🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 35 (from laksa153)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa035.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://mydoctor.kaiserpermanente.org/ncal/structured-content/tinnitus-ringing-in-the-ears-18640\')), getAhrefsUnparsedNoserviceFromURL(\'https://mydoctor.kaiserpermanente.org/ncal/structured-content/tinnitus-ringing-in-the-ears-18640\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/mydoctor.kaiserpermanente.org\/ncal\/structured-content\/tinnitus-ringing-in-the-ears-18640","crawl_time":1775376582,"first_indexed_time":1690018282,"http_code":200,"src_unparsed":"org,kaiserpermanente!mydoctor,\/ncal\/structured-content\/tinnitus-ringing-in-the-ears-18640 s443","src_root_hash":"17255200418223156235","history_drop_reason":null,"meta_title":"Tinnitus (Ringing in the Ears) | My Doctor Online","meta_descriptions":["Your Doctors, Your Care – Kaiser Permanente of Northern California"],"attrs_boilerpipe_text":"Tinnitus (Ringing in the Ears)\nOverview\nTinnitus is the perception of abnormal sound in one or both ears. It’s a very common condition that affects about 1 in 5 people.\nThe condition is often called “ringing” in the ears. However, it can also sound like other sounds including whistling and roaring.\nThe sound may be constant or come and go. It may be low volume or so loud that it’s hard to concentrate. Some people notice the sounds only in some situations, such as when:\nTrying to fall asleep\nStruggling to understand a person talking\nExperiencing anxiety or depression\nSymptoms\nThe sound may occur in one or both ears and may feel as though it's coming from inside your head. The sounds vary and include:\nRinging\nHissing, buzzing, or static\nRunning water or whooshing\nWhistling or chirping\nClicking or beating\nDrumming\nSymptoms are often worse at night or when you’re in a quiet place. Some people also have hearing problems and dizziness.\nCauses\nThere are a number of common causes of tinnitus. Some can be treated or prevented. These include:\nPhysical and\/or emotional stress.\nWax buildup in the ear canal.\nEar infection.\nFluid behind the eardrum.\nSudden or ongoing exposure to loud noise.\nEustachian tube problem.\nPerforated eardrum.\nHigh blood pressure.\nTurbulent (unsteady) blood flow through hardened blood vessels. This causes pulsatile tinnitus, or regular beats of sound that follow the rhythm of your pulse.\nTeeth grinding.\nLess common causes of tinnitus include:\nInner ear fluid pressure problems such as Meniere’s disease.\nBenign (noncancerous) tumors in the inner or middle ear.\nTurbulent (unsteady) blood flow through hardened or abnormal blood vessels. This causes pulsatile tinnitus or beats of sound that follow the rhythm of your pulse.\nHearing loss\nTinnitus is often associated with age-related hearing loss. Imagine you’re in an auditorium trying to listen to a speaker using a microphone. If you can’t hear well, you may ask the speaker to turn up the volume on the microphone. If the volume is turned up too high, you may hear high-pitched feedback sounds. A similar concept applies to your ear. As you lose hearing, your ear tells the brain to turn up the volume. After a certain point, the brain starts to provide feedback sounds that you hear as tinnitus.\nLess common causes of tinnitus include:\nInner ear fluid pressure problems such as Meniere’s disease.\nTemporal mandibular joint pain in the jaw.\nBenign (noncancerous) tumors in the inner or middle ear.\nRisk Factors\nCertain risk factors may make it more likely that you will develop tinnitus. Men are more likely to develop tinnitus than women. Older adults are also at higher risk. You are also more likely to develop tinnitus if you have:\nHigh blood pressure\nDiabetes\nHigh cholesterol\nAnxiety\nFrequent exposure to loud noise (such as construction or factory workers)\nOther conditions and events may make existing tinnitus worse. These include:\nStress\nAnxiety\nDepression\nLack of sleep\nAspirin or other pain medications\nNicotine\nStimulants such as caffeine, diet pills, and decongestants\nVery loud or quiet environments\nDiagnosis\nTo diagnose tinnitus and potential causes we’ll:\nAsk you about your symptoms and medical history.\nExamine your ears using an otoscope. This helps us see if you have earwax, an infection, fluid behind the eardrum, or another treatable cause.\nSchedule a hearing test. This will help to determine if hearing loss may be contributing to tinnitus.\nImaging studies are not usually needed to diagnose and treat tinnitus.\nTreatment\nOur goal in treating tinnitus is to help you manage your symptoms and understand your treatment options.\nIf your tinnitus has lasted less than 6 months, we may recommend waiting to see if it improves on its own.\nRelated causes\nWe will treat any known cause of your tinnitus. This may include treating:\nEarwax buildup\nEar infections\nPerforated eardrum\nHearing loss (hearing aids may be helpful)\nWe will help you manage other conditions that may be making your symptoms worse. This may include:\nManaging medications. We’ll work with your personal physician to adjust or change medications that may be making tinnitus worse.\nControlling blood pressure.\nMental health support\nContinuous tinnitus can be very upsetting and lead to depression and anxiety. The limbic system in the brain is responsible for your ability to cope with tinnitus. If you’re feeling overwhelmed by your symptoms, your limbic system is interpreting tinnitus as something harmful and threatening. Counseling and medication may be helpful.