Tinnitus and Headache -various aspects-
How are migraines and tinnitus related?
- Connection to migraine
- Link to additional headaches
- Medications
- Other factors
Summary of Tinnitus and Headache
A high-pitched ringing in the ears is a symptom of tinnitus. Some people develop tinnitus while having migraine attacks. Another risk factor for independent tinnitus is a migraine history.
A neurological disorder called migraine can result in headaches, nausea, and aura. The term “aura” describes the sensory changes that some migraine sufferers feel before an attack. They may also involve auditory modifications like ringing in the ears.
This means that brief ringing in the ears may, for some people, be a symptom of a migraine rather than a different ailment.
However, some research indicates that migraineurs may also be more likely to have tinnitus outside of a migraine attack. Additionally, they can become more susceptible to hearing loss.
Other headache kinds are also frequently accompanied by tinnitus, which may make the impact of headaches on quality of life more pronounced.
Discover more about tinnitus and migraine by reading on.
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Tinnitus and headaches, especially migraines, are frequently experienced simultaneously, and studies indicate a possible connection between them due to overlapping neurological pathways and triggers.
Here’s a more elaborate examination of the relationship:
1. Shared Neurological Pathways:
Trigeminal Nerve:
Both tinnitus and migraines are believed to be associated with the trigeminal nerve, which is responsible for feeling in the face and scalp, and also innervates some parts of the ear.
Central Nervous System:
Certain researchers think that both conditions originate from disruptions in the central nervous system, particularly concerning the auditory and trigeminal nerve pathways.
Auditory Cortex:
Activation of the auditory cortex via the trigeminal nerve during migraine attacks can influence sound sensitivity, possibly resulting in tinnitus fluctuations in some individuals.
2. Potential Triggers and Co-occurrence:
Stress and Sleep Disturbances:
Both tinnitus and migraines can be initiated by stress, sleep disturbances, and dietary influences.
Migraine as a Risk Factor:
Some research indicates that having a history of migraine can increase the risk of developing tinnitus.
Tinnitus as a Migraine Symptom:
Tinnitus may occur as a symptom of migraines and other headache disorders, often appearing before, during, or after a migraine attack, particularly during vestibular migraines.
Migraine and Tinnitus Laterality:
There exists a noteworthy relationship between tinnitus and headache laterality, indicating that the side of the body where tinnitus is felt can be associated with the side of the body where headaches arise.
3. Prevalence and Studies:
High Prevalence in Tinnitus Patients:
Research has demonstrated a high occurrence of headaches among individuals with tinnitus, with as many as 45% of tinnitus patients also experiencing migraines.
Migraine as a Common Headache Type:
Migraine constitutes a significant proportion of headaches reported by those with tinnitus.
Coincidence vs. Causation:
Although the simultaneous occurrence of tinnitus and headaches might be coincidental due to the high prevalence of both conditions, studies propose a more intricate relationship.
4. Potential Treatment Approaches:
Migraine Therapies:
Certain studies suggest that migraine treatments might yield promising outcomes for managing tinnitus, potentially because of the shared neurological pathways and triggers.
Tinnitus Management:
There are multiple strategies for managing tinnitus, including sound therapy, behavioral therapies, and medications.
Stress Reduction:
Practices such as deep breathing, yoga, and exercise can assist in alleviating stress and anxiety, which can exacerbate both tinnitus and headaches.
Is there a connection between migraine and tinnitus? -Tinnitus and Headache
Moderate to severe headaches are one of the neurological signs of migraine, which also produces additional symptoms. Additionally frequently neurological in origin, tinnitus. Although linkages between the two illnesses seem to exist, experts are presently investigating these links.
There may be a number of associations between migraine and tinnitus. Tinnitus may be caused by:
Headache aura-in relation to Tinnitus and Headache
Around 25% of people suffer migraine aura, which are sensory abnormalities that happen before a migraine headache, which might include tinnitus and other auditory disturbances.
Tinnitus and Headache-When a migraine aura causes tinnitus, it normally lasts for five to sixty minutes before going away. Auras of other types can likewise interfere with one’s senses of taste, touch, and vision.
Tinnitus can appear alone or in conjunction with other symptoms as a migraine aura. For instance, tinnitus and visual abnormalities like seeing spots are possible.
Although it is uncommon, patients with brainstem aura can also experience tinnitus. This condition was originally known as basilar migraine.
Comorbidity with migraine-Tinnitus and Headache
Health issues that co-occur called comorbidities. According to research, those who have tinnitus may be more susceptible to migraines or vice versa.
This could be because both illnesses are brought on by the trigeminal system becoming more sensitive. The trigeminal nerve, which travels from the ear to the eyes, nose, and jaw, is a component of the trigeminal system. It contributes to migraine pain.
