Encyclopedia category
Causes & associated conditions
70 headwords: 67 articles, 1 entry, 2 definitions
This category covers the conditions that can cause tinnitus or turn up alongside it: problems of the outer, middle and inner ear, the different kinds of hearing loss, conditions of the brain and nerves, and illnesses elsewhere in the body that have been studied together with tinnitus. It also covers the events tinnitus is often traced back to, such as an infection, an injury, an operation or a loud night.
A link between two things is not always a cause. Some of these conditions are established causes of tinnitus; for others the connection comes from studies of large groups that cannot show which way it runs; a few are uncommon explanations that are worth knowing because they can be treated. Each page says which kind of link it is describing and what the evidence behind it looks like.
If you are trying to work out what might be behind your own tinnitus, the symptom and diagnosis pages below are a better place to start than this list. Some signs need medical attention before anything else, and the When to See a Doctor checklist sets out which ones and how soon.
Every headword, A to Z
- Acid reflux (GERD)Article
A Korean cohort found tinnitus diagnosed six times as often after reflux, yet reflux drugs did not lower it. What the studies show, and where they fall short.
- Acoustic neuromaArticle
A rare, usually benign tumor is one of the reasons doctors take new one-sided tinnitus seriously — here's what it is and why early imaging matters.
- Acoustic shockArticle
A sudden, piercing sound through a headset can trigger a documented cluster of symptoms — tinnitus among them — distinct from noise damage.
- Age-related hearing lossArticle
Presbycusis is the third leading cause of chronic disability in older adults, and it travels with tinnitus. The cognitive association is real, widely overstated, and worth reading precisely.
- AllergiesArticle
A study of 138,361 tinnitus patients found allergic rhinitis associated with an odds ratio of 1.81 — larger than sleep apnoea or diabetes. What that does and does not mean for a blocked nose and a ringing ear.
- Autoimmune inner ear diseaseArticle
A rare but urgent cause of tinnitus and hearing loss — AIED progresses over weeks, and early treatment is what determines whether hearing can be saved.
- Bell's palsyArticle
Bell's palsy can cause tinnitus and sound sensitivity through a well-understood mechanism — and, unlike Ramsay Hunt syndrome, usually resolves fully on its own.
- Blood pressureArticle
High blood pressure is often mentioned as a tinnitus trigger. The real relationship is more specific — and more relevant to one type of tinnitus than others.
- CholesteatomaArticle
A skin growth in the middle ear that erodes what it touches. The pattern that should raise it, what surgery is aiming at — and why tinnitus is not on the list of things it is aiming at.
- CholesterolArticle
Several studies link higher cholesterol and triglycerides to tinnitus, possibly through blood flow to the inner ear. Whether lowering them helps is unproven.
- Chronic sinusitisArticle
In a 2026 study of 138,361 tinnitus patients, chronic sinusitis was more common beforehand than in controls. What that shows, and how sinuses reach the ear.
- COVID-19Article
Tinnitus is a commonly reported symptom tied to COVID-19 infection — what the research shows about how often it happens, and why.
- COVID-19 vaccinesArticle
A large VAERS analysis found no disproportionate tinnitus risk from COVID-19 vaccines — while hundreds reporting new tinnitus described real distress.
- DehydrationArticle
Dehydration and electrolyte imbalance are widely claimed as tinnitus triggers online. The real evidence is more limited and specific than most content suggests.
- DementiaArticle
Tinnitus has been linked to dementia, but in the studies that measured hearing the link faded. What the cohorts, the Lancet Commission and ACHIEVE show.
- DiabetesArticle
Diabetes is linked to modestly higher odds of tinnitus. What a 2.3-million-person meta-analysis and UK Biobank data show about it, and what they do not.
- Ear barotraumaArticle
Rapid pressure changes from diving or flying are a well-documented cause of tinnitus and hearing loss — most of it preventable with the right technique.
- Ear infection (otitis media)Article
A study of 3,255 patients referred over a decade found ear infections were the most common ear disorder among those with tinnitus. What the numbers show.
- EarwaxArticle
When earwax causes tinnitus, how drops, irrigation and microsuction compare, and why some people notice ringing after microsuction.
- Endolymphatic hydropsArticle
Hydrops is what is happening in the ear. Ménière's is a set of symptoms. For 75 years the first could only be confirmed after death — MRI changed that, and it complicated the tidy version.