\nTalk to your doctor or\nMental Health and Addiction Medicine Services\nat 1-888-937-5748 (1-888-WE-R-KP4U) (711 TTY). You don’t need a referral from your doctor to access mental health services.\nSound therapy\nTinnitus may prevent you from falling asleep or focusing on work. If this happens, try using white noise, relaxing music, or a fan to help distract you.\nSome people use apps designed to mask tinnitus sounds.\nLifestyle Changes\nYou can make several lifestyle changes that can help make symptoms more manageable, such as:\nAvoid loud or excessive noise.\nAvoid substances such as aspirin, nicotine, and caffeine.\nManage stress.\nFind support for your emotional well-being.\nDownload the Calm app\n.\nWhen to Call Us\nCall your doctor or contact the Appointment and Advice Center at 1-866-454-8855 if you develop sudden severe tinnitus and hearing loss. You should also contact us if you have other ear symptoms, such as:\nSudden change in hearing\nPain\nSevere dizziness or vertigo\nDischarge from the ear\nDisclaimer\nIf you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.\nThis information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only. ","attrs_markdown":"Update: Looking for appointments and messages? View them in [My Care](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/my-care\/).\n\nClose\n\nInternet Explorer not supported\n\nInternet Explorer is no longer supported on our website. We recommend using Google Chrome, Mozilla Firefox, Apple Safari, or Microsoft Edge\n\n[Learn about compatible browsers](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/article\/?article_id=1587706)\n\nOk\n\n- i\n  \n  Appointments, messages, prescriptions, and other features have moved to My Care.\n- [My Care](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/my-care\/)\n- [Doctors](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/find-a-doctor\/)\n- [Locations](https:\/\/healthy.kaiserpermanente.org\/northern-california\/doctors-locations#\/facility-results)\n- [Specialties](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/specialty\/)\n- [Health Library](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/health-library\/)\n\n[![Kaiser Permanente](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/Images\/kp-logo_tcm75-2948951.svg)](https:\/\/healthy.kaiserpermanente.org\/northern-california\/)\n\n[![My Doctor Online](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/Images\/pm-white_tcm75-2948987.svg)](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/home)[![My Doctor Online](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/Images\/mdo-logo-mobile_tcm75-2949007.svg)](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/home)\n\n[![My Doctor Online](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/Images\/pm-white_tcm75-2948987.svg)](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/home)[![My Doctor Online](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/Images\/mdo-logo-web_tcm75-2949013.svg)](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/home)\n\n[![Kaiser Permanente](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/Images\/kp_logo_tcm75-2948970.svg)](https:\/\/healthy.kaiserpermanente.org\/northern-california\/)\n\n- [My Care](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/my-care\/)\n- [Doctors](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/find-a-doctor\/)\n- [Locations](https:\/\/healthy.kaiserpermanente.org\/northern-california\/doctors-locations#\/facility-results)\n- [Specialties](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/specialty\/)\n- [Health Library](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/health-library\/)\n- [Search](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/structured-content\/tinnitus-ringing-in-the-ears-18640)\n\nArrow key navigation enabled\n\nPopular searches\n\n[Letters]()  [Test results]()  [Medical records and forms]()  [Health Library]()\n\n[current page Overview]()\n\n- [current page Overview](https:\/\/mydoctor.kaiserpermanente.org\/overview)\n- [Symptoms](https:\/\/mydoctor.kaiserpermanente.org\/symptoms)\n- [Causes](https:\/\/mydoctor.kaiserpermanente.org\/causes)\n- [Risk Factors](https:\/\/mydoctor.kaiserpermanente.org\/risk-factors)\n- [Diagnosis](https:\/\/mydoctor.kaiserpermanente.org\/diagnosis)\n- [Treatment](https:\/\/mydoctor.kaiserpermanente.org\/treatment)\n- [Lifestyle Changes](https:\/\/mydoctor.kaiserpermanente.org\/lifestyle-changes)\n- [When to Call Us](https:\/\/mydoctor.kaiserpermanente.org\/when-to-call-us)\n\n# Tinnitus (Ringing in the Ears)\n[current page Overview]()\n\n- [current page Overview](https:\/\/mydoctor.kaiserpermanente.org\/overview)\n- [Symptoms](https:\/\/mydoctor.kaiserpermanente.org\/symptoms)\n- [Causes](https:\/\/mydoctor.kaiserpermanente.org\/causes)\n- [Risk Factors](https:\/\/mydoctor.kaiserpermanente.org\/risk-factors)\n- [Diagnosis](https:\/\/mydoctor.kaiserpermanente.org\/diagnosis)\n- [Treatment](https:\/\/mydoctor.kaiserpermanente.org\/treatment)\n- [Lifestyle Changes](https:\/\/mydoctor.kaiserpermanente.org\/lifestyle-changes)\n- [When to Call Us](https:\/\/mydoctor.kaiserpermanente.org\/when-to-call-us)\n\n## Overview\nTinnitus is the perception of abnormal sound in one or both ears. It’s a very common condition that affects about 1 in 5 people.\n\nThe condition is often called “ringing” in the ears. However, it can also sound like other sounds including whistling and roaring.