perceived as pulsating tinnitus, and it is interesting to note that most tumors that cause pulsating tinnitus are not cancerous.


  • Intracranial blood pressure

Idiopathic intracranial hypertension is a disorder that can cause headaches and vision problems, dizziness as well as hearing loss in addition to throbbing tinnitus. The main reason why some people develop benign intracranial hypertension is not known, but women are more at risk when they are young and middle-aged and overweight.


  • Irregular blood flow

Atherosclerosis develops with age or due to peripheral vascular disease. Atherosclerosis is accompanied by hardening of the inner wall of the arteries and makes the surface inside them uneven, and therefore the blood flow path is irregular and has a high post, and therefore the sound caused by this flow will cause pulsating tinnitus.



When a person comes to the doctor with throbbing tinnitus, the doctor takes a detailed history with questions, such as whether the sound is continuous or occasional.

Has tinnitus affected one ear or affected both ears?

It will also ask what effects and disorders Titus has on a person's daily life, as well as other accompanying symptoms such as headache, dizziness, and symptoms of visual impairment.

The doctor will also ask the person about recent hearing changes and make a complete list of the medications you are taking.

Examination of the ear can check for infections, inflammation of the ear, and excess wax.

The eyes, head and neck should also be examined. After the examinations, it is time to use diagnostic and paraclinical methods. These include blood tests, audiometry, tympanometry tests, acoustic reflex testing, and ABR testing.


Another point to note here is that a person with pulsating tinnitus and tinnitus may have additional paraclinical modalities, such as ultrasound and MRI, to examine blood vessels as well as intracranial pressure.


How is pulmonary tinnitus treated?

If the patient sees a doctor for pulsating tinnitus and the medical team finds a specific cause, treatment of pulsating tinnitus will be associated with treatment of the underlying disease. Anemia can be treated with appropriate medication and sometimes blood transfusions as appropriate.

If there is a secretory middle ear infection, your doctor may insert a tympanostomy tube or grommet.

If there is a rupture of the eardrum, the condition may improve with proper transplantation, and the torn parts of the affected artery can also be repaired.

If the cause of vascular involvement in a particular blood vessel is determined, depending on the location of the vessel, it is estimated whether it is possible to repair or not. If the above medical interventions do not alleviate or reduce the patient's discomfort and symptoms, tinnitus may be managed in the following ways:


  1. The first method of sound therapy

Sound therapy is also called sound enrichment

Interestingly, this technique is like fooling the brain and creating a kind of distraction. Many people with tinnitus are more likely to notice symptoms when they are in a quieter environment, such as at night when it is quiet everywhere. So listening and paying attention to other sounds can reduce the symptoms of tinnitus.

This technique is the use of any other sound that reduces a person's awareness of tinnitus.

For example, the person can listen to the following sounds

 music or radio sound, special sound production applications, sound generators or generators, use hearing aids with a cover, Also, by opening the window, they can listen to the noises of the environment to distract them from tinnitus.


  1. The second technique is relaxation

When there is stress, many changes occur in the body. Blood pressure and heart rate increase, and conversely, blood pressure and heart rate decrease.

Relaxation techniques such as aerobic exercise and meditation can also reduce the impact of pulsating tinnitus in people who suffer from it.


  1. The third technique

CBT or Cognitive Behavioral Therapy

In this technique, instead of removing the actual sounds, we change the way a person with tinnitus reacts.

So the goal is to teach the person techniques that change and improve the way a person thinks and then responds to tinnitus.


  1. The fourth technique of tinnitus retraining

TRT is another name for this technique and helps people to manage the impact of tinnitus in their daily lives. With direct counseling and sound therapy, tinnitus retraining is done.


Concluding remarks

Many of the causes of throbbing tinnitus can be treated, so if you have prolonged throbbing tinnitus and this is causing you anxiety and worry, You must see a doctor for a proper examination and diagnosis. Tinnitus and untreated tinnitus can impair a person's quality of life. But be aware that there are many different ways to treat and manage annoying conditions that can help you reduce your clinical symptoms and improve your quality of life.

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