Tinnitus in older adults
Informed by recognized medical guidance
Overview
Tinnitus is a condition where you hear sounds—like ringing, buzzing, or hissing—that are not coming from outside your ears. It is not a disease itself but a symptom of an underlying issue, often related to age-related hearing loss.
Key facts
- Tinnitus is very common in older adults, affecting about 1 in 3 people over 65.
- It can be temporary or long-lasting, and varies in loudness and pitch.
- Most cases are not a sign of a serious problem, but you should still see a healthcare provider to rule out other causes.
Yes, tinnitus is very common, especially as people age. It affects millions of older adults worldwide.
Tinnitus most often affects adults aged 60 and older, but it can occur at any age. Older adults are more likely to have age-related hearing loss, which is a common cause of tinnitus.
Symptoms
- Sudden hearing loss in one or both ears
- Tinnitus that starts suddenly after a head injury
- Tinnitus accompanied by sudden, severe dizziness or loss of balance
- Slurred speech, weakness on one side of the body, or facial drooping (signs of a stroke)
- ⚠Tinnitus that comes on suddenly without a clear cause
- ⚠Tinnitus that is only in one ear and gets worse
- ⚠Tinnitus accompanied by ear pain, drainage, or a feeling of fullness that doesn't go away
Common symptoms
- Hearing sounds that no one else hears, often described as ringing, buzzing, roaring, clicking, or hissing.
- The sound may be constant or come and go.
- It can be in one or both ears, and may vary in loudness.
Symptoms in children
- Children with tinnitus may describe a 'funny noise' in their ears, or they might not mention it at all.
- They may have trouble concentrating, feel irritable, or complain of ear pain.
- Because children often cannot describe the symptom well, it may be noticed only when a hearing test is done.
Symptoms in older adults
- Tinnitus in older adults is often linked with age-related hearing loss, making sounds harder to hear but ringing more noticeable.
- It may be worse when the environment is quiet (e.g., at night).
- Some older adults also experience dizziness or balance problems along with tinnitus.
Causes
Main causes
- Age-related hearing loss (presbycusis) is the most common cause.
- Damage to the inner ear from repeated loud noise exposure.
- Earwax buildup, ear infections, or changes in the ear bones.
- Certain medications can cause or worsen tinnitus (as listed on a medicine's information leaflet).
- Other medical conditions like high blood pressure, diabetes, or problems with the jaw joint (TMJ).
Risk factors
- Older age (over 60).
- Regular exposure to loud noises (e.g., from work or music).
- Having certain health conditions like high blood pressure, heart disease, or thyroid problems.
- Smoking and heavy alcohol use.
- Use of some medications, especially high doses of aspirin, certain antibiotics, or cancer treatments.
When to see a doctor
See a doctor urgently if:
- Tinnitus that comes on suddenly after a head injury or with sudden hearing loss.
- Tinnitus accompanied by dizziness, vertigo, or a feeling of spinning.
- Tinnitus that is only in one ear and is getting worse.
Book a routine appointment if:
- If tinnitus bothers you or affects your sleep, concentration, or mood.
- If tinnitus lasts more than a week or is getting worse.
- If you have a history of ear infections or hearing loss and have new symptoms.
Diagnosis
A healthcare provider will ask you about your symptoms, medical history, and any medications you take. They will also examine your ears and may refer you to an ear specialist (audiologist or otolaryngologist) for further tests.
Tests that may be done
- Hearing test (audiogram) to check for hearing loss.
- Tympanometry to test how your eardrum and middle ear work.
- Imaging tests (like CT or MRI) only if the cause is unclear or there are concerning symptoms.
- Blood tests to check for conditions like anaemia, thyroid problems, or vitamin deficiencies.
What to expect at your appointment
Most tinnitus is diagnosed after a hearing test. The specialist will ask you to describe the sounds, when they happen, and how they affect your life. They will rule out serious causes and then focus on management strategies.
Treatment
There is no single cure for tinnitus, but many treatments can help reduce its impact. Treatment focuses on managing the symptom and addressing any underlying cause.
Self-care at home
- Use sound therapy: listen to soft background music, nature sounds, or white noise to mask the tinnitus, especially at night.
- Reduce stress: try relaxation techniques, deep breathing, or yoga.
- Avoid loud noises and use ear protection when needed.
- Limit caffeine, alcohol, and smoking, as they can make tinnitus worse.
- Get regular exercise and maintain a healthy sleep routine.
Medical treatments
If an underlying cause such as earwax, an infection, or a medication side effect is found, treating that may help. For persistent tinnitus, a healthcare provider may suggest cognitive behavioural therapy (CBT) or tinnitus retraining therapy (TRT). Hearing aids can also help if tinnitus is linked to hearing loss. No specific medicines are approved for tinnitus, but some treatments may be used off-label under medical supervision. Always discuss options with your healthcare provider.
When is surgery considered?
Surgery is very rarely needed for tinnitus. It may be considered if there is a specific structural problem in the ear (like a tumour or abnormal blood vessel) that is causing the symptom.
Living with this condition
Tinnitus can be frustrating, but most people learn to manage it. Keeping your mind occupied with hobbies, talking to others, and using background noise can help. It often becomes less noticeable over time.
Lifestyle tips
- Use a white noise machine or a fan in quiet rooms.
- Maintain a regular sleep schedule and create a relaxing bedtime routine.
- Avoid silence: keep a radio or TV on at low volume.
- Stay socially active and talk to family or friends about your tinnitus.
Diet and exercise
A healthy diet and regular exercise can improve your overall well-being and help manage stress, which may reduce tinnitus trouble. Limit salt—it can affect blood flow and worsen tinnitus in some people.
Mental health and emotional wellbeing
Tinnitus can cause anxiety, depression, or trouble sleeping. It is important to acknowledge these feelings and seek help. Speaking with a therapist or joining a support group can make a big difference. If you have thoughts of harming yourself, call emergency services or a crisis helpline immediately.
Prevention
Some causes of tinnitus cannot be prevented, like age-related hearing loss. However, protecting your ears from loud noise, managing chronic health conditions, and avoiding smoking can reduce your risk.
Vaccines
Getting vaccinated against infections that can affect the ears (like flu or meningitis) may help prevent some ear problems, but there is no specific vaccine for tinnitus.
Screening programmes
There is no routine screening for tinnitus. However, regular hearing checks as you age can help catch hearing loss early, which may be linked to tinnitus.
Complications
If left untreated
- Persistent tinnitus can lead to trouble concentrating, difficulty sleeping, and increased stress.
- It may worsen anxiety or depression over time.
- In severe cases, it can affect your work and social life.
Long-term outlook
Most people with tinnitus find it does not get worse over time, and many learn to live with it comfortably. With the right strategies and support, tinnitus becomes less bothersome. While it may not go away completely, you can still enjoy a full and active life.
Find support
International organisations
Local organisations
- Your local hearing aid centre or audiology clinic · Check with your local health service
Helplines
External links open third-party websites. Ruqelo Health is not responsible for external content. Listing an organisation does not imply endorsement.
Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
Related conditions
Sources and guidance
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 17, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.