\n\nThe sound may be constant or come and go. It may be low volume or so loud that it’s hard to concentrate. Some people notice the sounds only in some situations, such as when:\n\n- Trying to fall asleep\n- Struggling to understand a person talking\n- Experiencing anxiety or depression\n\n## Symptoms\nThe sound may occur in one or both ears and may feel as though it's coming from inside your head. The sounds vary and include:\n\n- Ringing\n- Hissing, buzzing, or static\n- Running water or whooshing\n- Whistling or chirping\n- Clicking or beating\n- Drumming\n\nSymptoms are often worse at night or when you’re in a quiet place. Some people also have hearing problems and dizziness.\n\n## Causes\nThere are a number of common causes of tinnitus. Some can be treated or prevented. These include:\n\n- Physical and\/or emotional stress.\n- Wax buildup in the ear canal.\n- Ear infection.\n- Fluid behind the eardrum.\n- Sudden or ongoing exposure to loud noise.\n- Eustachian tube problem.\n- Perforated eardrum.\n- High blood pressure.\n- Turbulent (unsteady) blood flow through hardened blood vessels. This causes pulsatile tinnitus, or regular beats of sound that follow the rhythm of your pulse.\n- Teeth grinding.\n\nLess common causes of tinnitus include:\n\n- Inner ear fluid pressure problems such as Meniere’s disease.\n- Benign (noncancerous) tumors in the inner or middle ear.\n- Turbulent (unsteady) blood flow through hardened or abnormal blood vessels. This causes pulsatile tinnitus or beats of sound that follow the rhythm of your pulse.\n### Hearing loss\nTinnitus is often associated with age-related hearing loss. Imagine you’re in an auditorium trying to listen to a speaker using a microphone. If you can’t hear well, you may ask the speaker to turn up the volume on the microphone. If the volume is turned up too high, you may hear high-pitched feedback sounds. A similar concept applies to your ear. As you lose hearing, your ear tells the brain to turn up the volume. After a certain point, the brain starts to provide feedback sounds that you hear as tinnitus.\n\nLess common causes of tinnitus include:\n\n- Inner ear fluid pressure problems such as Meniere’s disease.\n- Temporal mandibular joint pain in the jaw.\n- Benign (noncancerous) tumors in the inner or middle ear.\n\n## Risk Factors\nCertain risk factors may make it more likely that you will develop tinnitus. Men are more likely to develop tinnitus than women. Older adults are also at higher risk. You are also more likely to develop tinnitus if you have:\n\n- High blood pressure\n- Diabetes\n- High cholesterol\n- Anxiety\n- Frequent exposure to loud noise (such as construction or factory workers)\n\nOther conditions and events may make existing tinnitus worse. These include:\n\n- Stress\n- Anxiety\n- Depression\n- Lack of sleep\n- Aspirin or other pain medications\n- Nicotine\n- Stimulants such as caffeine, diet pills, and decongestants\n- Very loud or quiet environments\n\n## Diagnosis\nTo diagnose tinnitus and potential causes we’ll:\n\n- Ask you about your symptoms and medical history.\n- Examine your ears using an otoscope. This helps us see if you have earwax, an infection, fluid behind the eardrum, or another treatable cause.\n- Schedule a hearing test. This will help to determine if hearing loss may be contributing to tinnitus.\n\nImaging studies are not usually needed to diagnose and treat tinnitus.\n\n## Treatment\nOur goal in treating tinnitus is to help you manage your symptoms and understand your treatment options.\n\nIf your tinnitus has lasted less than 6 months, we may recommend waiting to see if it improves on its own.\n\n### Related causes\nWe will treat any known cause of your tinnitus. This may include treating:\n\n- Earwax buildup\n- Ear infections\n- Perforated eardrum\n- Hearing loss (hearing aids may be helpful)\n\nWe will help you manage other conditions that may be making your symptoms worse. This may include:\n\n- Managing medications. We’ll work with your personal physician to adjust or change medications that may be making tinnitus worse.\n- Controlling blood pressure.\n### Mental health support\nContinuous tinnitus can be very upsetting and lead to depression and anxiety. The limbic system in the brain is responsible for your ability to cope with tinnitus. If you’re feeling overwhelmed by your symptoms, your limbic system is interpreting tinnitus as something harmful and threatening. Counseling and medication may be helpful.\n\nTalk to your doctor or [Mental Health and Addiction Medicine Services](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/structured-content\/mental-health-and-addiction-medicine-services-1573776) at 1-888-937-5748 (1-888-WE-R-KP4U) (711 TTY). You don’t need a referral from your doctor to access mental health services.\n\n### Sound therapy\nTinnitus may prevent you from falling asleep or focusing on work. If this happens, try using white noise, relaxing music, or a fan to help distract you.\n\nSome people use apps designed to mask tinnitus sounds.\n\n## Lifestyle Changes\nYou can make several lifestyle changes that can help make symptoms more manageable, such as:\n\n- Avoid loud or excessive noise.\n- Avoid substances such as aspirin, nicotine, and caffeine.\n- Manage stress.\n- Find support for your emotional well-being. [Download the Calm app](https:\/\/healthy.kaiserpermanente.org\/northern-california\/health-wellness\/mental-health\/tools-resources\/digital).