- Eustachian tube dysfunctionArticle
Blocked, popping or ringing ears after a cold, flu or flight often mean the Eustachian tube is not equalising. How long it lasts, and when to get checked.
- Exertional tinnitusArticle
Some people notice tinnitus during heavy lifting or straining — often tied to the Valsalva maneuver's real, measurable effect on pressure in the body.
- Extended high-frequency hearing lossArticle
A standard hearing test stops at 8 kHz. Tested from 9 to 20 kHz, many people with tinnitus and normal audiograms show hearing loss, though studies disagree.
- FibromyalgiaArticle
Small clinic studies find tinnitus in a quarter to three-quarters of people with fibromyalgia. What that shows, and where central sensitization fits.
- Hearing lossArticle
Most tinnitus shows up alongside some degree of hearing loss — here's the mechanism researchers think links the two, and what it means for treatment.
- Hidden hearing lossArticle
Cochlear synaptopathy may explain tinnitus with a normal audiogram — a compelling theory from animal research, but still contested in humans.
- Inner ear decompression sicknessEntry
Injury to the balance organ or cochlea from gas bubbles after a dive, causing vertigo, hearing loss or tinnitus, and treated urgently with recompression.
- Iron deficiency anemiaArticle
In a large records study of women, iron deficiency anemia was linked to nearly four times the risk of new tinnitus within a year, rising with anemia severity.
- Kidney diseaseArticle
Kidney disease is linked to hearing loss, but tinnitus studies disagree. What CKD and dialysis research shows, and why loop diuretics matter for the ear.
- LabyrinthitisArticle
Labyrinthitis and vestibular neuritis look nearly identical — vertigo, nausea, imbalance — but only one involves hearing loss and tinnitus.
- Lyme diseaseArticle
Lyme disease can affect the cochlea, and tinnitus is a common complaint in tick-borne disease clinics. What the evidence shows, and when testing makes sense.
- MastoiditisArticle
Most of this site is about a sound you live with. Mastoiditis is the opposite — an infection of the bone behind the ear where the useful timescale is hours, and the ear symptoms are the least important part.
- Ménière's diseaseArticle
Tinnitus is one symptom of Ménière's disease, not a separate condition — here's how to recognize the difference and why it changes the treatment path.
- MeningitisArticle
In developed countries about 1 in 10 bacterial meningitis survivors has permanent hearing loss. Why a hearing test after recovery matters.
- Menstrual cycleArticle
Two cross-sectional studies, of 4,633 and 558 women, found tinnitus more common with irregular or heavy periods. What they show, and what they cannot.
- MigraineArticle
Migraine and tinnitus turn up together more often than chance predicts. How strong the link is, what might explain it, and when it is something else.
- Multiple sclerosisArticle
Two reviews looked at hearing and balance symptoms as first signs of MS. Tinnitus is on the list — and it is not the symptom either review is about.
- Musical ear syndromeArticle
Hearing songs, choirs or an orchestra with nothing playing is usually a hearing phenomenon, not a psychiatric one — here is what is known about it.
- Noise-induced tinnitusArticle
How loud sound damages the ear and triggers ringing, what counts as a risky exposure, and a large study suggesting the link runs through hearing loss.
- OtosclerosisArticle
An inherited bone condition in the middle ear causes both hearing loss and tinnitus in most people who have it — and surgery often improves both.
- OtosyphilisArticle
Syphilis can infect the inner ear and cause hearing loss, tinnitus and vertigo. What otosyphilis looks like, who gets tested and how much hearing comes back.
- Patulous eustachian tubeArticle
A tube stuck open, not stuck shut — hearing your own voice and breathing inside your head, and getting better when you lie down. The opposite condition to ordinary ETD, with the opposite treatment.
- Perforated eardrumArticle
A ruptured eardrum usually heals in weeks, and tinnitus typically resolves right along with it. Real healing-time data, and when it needs more than time.
- Perilymph fistulaArticle
A leak between the inner and middle ear. One of the few causes of tinnitus, dizziness and hearing loss that surgery can correct — and one whose very existence was debated for decades.
- Ramsay Hunt syndromeArticle
A shingles-related condition affecting the ear and face, with tinnitus as a recognized symptom — and early treatment is linked to better facial recovery.
- Sensorineural hearing lossDefinition
Hearing loss from damage to the inner ear or auditory nerve, as opposed to a mechanical problem in the outer or middle ear. The type most often associated with tinnitus.
