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DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 65671
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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Hi there, About 1.5 months ago, I had tinnitus on my left

Customer Question

Hi there,
About 1.5 months ago, I had tinnitus on my left ear and it has subsided since. I did MRI with contrast coupled with hearing test and all turned out to be normal (by ENT). Recently I've realized if I'm in a quite room or if I focus internally (head), I hear a very subtle minute sshh sound. It sounds nothing like the tinnitus before, and it very bearable and it's almost like a body sound (somato sound). I have had this for as long as I can remember.
Can most of us hear this minute sound if we focus on it? Will this very minute pulsatilla type (blood vessel or brain frequency) type sound worsen if I attend a loud noise environment? The ENT doctor seems to feel it's just an internal sound and I shouldn't focus on it and not worry about loud sounds. He feels it's normal and I should move on not worrying it will worsen. I've attended a few loud environments and haven't seen it worsen.
Please advise. Thanks
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.
Dr. David :

This is Dr. David

Dr. David :

you always want to protect your ears and avoid very loud concerts and loud music

Dr. David :

which can damage your ear drums and cause long term tinnitus.

Dr. David :

do you have excessive anxiety symptoms.

Dr. David :

it sounds like your anxiety symptoms are focusing on something and that can make symptoms worse.

Dr. David :

have you ever had treatments for excessive anxiety?

Dr. David :

do you wear ear plugs around to protect you from loud sounds?

Expert:  DrRussMD replied 3 years ago.


To answer your question as you have asked it.

Yes, anyone in a completely silent room can here a very low level white noise if they pay attention.

That said, there are a number of causes of actual tinnitus, if you were to have it, that would need to be ruled out.

These would be ear/hearing a number of causes ENT.

TMJ, Cervical spine problems.


A problem with the small bones in the ear.

Hearing damage.

Tumor [usually loud and one sided].

Vascular problem.

To me, it sounds like you have something not to worry about, as your doctor said.

OK, so that is an initial answer…. Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.