\n\n## When to Call Us\nCall your doctor or contact the Appointment and Advice Center at 1-866-454-8855 if you develop sudden severe tinnitus and hearing loss. You should also contact us if you have other ear symptoms, such as:\n\n- Sudden change in hearing\n- Pain\n- Severe dizziness or vertigo\n- Discharge from the ear\n\n## Additional References\n- [American Tinnitus Association](http:\/\/www.ata.org\/)\n- [ATA Guide to sound therapy apps](https:\/\/www.ata.org\/sites\/default\/files\/SoundTherapy_Apps_Page.pdf)\n- [ENT Health: Tinnitus](https:\/\/www.enthealth.org\/conditions\/tinnitus\/)\n\n## Related Health Tools\n- [Wellness Coaching](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/health-guide\/wellness-coaching)\n\n## Disclaimer\nIf you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.\n\nThis information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.\n\n***\n[Service and Care](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/structured-content\/tinnitus-ringing-in-the-ears-18640)\n\n- [New Member](https:\/\/healthy.kaiserpermanente.org\/northern-california\/new-members#register-to-kp-org)\n- [Get Care](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/get-care\/select-your-concern\/adult)\n- [Answers to Common Questions](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/help\/answers-to-common-questions)\n- [Pharmacy](https:\/\/healthy.kaiserpermanente.org\/northern-california\/secure\/pharmacy\/landingPage)\n\n[About TPMG](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/structured-content\/tinnitus-ringing-in-the-ears-18640)\n\n- [The Permanente Medical Group](https:\/\/northerncalifornia.permanente.org\/news)\n- [The Doc Talk Daily](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/health-guide\/the-doc-talk-daily)\n\n[Mobile Apps](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/structured-content\/tinnitus-ringing-in-the-ears-18640)\n\n- [My Doctor Online](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/health-guide\/mdo-app)\n- [My KP Meds](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/health-guide\/mykpmeds)\n\n[![Permanente Medicine - The Permanente Medical Group](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/Images\/pm-blue_tcm75-2948948.svg)](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/home)\n\n## Service and Care\n- [New Member](https:\/\/healthy.kaiserpermanente.org\/northern-california\/new-members#register-to-kp-org)\n- [Get Care](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/get-care\/select-your-concern\/adult)\n- [Answers to Common Questions](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/help\/answers-to-common-questions)\n- [Pharmacy](https:\/\/healthy.kaiserpermanente.org\/northern-california\/secure\/pharmacy\/landingPage)\n\n## About TPMG\n- [The Permanente Medical Group](https:\/\/northerncalifornia.permanente.org\/news)\n- [The Doc Talk Daily](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/health-guide\/the-doc-talk-daily)\n\n## Mobile Apps\n- [My Doctor Online](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/health-guide\/mdo-app)\n- [My KP Meds](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/health-guide\/mykpmeds)\n\n[![Permanente Medicine - The Permanente Medical Group](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/Images\/pm-blue_tcm75-2948948.svg)](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/home)\n\nCopyright © 2026 The Permanente Medical Group, Inc. All rights reserved.\n\n[Terms and Conditions](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/article\/terms-and-conditions-for-our-web-site-863715) \\| [Privacy Policy](https:\/\/healthy.kaiserpermanente.org\/northern-california\/privacy) \\| [Regulatory Notices](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/article\/regulatory-notices-2280643) \\| [Your Privacy Choices](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/structured-content\/tinnitus-ringing-in-the-ears-18640)","attrs_readable_markdown":"## Tinnitus (Ringing in the Ears)\n## Overview\nTinnitus is the perception of abnormal sound in one or both ears. It’s a very common condition that affects about 1 in 5 people.\n\nThe condition is often called “ringing” in the ears. However, it can also sound like other sounds including whistling and roaring.\n\nThe sound may be constant or come and go. It may be low volume or so loud that it’s hard to concentrate. Some people notice the sounds only in some situations, such as when:\n\n- Trying to fall asleep\n- Struggling to understand a person talking\n- Experiencing anxiety or depression\n\n## Symptoms\nThe sound may occur in one or both ears and may feel as though it's coming from inside your head. The sounds vary and include:\n\n- Ringing\n- Hissing, buzzing, or static\n- Running water or whooshing\n- Whistling or chirping\n- Clicking or beating\n- Drumming\n\nSymptoms are often worse at night or when you’re in a quiet place. Some people also have hearing problems and dizziness.\n\n## Causes\nThere are a number of common causes of tinnitus. Some can be treated or prevented. These include:\n\n- Physical and\/or emotional stress.\n- Wax buildup in the ear canal.\n- Ear infection.\n- Fluid behind the eardrum.\n- Sudden or ongoing exposure to loud noise.\n- Eustachian tube problem.\n- Perforated eardrum.\n- High blood pressure.\n- Turbulent (unsteady) blood flow through hardened blood vessels. This causes pulsatile tinnitus, or regular beats of sound that follow the rhythm of your pulse.\n- Teeth grinding.\n\nLess common causes of tinnitus include:\n\n- Inner ear fluid pressure problems such as Meniere’s disease.\n- Benign (noncancerous) tumors in the inner or middle ear.\n- Turbulent (unsteady) blood flow through hardened or abnormal blood vessels. This causes pulsatile tinnitus or beats of sound that follow the rhythm of your pulse.