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Hear and feel heartbeat in ear8/16/2023 ![]() Sometimes the underlying cause is unknown, or due to an irreversible issue, such as hearing loss. Surgery may help for a blood vessel disorder, tumor, or ear abnormality, per Penn Medicine. If you have anemia, high blood pressure, or an undiagnosed thyroid condition, for instance, treatment for those conditions might help resolve symptoms, Lewis says. ![]() Your treatment will vary-your health care provider will first want to identify and tackle the underlying cause. This may involve several doctor’s visits or referrals. Given the variety of potential causes, you can expect that your doctor will take a patient history and examine you, as well as getting images (such as an MRI or CT), and potentially ordering bloodwork, according to the Weill Cornell Brain and Spine Center. “It's better to just go in and get an evaluation and not be worried about it. So don’t ignore it-follow up with an otolaryngologist (aka an ENT, or ear, nose, and throat doctor), she recommends. “When someone hears this telltale tinnitus, it may not be dangerous itself, but usually is a symptom of a different health concern that may or may not be,” Lewis says. It is more common in people with degenerative disorders like multiple sclerosis and amyotrophic lateral sclerosis. There is also "muscular tinnitus," which refers to pulsing tinnitus that is caused by muscular problems. This review divvies up the causes into three groups: structural (eg, a tumor), metabolic (eg, ototoxic medications or a spasming muscle in the middle ear), and vascular (eg, carotid artery stenosis, which is when the arteries on the side of your neck get narrower). In the majority of cases of pulsatile tinnitus-70 percent-an underlying cause can be determined, per a February 2022 narrative review of the condition published in JAMA Otolaryngology Head and Neck Surgery. Some conditions-such as anemia and pregnancy-can lead to an uptick in how much blood your heart pumps, which can be a reason pulsatile tinnitus occurs.
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