- Serious causes of tinnitusArticle
Tinnitus alone is rarely the first sign of a brain tumour, stroke or MS. What scan and population studies found, and the combinations that need prompt care.
- Sleep apneaArticle
Sleep apnea and tinnitus show up together often enough that an apnea evaluation is worth considering, since treating it may help both.
- Somatic tinnitusArticle
Some tinnitus isn't purely 'in the ear' — it can be modulated by muscles in the neck, jaw, and shoulders. How that's identified.
- Spontaneous intracranial hypotensionArticle
A spinal CSF leak lowers pressure around the brain, often bringing tinnitus, muffled hearing and a headache that eases lying flat. How it is found and treated.
- StressArticle
Stress is closely linked with tinnitus and can make it louder, but it has not been shown to cause it. What cortisol studies, cohorts and animal research show.
- StrokeArticle
Tinnitus alone is rarely a stroke sign. Sudden hearing loss with vertigo can be one: the AICA stroke pattern, the HINTS plus exam, BE FAST and when to call.
- Sudden sensorineural hearing lossArticle
Hearing loss developing over hours or days, often with new tinnitus, needs treatment within days for the best chance of recovery — not a wait-and-see symptom.
- Superior canal dehiscence syndromeArticle
A rare gap in the inner ear bone can cause strange symptoms — including hearing your own heartbeat, footsteps, and eye movements.
- Swimmer's ear (otitis externa)Article
An outer ear canal infection is common and usually minor, and can produce temporary tinnitus alongside its more familiar symptoms.
- Temporary threshold shiftArticle
Ringing after a concert comes with a temporary hearing loss that NIDCD says disappears 16 to 48 hours later. Repeated episodes carry a real risk of the change becoming permanent.
- Thyroid disordersArticle
Both an overactive and underactive thyroid are linked to a higher rate of tinnitus — worth knowing if you have a thyroid condition and new ear ringing.
- Tinnitus after a head or neck injuryArticle
Concussion, whiplash, and other head or neck trauma are well-documented tinnitus triggers — through more than one possible mechanism.
- Tinnitus after dental workArticle
Sudden hearing loss and tinnitus after dental work under local anaesthetic are uncommon but documented, with specific vascular and noise-related mechanisms.
- Tinnitus after ear surgeryArticle
Hearing-restoring ear surgery often eases tinnitus, but it can flare first: in one cochlear implant study, 46.7% had a temporary worsening right after surgery.
- Tinnitus in one earArticle
Tinnitus in one ear is rarely dangerous, but guidelines single it out. The common causes, the warning signs, and how often an MRI finds anything.
- TMJ disorderArticle
The jaw joint sits right next to the ear, and the anatomy overlaps — why TMJ problems and tinnitus show up together so often.
- Unilateral tinnitusDefinition
Tinnitus in one ear only. Assessed more actively than tinnitus in both ears, because one-sided symptoms are more often structural.
- Vascular loop on MRIArticle
A vascular loop on an MRI report is usually a normal variant, not the cause of tinnitus. When nerve compression does matter, and what treatment evidence exists.
- Vertigo and dizzinessArticle
Tinnitus and vertigo share the same inner-ear real estate, and people with tinnitus face a meaningfully higher rate of positional vertigo than those without.
- Vestibular migraineArticle
Vestibular migraine produces the same ear triad as Ménière's — tinnitus, fluctuating hearing loss, aural pressure — and the features that separate them are specific and checkable.
- Visual snow syndromeArticle
Tinnitus turns up in about half to four in five people with visual snow syndrome. What the studies show, the shared-brain theory, and when to get checked.
- Vitamin B12 deficiencyArticle
Military personnel with noise-induced hearing loss and tinnitus had B12 deficiency rates over double those with normal hearing. What the research supports.
- Vitamin D deficiencyArticle
Multiple studies now link low vitamin D levels to tinnitus, including in people with completely normal hearing — and it is an easy thing to test for.
- WhiplashArticle
In one series, 23 of 30 people with tinnitus after whiplash improved after a neck nerve block. The mechanism, the limits of that evidence, and what else helps.
The other categories
- Ear & auditory anatomy8
- How tinnitus arises7
- Pulsatile, objective & rare tinnitus16
- Medicines, supplements & substances32
- Tests, imaging & measurement25
- Treatments, procedures & devices45
- Hyperacusis & sound tolerance5
- Psychology, sleep & daily life24
- Populations & epidemiology11
- Noise law, benefits & hearing protection12
- Guidelines, organisations & research11
- History & notable people1