\n### Hearing loss\nTinnitus is often associated with age-related hearing loss. Imagine you’re in an auditorium trying to listen to a speaker using a microphone. If you can’t hear well, you may ask the speaker to turn up the volume on the microphone. If the volume is turned up too high, you may hear high-pitched feedback sounds. A similar concept applies to your ear. As you lose hearing, your ear tells the brain to turn up the volume. After a certain point, the brain starts to provide feedback sounds that you hear as tinnitus.\n\nLess common causes of tinnitus include:\n\n- Inner ear fluid pressure problems such as Meniere’s disease.\n- Temporal mandibular joint pain in the jaw.\n- Benign (noncancerous) tumors in the inner or middle ear.\n\n## Risk Factors\nCertain risk factors may make it more likely that you will develop tinnitus. Men are more likely to develop tinnitus than women. Older adults are also at higher risk. You are also more likely to develop tinnitus if you have:\n\n- High blood pressure\n- Diabetes\n- High cholesterol\n- Anxiety\n- Frequent exposure to loud noise (such as construction or factory workers)\n\nOther conditions and events may make existing tinnitus worse. These include:\n\n- Stress\n- Anxiety\n- Depression\n- Lack of sleep\n- Aspirin or other pain medications\n- Nicotine\n- Stimulants such as caffeine, diet pills, and decongestants\n- Very loud or quiet environments\n\n## Diagnosis\nTo diagnose tinnitus and potential causes we’ll:\n\n- Ask you about your symptoms and medical history.\n- Examine your ears using an otoscope. This helps us see if you have earwax, an infection, fluid behind the eardrum, or another treatable cause.\n- Schedule a hearing test. This will help to determine if hearing loss may be contributing to tinnitus.\n\nImaging studies are not usually needed to diagnose and treat tinnitus.\n\n## Treatment\nOur goal in treating tinnitus is to help you manage your symptoms and understand your treatment options.\n\nIf your tinnitus has lasted less than 6 months, we may recommend waiting to see if it improves on its own.\n\n### Related causes\nWe will treat any known cause of your tinnitus. This may include treating:\n\n- Earwax buildup\n- Ear infections\n- Perforated eardrum\n- Hearing loss (hearing aids may be helpful)\n\nWe will help you manage other conditions that may be making your symptoms worse. This may include:\n\n- Managing medications. We’ll work with your personal physician to adjust or change medications that may be making tinnitus worse.\n- Controlling blood pressure.\n### Mental health support\nContinuous tinnitus can be very upsetting and lead to depression and anxiety. The limbic system in the brain is responsible for your ability to cope with tinnitus. If you’re feeling overwhelmed by your symptoms, your limbic system is interpreting tinnitus as something harmful and threatening. Counseling and medication may be helpful.\n\nTalk to your doctor or [Mental Health and Addiction Medicine Services](https:\/\/mydoctor.kaiserpermanente.org\/ncal\/structured-content\/mental-health-and-addiction-medicine-services-1573776) at 1-888-937-5748 (1-888-WE-R-KP4U) (711 TTY). You don’t need a referral from your doctor to access mental health services.\n\n### Sound therapy\nTinnitus may prevent you from falling asleep or focusing on work. If this happens, try using white noise, relaxing music, or a fan to help distract you.\n\nSome people use apps designed to mask tinnitus sounds.\n\n## Lifestyle Changes\nYou can make several lifestyle changes that can help make symptoms more manageable, such as:\n\n- Avoid loud or excessive noise.\n- Avoid substances such as aspirin, nicotine, and caffeine.\n- Manage stress.\n- Find support for your emotional well-being. [Download the Calm app](https:\/\/healthy.kaiserpermanente.org\/northern-california\/health-wellness\/mental-health\/tools-resources\/digital).\n\n## When to Call Us\nCall your doctor or contact the Appointment and Advice Center at 1-866-454-8855 if you develop sudden severe tinnitus and hearing loss. You should also contact us if you have other ear symptoms, such as:\n\n- Sudden change in hearing\n- Pain\n- Severe dizziness or vertigo\n- Discharge from the ear\n\n## Disclaimer\nIf you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.\n\nThis information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.","meta_canonical":null}

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Boilerpipe Text	Tinnitus (Ringing in the Ears) Overview Tinnitus is the perception of abnormal sound in one or both ears. It’s a very common condition that affects about 1 in 5 people. The condition is often called “ringing” in the ears. However, it can also sound like other sounds including whistling and roaring. The sound may be constant or come and go. It may be low volume or so loud that it’s hard to concentrate. Some people notice the sounds only in some situations, such as when: Trying to fall asleep Struggling to understand a person talking Experiencing anxiety or depression Symptoms The sound may occur in one or both ears and may feel as though it's coming from inside your head. The sounds vary and include: Ringing Hissing, buzzing, or static Running water or whooshing Whistling or chirping Clicking or beating Drumming Symptoms are often worse at night or when you’re in a quiet place. Some people also have hearing problems and dizziness. Causes There are a number of common causes of tinnitus. Some can be treated or prevented. These include: Physical and/or emotional stress. Wax buildup in the ear canal. Ear infection. Fluid behind the eardrum. Sudden or ongoing exposure to loud noise. Eustachian tube problem. Perforated eardrum. High blood pressure. Turbulent (unsteady) blood flow through hardened