The temporomandibular joint (TMJ) condition or neck pain may be additional risk factors that are shared.
Complication from migraine-
According to one idea, pulsatile tinnitus (PT) may be brought on by migraines itself by changing the blood vessels in the head. PT is the ability to hear noises that match the beat of one’s heart.
In a previous 2016 study, 1.9% of the 1,204 participants experienced PT, and treating the migraine also reduced the participants’ tinnitus symptoms. However, since only a small portion of study participants had both migraine and PT specifically, more study is required.
Migraine initiator in relation to Tinnitus and Headache-There are many various types of migraine triggers, and for some people, specific sounds may be one of them. Other varieties, such as the following, are more well-known
Shifts in stress hormone levels-
some foods cause you to sleep more or less than normal, bright lights
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Relationship between other types of Tinnitus and Headache-
Tinnitus and migraines are not the only associations. People with tinnitus are more prone than the general population to experience headaches in general.
Group headache
A neurological headache called a cluster headache typically only affects one side of the brain. Even while tinnitus is not a typical cluster headache symptom, those who report it are more likely to also suffer from cluster headaches.
Anxiety headache
According to a 2017 study on tinnitus and headache, tension headaches are more frequent in tinnitus sufferers than migraine. According to the results, 13% of the sample said they occasionally had tension headaches.
Pain referred to in relation to Tinnitus and Headache
Referred pain happens when a condition in one part of the body makes another part of the body hurt. This can occasionally cause headaches and may be related to tinnitus.
For instance, those who suffer from TMJ condition, which affects the jaw, may be more susceptible to develop tinnitus.
Various headaches
33% of those who reported both tinnitus and headache in the 2017 study experienced unclassifiable headache kinds. This indicates that their symptoms did not correspond to any known headache disorder.
Many medical problems that result in headaches or other neurological symptoms, such vertigo, can also induce tinnitus in patients.
Can tinnitus be treated with migraine medication? in relation to Tinnitus and Headache-Treatment for migraines may be beneficial for treating both illnesses when tinnitus is a sign of or complication of migraine.
The efficacy of migraine drugs for treating tinnitus is being investigated in a current clinical research. The study’s findings are expected in late 2022.
A previous study from 2016 also discovered that PT sufferers benefited from migraine medication. Only 11 of the 16 people with both diseases were affected by this, though.
Larger-scale studies will enable researchers to determine whether migraine drugs may treat tinnitus and, if so, which ones do so most effectively.
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What else could result in tinnitus? in relation to Tinnitus and Headache
Tinnitus affects almost everyone at some point, but for some people, it lasts a lifetime. This can be caused by a number of things, including
Noise trauma:
Within a particular range, a person who works or lives in a noisy workplace may suffer from hearing loss. They might hear a noise in that range if they acquire tinnitus. People who work near noisy machinery, for instance, might hear ringing at the same pitch.
Medication:
Tinnitus can occur as a side effect from some drugs, including excessive dosages of aspirin. If a person stops using the drug, the tinnitus can go away. Only under the direction of a doctor should anyone perform this.
Metabolic illnesses:
Tinnitus is linked to heart disease, diabetes, and hypertension.
Ear diseases:
Ailments in the ear itself are brought on by conditions like Meniere’s disease. Dizziness, vertigo, and tinnitus are the symptoms. Similar effects may result from injuries to the eighth cranial nerve.
TMJ disorder:
This is a condition that affects the jaw joint and may result in ringing in the ears due to anatomical alterations there.
Summary of Tinnitus and Headache
Together, tinnitus and migraines are possible. Tinnitus appears to increase the risk of migraine, and those who experience it frequently also report migraine and other headache conditions. If ringing in the ears occurs as a brief aura before a migraine attack, tinnitus itself may be a sign of the condition.
Doctors still don’t fully comprehend how tinnitus and migraine ( Tinnitus and Headache ) are related. There is continuing investigation into these neurological diseases. Meanwhile, some individuals may discover that successfully controlling or treating their migraines reduces the symptoms of tinnitus or enhances their quality of life.
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What medicines are most effective at treating tinnitus?
The ringing, buzzing, or roaring noise that tinnitus causes in one’s ears cannot be heard by anybody else. Although there is no cure for tinnitus, doctors can prescribe medications to alleviate its symptoms.
According to the National Institute on Deafness and Other Communication Disorders (NIDCD), antidepressants and anti-anxiety drugs can help alleviate a person’s symptoms even though there are no particular medications for tinnitus.
The treatments doctors recommend for tinnitus and some alternative therapies are discussed in this article. Additionally, it examines the most recent studies on tinnitus treatments.
Treatment for tinnitus
To treat tinnitus patients, physicians frequently prescribe antidepressants or anti-anxiety medicine. These may help them control their symptoms.
Doctors may also prescribe muscle relaxants or anesthetics if tinnitus is causing insomnia.
