Why do I hear a whooshing sound? Understanding ear-related health concerns

Hearing unexpected noises like a whooshing sound in your ears can be unsettling and distracting. Often described as rhythmic and matching your heartbeat, this sensation can vary from mildly irritating to significantly distressing. Understanding what might be causing this whooshing sound and knowing when to seek help can put your mind at ease and set you on the path toward relief. 

Note: Our Hearing Care Professionals (HCPs) are here to support your ear health and provide personalized guidance. However, if you're concerned about ear infections or other medical issues affecting your hearing, always consult with your healthcare provider as your first priority. 

What is a whooshing sound in the ear? 

The whooshing sound, medically known as pulsatile tinnitus, typically aligns with the rhythm of your heartbeat. Unlike regular tinnitus, which usually presents as ringing or buzzing, pulsatile tinnitus is often caused by changes in blood flow in the vessels near your ears, making it audible as a heartbeat-like sound. 

Common causes of whooshing sounds in the ear 

Several factors can lead to the perception of a whooshing sound in your ear. While some causes are temporary and relatively harmless, others may indicate more significant underlying health issues. Understanding the common reasons behind pulsatile tinnitus can help you better communicate with healthcare providers and manage your symptoms effectively: 

Changes in blood flow 

Alterations in blood flow, whether temporary or persistent, are common causes of pulsatile tinnitus. High blood pressure, anemia, or rapid heart rate can result in hearing a whooshing sound as blood moves quickly through your vessels near the ear. 

Vascular abnormalities 

Conditions affecting blood vessels, such as narrowed arteries, vascular malformations, or abnormal connections between veins and arteries, can cause turbulent blood flow near your auditory system, resulting in ear pressure issues and pulsatile tinnitus. 

Ear pressure and fluid buildup 

Ear infections or inflammation can lead to fluid accumulation and increased pressure behind the eardrum. This heightened pressure can make internal body sounds more noticeable, creating the perception of whooshing. 

Tumors or growths 

Though rare, benign growths such as glomus tumors near the auditory nerves or blood vessels can create rhythmic noises, causing pulsatile tinnitus. Such cases require careful medical evaluation and intervention. 

When should you be concerned? 

While occasional ear noises can be common, persistent whooshing sounds should not be ignored. It's particularly important to seek medical attention if the sound is constant, worsening, or accompanied by symptoms such as: 

• Severe headaches or dizziness 

• Visual disturbances 

• Sudden hearing loss 

• Weakness or numbness on one side of the body 

 These could indicate more serious underlying conditions that require prompt evaluation and treatment. 

Medical diagnosis 

Accurately diagnosing the cause of pulsatile tinnitus is essential to identifying the most effective treatment approach. Since several underlying conditions can lead to pulsatile tinnitus, healthcare providers typically conduct a comprehensive evaluation, including your medical history, lifestyle factors, and specific symptoms. 

This thorough assessment helps rule out serious health issues and guides further diagnostic testing, which may include imaging tests, such as MRI or CT scans to detect abnormalities, as well as blood pressure and cardiovascular assessments to identify potential circulatory issues. 

Treatment options for pulsatile tinnitus 

The ideal treatment for pulsatile tinnitus varies depending on the underlying cause identified during diagnosis. Treatment options may include: 

Lifestyle changes 

Improving cardiovascular health through regular exercise, a balanced diet, and avoiding smoking can significantly improve symptoms related to vascular causes. 

Hearing aids and sound therapy 

Hearing aids or specialized devices designed to mask tinnitus can effectively reduce the perception of whooshing noises, especially when hearing loss accompanies your symptoms. 

Medical interventions 

If high blood pressure or other cardiovascular issues cause your symptoms, your healthcare provider may recommend prescription medications or even surgery to manage these conditions and their underlying causes. 

Protecting your ear health 

Being aware of potential causes and treatments for pulsatile tinnitus empowers you to address the condition proactively. Maintaining regular health check-ups, particularly if you're experiencing persistent symptoms, ensures that any underlying conditions are identified early. 

At Connect Hearing, our team of Hearing Care Professionals (HCPs) are here to help you better understand your ear health and find effective solutions for managing the symptoms of hearing loss. Remember, though, that pulsatile tinnitus should be considered an otologic emergency that requires the immediate attention of your healthcare provider.