blood vessels. This causes pulsatile tinnitus, or regular beats of sound that follow the rhythm of your pulse. Teeth grinding. Less common causes of tinnitus include: Inner ear fluid pressure problems such as Meniere’s disease. Benign (noncancerous) tumors in the inner or middle ear. Turbulent (unsteady) blood flow through hardened or abnormal blood vessels. This causes pulsatile tinnitus or beats of sound that follow the rhythm of your pulse. Hearing loss Tinnitus is often associated with age-related hearing loss. Imagine you’re in an auditorium trying to listen to a speaker using a microphone. If you can’t hear well, you may ask the speaker to turn up the volume on the microphone. If the volume is turned up too high, you may hear high-pitched feedback sounds. A similar concept applies to your ear. As you lose hearing, your ear tells the brain to turn up the volume. After a certain point, the brain starts to provide feedback sounds that you hear as tinnitus. Less common causes of tinnitus include: Inner ear fluid pressure problems such as Meniere’s disease. Temporal mandibular joint pain in the jaw. Benign (noncancerous) tumors in the inner or middle ear. Risk Factors Certain risk factors may make it more likely that you will develop tinnitus. Men are more likely to develop tinnitus than women. Older adults are also at higher risk. You are also more likely to develop tinnitus if you have: High blood pressure Diabetes High cholesterol Anxiety Frequent exposure to loud noise (such as construction or factory workers) Other conditions and events may make existing tinnitus worse. These include: Stress Anxiety Depression Lack of sleep Aspirin or other pain medications Nicotine Stimulants such as caffeine, diet pills, and decongestants Very loud or quiet environments Diagnosis To diagnose tinnitus and potential causes we’ll: Ask you about your symptoms and medical history. Examine your ears using an otoscope. This helps us see if you have earwax, an infection, fluid behind the eardrum, or another treatable cause. Schedule a hearing test. This will help to determine if hearing loss may be contributing to tinnitus. Imaging studies are not usually needed to diagnose and treat tinnitus. Treatment Our goal in treating tinnitus is to help you manage your symptoms and understand your treatment options. If your tinnitus has lasted less than 6 months, we may recommend waiting to see if it improves on its own. Related causes We will treat any known cause of your tinnitus. This may include treating: Earwax buildup Ear infections Perforated eardrum Hearing loss (hearing aids may be helpful) We will help you manage other conditions that may be making your symptoms worse. This may include: Managing medications. We’ll work with your personal physician to adjust or change medications that may be making tinnitus worse. Controlling blood pressure. Mental health support Continuous tinnitus can be very upsetting and lead to depression and anxiety. The limbic system in the brain is responsible for your ability to cope with tinnitus. If you’re feeling overwhelmed by your symptoms, your limbic system is interpreting tinnitus as something harmful and threatening. Counseling and medication may be helpful. Talk to your doctor or Mental Health and Addiction Medicine Services at 1-888-937-5748 (1-888-WE-R-KP4U) (711 TTY). You don’t need a referral from your doctor to access mental health services. Sound therapy Tinnitus may prevent you from falling asleep or focusing on work. If this happens, try using white noise, relaxing music, or a fan to help distract you. Some people use apps designed to mask tinnitus sounds. Lifestyle Changes You can make several lifestyle changes that can help make symptoms more manageable, such as: Avoid loud or excessive noise. Avoid substances such as aspirin, nicotine, and caffeine. Manage stress. Find support for your emotional well-being. Download the Calm app . When to Call Us Call your doctor or contact the Appointment and Advice Center at 1-866-454-8855 if you develop sudden severe tinnitus and hearing loss. You should also contact us if you have other ear symptoms, such as: Sudden change in hearing Pain Severe dizziness or vertigo Discharge from the ear Disclaimer If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder. This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.
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It’s a very common condition that affects about 1 in 5 people. The condition is often called “ringing” in the ears. However, it can also sound like other sounds including whistling and roaring. The sound may be constant or come and go. It may be low volume or so loud that it’s hard to concentrate. Some people notice the sounds only in some situations, such as when: - Trying to fall asleep - Struggling to understand a person talking - Experiencing anxiety or depression ## Symptoms The sound may occur in one or both ears and may feel as though it's coming from inside your head. The sounds vary and include: - Ringing - Hissing, buzzing, or static - Running water or whooshing - Whistling or chirping - Clicking or beating - Drumming Symptoms are often worse at night or when you’re in a quiet place. Some people also have hearing problems and dizziness. ## Causes There are a number of common causes of tinnitus. Some can be treated or prevented. These include: - Physical and/or emotional stress. - Wax buildup in the ear canal. - Ear infection. - Fluid behind the eardrum. - Sudden or ongoing exposure to loud noise. - Eustachian tube problem. - Perforated eardrum. - High blood pressure. - Turbulent (unsteady) blood