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Why do I sometimes hear a ringing in my ears even when in a silent room?

I am a 23 year old male with moderate hearing loss caused by several ear infections as a toddler, which I wear hearing aids for. Sometimes I hear ringing in my ears even when I'm in a silent room. This usually happens when I am not wearing my hearing aids. The ringing is sometimes accompanied by disorientation, but not always. The ringing is usually stronger in one ear than the other and "sounds" like it's coming from over my shoulder.
That is a most unfortunate, and terribly common, complaint. It is known as tinnitus, and affects a very high number of people, especially those with hearing loss due to other causes, such as ear infections or hearing loss due to listening to loud sounds for too long. The problem stems from the brain being used to hearing a certain baseline level of noise, and then interpreting that to be recognizable sound. When there is no sound at all, the brain does not know how to respond, and interprets the silence as ringing or buzzing noise that is incessant. That is why the ringing actually seems to get worse when you are in a quiet room, or when your hearing aids are out: the sound isn't real, it is your brain interpreting the absence of sound. There are several things that can be done about this condition, but there are no perfect solutions at this point. Depending on how bad the problem is, an excellent place to start would be with visiting an ear-nose-and throat surgeon (otolaryngologist) who can perform some hearing tests and then make recommendations. Some options include medications, and even the addition of "white noise" via special aids made for this purpose. There is also much research going into this area now, and hopefully there will be better treatments in the future.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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