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Why Do I Have Tinnitus in My Left Ear Only?

Published in Ear Health 3 mins read

Having tinnitus in just one ear (unilateral tinnitus) is relatively common and can stem from a variety of factors, ranging from simple issues like earwax buildup to more complex medical conditions.

Potential Causes of Unilateral Tinnitus

Here are some potential reasons why you might be experiencing tinnitus exclusively in your left ear:

  • Earwax Impaction: Excessive earwax in the left ear can block the ear canal, leading to tinnitus. This is a very common and easily treatable cause.
  • Noise Exposure: While often causing bilateral tinnitus, loud or constant noise exposure can sometimes affect one ear more than the other, especially if you consistently expose one ear to louder sounds (e.g., holding a phone to your left ear regularly, working with machinery primarily to your left).
  • Meniere's Disease: This inner ear disorder can cause tinnitus, vertigo, and hearing loss, often affecting only one ear.
  • Acoustic Neuroma: Though less common, this benign tumor on the auditory nerve can cause tinnitus, typically in one ear, along with hearing loss and balance problems.
  • Temporomandibular Joint (TMJ) Disorders: Problems with your jaw joint can sometimes cause referred pain and tinnitus, potentially affecting one ear more noticeably.
  • Medications: Some medications are ototoxic, meaning they can damage the ear. While often affecting both ears, variations in sensitivity can sometimes lead to unilateral symptoms initially.
  • Middle Ear Infections or Problems: Infections, fluid buildup, or other issues specifically affecting the left middle ear can cause tinnitus.
  • Vascular Issues: Rarely, blood vessel abnormalities near the ear can cause pulsatile tinnitus (a rhythmic pulsing sound) in one ear.

What You Might Hear

The sounds you perceive with tinnitus can vary. You might hear:

  • Ringing
  • Buzzing
  • Roaring
  • Whistling
  • Clicking
  • Hissing

What To Do Next

It's important to consult with a healthcare professional, particularly an audiologist or an otolaryngologist (ENT doctor), to determine the underlying cause of your unilateral tinnitus. They can perform a thorough examination, including:

  • Hearing test (audiogram): To assess your hearing levels.
  • Physical examination of your ears: To check for earwax or other abnormalities.
  • Possible imaging studies (MRI or CT scan): If a more serious underlying condition is suspected.

Proper diagnosis is crucial for effective management and treatment of your tinnitus.

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