
Swishing Noises In Ears Intermittently, No Change After Wax Removal. Should An Ultrasound Of Carotid Arteries Check Near Ears?

Thank you for your query.
1. In cases of pulsatile or vascular tinnitus, an MR Angiography is required to see the full course of all the blood vessels in the neck and brain.
2. Atherosclerosis causing turbulent blood flow in the carotid arteries is only one of many causes of tinnitus. Cervical spondylosis usually affects the basilar arteries which travel through the cervical spine. If the sounds wake you in the morning, get cervical spine x-rays done and use a different pillow height and type to see whether the tinnitus changes / subsides.
3. If the sound can be heard by others, it is known as objective tinnitus. There is no cure for tinnitus however in certain cases, it can be controlled.
4. Decreased hearing also makes one more aware of tinnitus. Get a PTA (Pure Tone Audiogram) done. If you have a hearing loss, amplification may help mask the tinnitus. You may also get middle ear pressure checked (Impedance Audiometry).
5. Your tinnitus may also be as a result of side effect or interaction of multiple medication. You should discuss this with your physicians.
6. Common tinnitus therapy includes ginkgo biloba, multivitamins and antioxidants.
7. Trans-tympanic steroids and Caroverine Injection (Tinnex) are effective in some patients.
Hope, I have answered your query. Please accept my answer in case you do not have further queries.
Regards.

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