Pulsatile Tinnitus: How to Cure Pulsatile Tinnitus for Good

“As I turned the corner”, said my wife when she reached home panting, “and saw that man rushing up to me with a revolver pointed at my head, I was so paralyzed with fear that I could almost hear my heart beating loud and clear”. Now, this is absolutely metaphorical, as none can possibly hear his or her own heartbeat, no matter how sensitive the person could possibly be. Nevertheless, a person suffering from pulsatile tinnitus can very well hear disturbing noises in the ear that corresponds to the beating of the heart. This thumping or whooshing sound that is often referred to as vascular tinnitus is mostly related to disturbed or erratic blood flow in the head, apart from a host of other causative issues. 

Clinically speaking, there could be several factors related to pulsatile tinnitus which include narrowing of the blood vessels reaching the head or neck region, sudden increase in blood flow within that sensitive area, highly fluctuating blood pressure, chain smoking habit, etc., all of  which will be discussed in detail later. However, one thing should be borne in mind that the distressing sounds heard in the ear are not imaginary or invented but are very much real. Also, this disease is totally different from continuous tinnitus that usually results from damage caused to the Cochlea and/or the hearing nerve. However, one may have both Pulsatile as well as continuous tinnitus together though the former is more distressing than the latter. 

• Atherosclerotic Carotid Artery Disease is linked to narrowing of the artery from cholesterol build up on the arterial walls, which blocks the normal flow of blood surge, thus giving rise to distressing sounds in the ear (Pulsatile Tinnitus). It usually occurs in seniors with a history of diabetes, hypertension, angina and heavy smoking. May respond to OTC medications accompanied by untoward side effects. Read more here .

• Benign Intracranial Hypertension also causes Pulsatile Tinnitus due to increased pressure of the cerebrospinal fluid that surrounds the brain. Patients suffering from this mostly consist of young overweight females who also complaint of dizziness, headache, hearing loss and visual problems. Weight reduction regime often cures symptoms. Read more here.

• Glomus Tumor which is generally benign in nature, consisting mostly of mass of intertwined tissues and blood vessels, often found in the ear or immediately below it can also cause Pulsatile Tinnitus. With younger people, surgery sometimes provide relief while with older ones, nothing much is required to be done since these tumors are invariably slow growing. However, thorough investigation, including MRI must be undertaken before opting for surgery, since surgical operations above the neck are generally considered hazardous. Read more  here .

• Middle Ear Effusion can cause Pulsatile Tinnitus too. Accumulation of fluid in the middle ear (which normally remains filled with air) due to infection or inflammation of the Eustachian tube or its dysfunction can give rise to abnormal sounds in the ear. Generally responds to antibiotics, nasal sprays, decongestants, etc. Read more here .

• Intracranial Vascular Lesions often cause Pulsatile Tinnitus due to aneurism and arterio-venous malformation that is represented by an abnormal or irregular connection between the artery and the vein. Under normal conditions, blood flows directly from a high pressure to a subordinate vein, bypassing the capillaries. But such aneurism or arterio-venous malformation does not only create Pulsatile Tinnitus, it can also lead to bleeding in the brain with fatal consequences. Therapies include surgery and, if possible, embolzing of the affected blood vessels as well. Proper consultation with surgeons needed before opting for surgery.

• Twisted Arteries in the head or neck tends to affect the normal flow of blood to the above regions, thus causing pulsatile tinnitus. This may or may not coincide with the beating of the heart, but nonetheless is equally distressing to the person.

• Hypertension often causes pulsatile tinnitus which gets controlled when the pressure is reduced with appropriate medication.

However, most of the therapies discussed above have met with very poor or limited results while conventional medications have given rise to more complications than the disease itself. Even homeopathic cures, herbal or home treatments often prove to be of little effect for the simple reason that they address the symptoms and not the disease itself. So the best approach to treat tinnitus is to reach within the body and identify all the contributing factors (and there can be many of them) that are causing the problem. And once the real root causes have been identified, then the right treatment can for sure provide the cure.

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