Why You Hear Your Heartbeat in Your Ear and How to Treat It

Have you ever heard your heartbeat thumping in your ear, almost like a drum? This strange sensation can be surprising and even a little unsettling. Known as pulsatile tinnitus, this experience is not as uncommon as you might think. In fact, many people hear their heartbeat in their ears at some point in their lives. But what causes this phenomenon, and what can you do about it? Let’s dive into what’s happening inside your ear and explore ways to treat it.

What Is Pulsatile Tinnitus?

Pulsatile tinnitus is when you hear a rhythmic sound in your ear that matches your heartbeat. This sound can be soft or loud and may come and go or stay constant. Unlike typical tinnitus, which sounds like ringing or buzzing, pulsatile tinnitus has a pulsing or whooshing sound. You’re essentially hearing your blood moving through the vessels near your ear.

This condition can affect just one ear or both, and while it’s often harmless, it can also signal an underlying issue. It’s important to pay attention to other symptoms that may come along with it.

Common Causes of Pulsatile Tinnitus

Several things can lead to pulsatile tinnitus, and they all relate to changes in the blood flow around your ear. One common cause is high blood pressure. When blood pressure is elevated, it forces blood through your vessels more quickly, which can cause that pulsing sound.

Another possibility is a condition called atherosclerosis. This happens when your arteries harden or become clogged with cholesterol. Narrowed arteries create turbulent blood flow, which can be picked up by the sensitive structures in your ear.

An ear infection can also cause pulsatile tinnitus. Infections lead to inflammation and fluid buildup, which can increase pressure in your ear and make you more aware of internal sounds like your heartbeat.

Could It Be Something Serious?

In most cases, pulsatile tinnitus is harmless. However, it can occasionally point to more serious problems. For instance, it could be a sign of a vascular tumor or a blood vessel malformation near your ear. These conditions are rare, but if you’re experiencing pulsatile tinnitus along with dizziness, headaches, or vision changes, it’s time to visit a doctor.

Even if you don’t have these symptoms, seeing a hearing health provider for pulsatile tinnitus is a good idea. They can help rule out any underlying conditions and suggest treatment options.

What Can You Do About It?

The good news is that treatment for pulsatile tinnitus often depends on the cause. If high blood pressure is the issue, managing it through diet, exercise, and medication can reduce or eliminate the sound. Lowering stress and cutting back on salt can also help control blood pressure levels.

If you have atherosclerosis, lifestyle changes like adopting a heart-healthy diet and regular exercise are crucial. In some cases, medication or surgery may be needed to improve blood flow.

For those with ear infections, treating the infection with antibiotics or other medications can reduce the pressure in your ear and resolve the tinnitus.

Self-Care Tips to Manage Pulsatile Tinnitus

While waiting for treatment or diagnosis, there are a few things you can do at home to manage pulsatile tinnitus. Try to avoid loud noises and wear ear protection if you’re in noisy environments. Reducing caffeine and alcohol can also help, as these substances can make tinnitus worse. Contact us today to schedule a comprehensive hearing exam!


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