flow through hardened blood vessels. This causes pulsatile tinnitus, or regular beats of sound that follow the rhythm of your pulse. - Teeth grinding. Less common causes of tinnitus include: - Inner ear fluid pressure problems such as Meniere’s disease. - Benign (noncancerous) tumors in the inner or middle ear. - Turbulent (unsteady) blood flow through hardened or abnormal blood vessels. This causes pulsatile tinnitus or beats of sound that follow the rhythm of your pulse. ### Hearing loss Tinnitus is often associated with age-related hearing loss. Imagine you’re in an auditorium trying to listen to a speaker using a microphone. If you can’t hear well, you may ask the speaker to turn up the volume on the microphone. If the volume is turned up too high, you may hear high-pitched feedback sounds. A similar concept applies to your ear. As you lose hearing, your ear tells the brain to turn up the volume. After a certain point, the brain starts to provide feedback sounds that you hear as tinnitus. Less common causes of tinnitus include: - Inner ear fluid pressure problems such as Meniere’s disease. - Temporal mandibular joint pain in the jaw. - Benign (noncancerous) tumors in the inner or middle ear. ## Risk Factors Certain risk factors may make it more likely that you will develop tinnitus. Men are more likely to develop tinnitus than women. Older adults are also at higher risk. You are also more likely to develop tinnitus if you have: - High blood pressure - Diabetes - High cholesterol - Anxiety - Frequent exposure to loud noise (such as construction or factory workers) Other conditions and events may make existing tinnitus worse. These include: - Stress - Anxiety - Depression - Lack of sleep - Aspirin or other pain medications - Nicotine - Stimulants such as caffeine, diet pills, and decongestants - Very loud or quiet environments ## Diagnosis To diagnose tinnitus and potential causes we’ll: - Ask you about your symptoms and medical history. - Examine your ears using an otoscope. This helps us see if you have earwax, an infection, fluid behind the eardrum, or another treatable cause. - Schedule a hearing test. This will help to determine if hearing loss may be contributing to tinnitus. Imaging studies are not usually needed to diagnose and treat tinnitus. ## Treatment Our goal in treating tinnitus is to help you manage your symptoms and understand your treatment options. If your tinnitus has lasted less than 6 months, we may recommend waiting to see if it improves on its own. ### Related causes We will treat any known cause of your tinnitus. This may include treating: - Earwax buildup - Ear infections - Perforated eardrum - Hearing loss (hearing aids may be helpful) We will help you manage other conditions that may be making your symptoms worse. This may include: - Managing medications. We’ll work with your personal physician to adjust or change medications that may be making tinnitus worse. - Controlling blood pressure. ### Mental health support Continuous tinnitus can be very upsetting and lead to depression and anxiety. The limbic system in the brain is responsible for your ability to cope with tinnitus. If you’re feeling overwhelmed by your symptoms, your limbic system is interpreting tinnitus as something harmful and threatening. Counseling and medication may be helpful. Talk to your doctor or [Mental Health and Addiction Medicine Services](https://mydoctor.kaiserpermanente.org/ncal/structured-content/mental-health-and-addiction-medicine-services-1573776) at 1-888-937-5748 (1-888-WE-R-KP4U) (711 TTY). You don’t need a referral from your doctor to access mental health services. ### Sound therapy Tinnitus may prevent you from falling asleep or focusing on work. If this happens, try using white noise, relaxing music, or a fan to help distract you. Some people use apps designed to mask tinnitus sounds. ## Lifestyle Changes You can make several lifestyle changes that can help make symptoms more manageable, such as: - Avoid loud or excessive noise. - Avoid substances such as aspirin, nicotine, and caffeine. - Manage stress. - Find support for your emotional well-being. [Download the Calm app](https://healthy.kaiserpermanente.org/northern-california/health-wellness/mental-health/tools-resources/digital). ## When to Call Us Call your doctor or contact the Appointment and Advice Center at 1-866-454-8855 if you develop sudden severe tinnitus and hearing loss. You should also contact us if you have other ear symptoms, such as: - Sudden change in hearing - Pain - Severe dizziness or vertigo - Discharge from the ear ## Additional References - [American Tinnitus Association](http://www.ata.org/) - [ATA Guide to sound therapy apps](https://www.ata.org/sites/default/files/SoundTherapy_Apps_Page.pdf) - [ENT Health: Tinnitus](https://www.enthealth.org/conditions/tinnitus/) ## Related Health Tools - [Wellness Coaching](https://mydoctor.kaiserpermanente.org/ncal/health-guide/wellness-coaching) ## Disclaimer If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder. This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. 