In a 2021 assessment of tinnitus drugs published in the journal Healthcare (Basel), researchers said that physicians may also recommend calcium channel blockers, antiarrhythmics, or antihistamines.
Even though there is no particular therapy for tinnitus, doctors may combine several treatments and customize their prescription prescriptions to the individual’s symptoms.
Antidepressants
According to researchers, approximately 80% of those who have tinnitus also experience symptoms of depression.
Taking tricyclic antidepressants, such as amitriptyline, has been shown to alleviate these symptoms and enhance one’s quality of life for many individuals.
Researchers examining the effectiveness of various drug treatments in 2021 found that those using amitriptyline benefited the most.
Trimipramine and nortriptyline are two other tricyclic antidepressants that lessen tinnitus symptoms.
Healthcare (Basel) published a paper in 2021 that also noted that sertraline, a kind of selective serotonin reuptake inhibitor (SSRI) antidepressant, is especially helpful for those suffering from tinnitus, insomnia, or anxiety.
They do point out, though, that the individual’s tinnitus could reappear after they stop using the medicine.
Drugs that treat anxiety
Doctors are aware that stress might cause tinnitus in certain individuals. They may suggest anti-anxiety medication to alleviate a person’s symptoms.
These are some examples:
- xanax (alprazolam)
- Clonazepam (Klonopin)
- Valium (diazepam)
- lorazepam (Ativan)
According to a 2021 study published in Healthcare (Basel), clonazepam users reported that their tinnitus symptoms were less bothersome and softer, even though they were still there.
Drugs that are available over-the-counter
Vitamins and other supplements are used by some people to treat their tinnitus. Some studies show that vitamin B12 and folate supplements help alleviate symptoms, but other research doesn’t support this, according to the 2021 paper from Healthcare (Basel).
To treat tinnitus, some people also use melatonin and Ginkgo biloba extract, which have yielded mixed results, with some users reporting positive outcomes while others report no improvement.
A person may have low zinc levels if they have tinnitus. Although supplements may be helpful in these situations, the researchers claim that they have minimal impact on those with normal zinc levels.
Drugs used off-label
Doctors often prescribe off-label medications to alleviate the patient’s symptoms because there are no unique treatments for tinnitus.
These could be anything from sedatives to anti-alcohol drugs, as well as antihistamines and anticonvulsants.
In their 2021 publication from Healthcare (Basel), researchers state that antihistamines lower inner ear pressure, whereas anticonvulsants may lessen symptoms by calming any excessive activity in the auditory system.
As many patients report symptom improvement, doctors may prescribe anticonvulsants like gabapentin. With lidocaine, a sedative that calms hyperactivity in the person’s central nervous system, they can administer this.
Although acamprosate is a kind of anti-alcohol medicine, it has been shown to be helpful in treating tinnitus in some individuals. Researchers found that tinnitus treatments reduced the severity of symptoms in the 2021 assessment.
Research on drugs
The search for drugs to cure tinnitus is still underway.
The NIDCD notes that researchers have developed a therapy that alleviates tinnitus symptoms in mice and are optimistic that it will also work in humans.
Researchers debate the effectiveness of drugs in treating tinnitus in a 2023 update into tinnitus management, and they also look at other therapies such as therapy and mindfulness.
They assert that individuals who get therapy treatments have better results.
The use of bimodal stimulation as a tinnitus treatment was investigated further in a 2023 study.
A device that generates two types of stimulation is employed by this technique. Using a physical trigger, such as electrical signals, on the cheek or neck, it generates noises in the ear.
The idea is that by retraining some of the neurons in the brain, the individual’s brain will be able to “filter out” the tinnitus, making it seem less severe.
Although additional study is needed, this approach has demonstrated some encouraging outcomes in the therapy of tinnitus.
Things to think about
The majority of drugs have undesirable side effects.
In the 2021 Healthcare (Basel) study, researchers highlight that some anti-anxiety drugs can cause addiction, while others increase blood pressure or are associated with heart problems.
Doctors will explain any potential adverse effects while prescribing the medications.
Certain medications can cause hearing issues. Some diuretics, like ethacrynic acid and acetazolamide, as well as the immunosuppressant methotrexate, are common medicines that might induce tinnitus.
High doses of NSAIDs like aspirin can cause tinnitus, but this is treatable.
Synopsis
Tinnitus is the sensation of ringing, buzzing, or roaring in one’s ears that no one else can hear. Although many people experience it on occasion, it’s a persistent source of irritation for some.
Depression, low self-esteem, and anxiety are linked to persistent tinnitus. Doctors often prescribe medicines to treat these diseases, and many patients experience a reduction in their tinnitus and improvement in their symptoms.
Antidepressants and anti-anxiety drugs are among the medications that doctors can prescribe.
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