When kidney disease, hepatobiliary disease, diabetes mellitus, tuberculosis, chronic bronchitis and other diseases lead to systemic dysfunction, tinnitus often occurs. Its characteristics are the same as tinnitus caused by drug poisoning, both high pitched and bilateral. This tinnitus usually disappears with the recovery of the above diseases. In addition, there are data that tinnitus may be a precursor of coronary heart disease. According to statistics, 86.7% of the patients with tinnitus had tinnitus before angina, 8.6% had angina and tinnitus at the same time. This is because cochlea is sensitive to ischemia and hypoxia. Experts pointed out that tinnitus can be an important sign of early heart disease. Therefore, a middle-aged and elderly person who had no tinnitus symptoms should be checked for blood lipid, blood pressure and ECG in time to determine whether he has recessive heart disease. Some people have long-term tinnitus, but if the recent tinnitus aggravates, you should also check the heart.

Weakness of the body this kind of tinnitus does not have the organic pathological change more, often because the blood vessel tension is insufficient, the local blood supply difference causes. According to traditional Chinese medicine, it is the manifestation of kidney deficiency.

Neurasthenia is a kind of tinnitus with variable pitch, mostly bilateral, often accompanied by headache, dizziness, insomnia, dreaminess and other symptoms. This tinnitus is also associated with depression, which can be improved by regulating mood.

Patients with ear diseases have a history of otopathy, and tinnitus tends to increase at night. According to the location of the lesion, it can be divided into conductive tinnitus and sensorineural tinnitus. Conductive tinnitus can occur when there are cerumen, foreign body, inflammation and swelling in the outer ear, hyperemia, invagination and perforation of eardrum, effusion or infection of middle ear and otosclerosis. This kind of tinnitus often occurs on one side of the lesion, and the tone is low, such as “rumble”, “rumble”, “buzz”. The sensitive part of the ear is the cochlea of the inner ear, such as concussion, edema, acoustic neuroma, etc., which will stimulate the cochlea of the inner ear to produce tinnitus. This kind of tinnitus is mostly bilateral, with a high chirp, such as cicadas’ chirp or hiss, and tinnitus is often intermittent.

When the neck tumor or other neck diseases compress the carotid artery, they may cause tinnitus on the compression side. Tinnitus is characterized by persistence and low pitch. The degree of tinnitus may vary with the change of posture.

High dose quinine, quinidine, chloroquine and other drugs can cause severe tinnitus after drug poisoning, but it will improve after drug discontinuation, which will not affect hearing. Gentamicin, streptomycin, kanamycin and other drugs can damage the auditory nerve and vestibular nerve, and tinnitus can occur. If the drug is not stopped in time, it can rapidly develop into deafness, and it is difficult to recover. Tinnitus caused by drug allergy or poisoning is often high pitched and bilateral.

In addition, climacteric syndrome can also cause tinnitus, especially in people with poor sleep. However, there are also a few tinnitus patients with unknown etiology, which need regular observation and examination. Especially the patients with unilateral high pitched tinnitus should go to the Department of Neurology and the Department of facial features of the regular hospital regularly to get accurate and timely diagnosis and treatment.

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