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Readable Markdown	## Tinnitus (Ringing in the Ears) ## Overview Tinnitus is the perception of abnormal sound in one or both ears. It’s a very common condition that affects about 1 in 5 people. The condition is often called “ringing” in the ears. However, it can also sound like other sounds including whistling and roaring. The sound may be constant or come and go. It may be low volume or so loud that it’s hard to concentrate. Some people notice the sounds only in some situations, such as when: - Trying to fall asleep - Struggling to understand a person talking - Experiencing anxiety or depression ## Symptoms The sound may occur in one or both ears and may feel as though it's coming from inside your head. The sounds vary and include: - Ringing - Hissing, buzzing, or static - Running water or whooshing - Whistling or chirping - Clicking or beating - Drumming Symptoms are often worse at night or when you’re in a quiet place. Some people also have hearing problems and dizziness. ## Causes There are a number of common causes of tinnitus. Some can be treated or prevented. These include: - Physical and/or emotional stress. - Wax buildup in the ear canal. - Ear infection. - Fluid behind the eardrum. - Sudden or ongoing exposure to loud noise. - Eustachian tube problem. - Perforated eardrum. - High blood pressure. - Turbulent (unsteady) blood flow through hardened blood vessels. This causes pulsatile tinnitus, or regular beats of sound that follow the rhythm of your pulse. - Teeth grinding. Less common causes of tinnitus include: - Inner ear fluid pressure problems such as Meniere’s disease. - Benign (noncancerous) tumors in the inner or middle ear. - Turbulent (unsteady) blood flow through hardened or abnormal blood vessels. This causes pulsatile tinnitus or beats of sound that follow the rhythm of your pulse. ### Hearing loss Tinnitus is often associated with age-related hearing loss. Imagine you’re in an auditorium trying to listen to a speaker using a microphone. If you can’t hear well, you may ask the speaker to turn up the volume on the microphone. If the volume is turned up too high, you may hear high-pitched feedback sounds. A similar concept applies to your ear. As you lose hearing, your ear tells the brain to turn up the volume. After a certain point, the brain starts to provide feedback sounds that you hear as tinnitus. Less common causes of tinnitus include: - Inner ear fluid pressure problems such as Meniere’s disease. - Temporal mandibular joint pain in the jaw. - Benign (noncancerous) tumors in the inner or middle ear. ## Risk Factors Certain risk factors may make it more likely that you will develop tinnitus. Men are more likely to develop tinnitus than women. Older adults are also at higher risk. You are also more likely to develop tinnitus if you have: - High blood pressure - Diabetes - High cholesterol - Anxiety - Frequent exposure to loud noise (such as construction or factory workers) Other conditions and events may make existing tinnitus worse. These include: - Stress - Anxiety - Depression - Lack of sleep - Aspirin or other pain medications - Nicotine - Stimulants such as caffeine, diet pills, and decongestants - Very loud or quiet environments ## Diagnosis To diagnose tinnitus and potential causes we’ll: - Ask you about your symptoms and medical history. - Examine your ears using an otoscope. This helps us see if you have earwax, an infection, fluid behind the eardrum, or another treatable cause. - Schedule a hearing test. This will help to determine if hearing loss may be contributing to tinnitus. Imaging studies are not usually needed to diagnose and treat tinnitus. ## Treatment Our goal in treating tinnitus is to help you manage your symptoms and understand your treatment options. If your tinnitus has lasted less than 6 months, we may recommend waiting to see if it improves on its own. ### Related causes We will treat any known cause of your tinnitus. This may include treating: - Earwax buildup - Ear infections - Perforated eardrum - Hearing loss (hearing aids may be helpful) We will help you manage other conditions that may be making your symptoms worse. This may include: - Managing medications. We’ll work with your personal physician to adjust or change medications that may be making tinnitus worse. - Controlling blood pressure. ### Mental health support Continuous tinnitus can be very upsetting and lead to depression and anxiety. The limbic system in the brain is responsible for your ability to cope with tinnitus. If you’re feeling overwhelmed by your symptoms, your limbic system is interpreting tinnitus as something harmful and threatening. Counseling and medication may be helpful. Talk to your doctor or [Mental Health and Addiction Medicine Services](https://mydoctor.kaiserpermanente.org/ncal/structured-content/mental-health-and-addiction-medicine-services-1573776) at 1-888-937-5748 (1-888-WE-R-KP4U) (711 TTY). You don’t need a referral from your doctor to access mental health services. ### Sound therapy Tinnitus may prevent you from falling asleep or focusing on work. If this happens, try using white noise, relaxing music, or a fan to help distract you. Some people use apps designed to mask tinnitus sounds. ## Lifestyle Changes You can make several lifestyle changes that can help make symptoms more manageable, such as: - Avoid loud or excessive noise. - Avoid substances such as aspirin, nicotine, and caffeine. - Manage stress. - Find support for your emotional well-being. [Download the Calm app](https://healthy.kaiserpermanente.org/northern-california/health-wellness/mental-health/tools-resources/digital). ## When to Call Us Call your doctor or contact the Appointment and Advice Center at 1-866-454-8855 if you develop sudden severe tinnitus and hearing loss. You should also contact us if you have other ear symptoms, such as: - Sudden change in hearing - Pain - Severe dizziness or vertigo - Discharge from the ear ## Disclaimer If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder. This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.
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