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The phenomenon of hearing sounds in the ear (often described as ringing, buzzing, clicking, or whooshing) is medically known as tinnitus. It can have multiple causes — physical, neurological, psychological, and lifestyle-related. Here's a breakdown of the main contributors: 🔹 1. Deficiencies Certain nutritional deficiencies can affect nerve and inner ear function: Vitamin B12 – Deficiency may affect the auditory nerve. Magnesium – Low levels can contribute to nerve excitability. Zinc – Important for inner ear health. Iron deficiency anemia – May cause pulsatile tinnitus due to altered blood flow. 🔹 2. Anxiety and Stress High stress and anxiety levels can heighten your awareness of internal sounds. The limbic system (emotional brain) amplifies tinnitus perception under anxiety. Panic attacks or chronic worry can worsen or even trigger tinnitus episodes. 🔹 3. Sleep Issues Poor sleep quality can make the brain more sensitive to internal noise. Insomnia or sleep apnea can worsen tinnitus perception. Tiredness from poor sleep also reduces the brain's ability to filter out noise. 🔹 4. Ear Problems Earwax blockage can physically press on the eardrum and cause sound. Ear infections, fluid in the ear, or eustachian tube dysfunction. Otosclerosis (stiffening of bones in the ear) or Meniere’s disease. 🔹 5. Hearing Loss Age-related hearing loss (presbycusis). Noise-induced hearing loss — common in those exposed to loud environments. The brain "fills in" the missing sound frequencies, resulting in phantom noise. 🔹 6. Other Medical Conditions Thyroid disorders (especially hypothyroidism). Hypertension or high blood pressure. TMJ disorders (jaw joint issues). Neurological disorders, such as multiple sclerosis (rarely). 🟡 When to Seek Help? If the sound is persistent, worsening, or only in one ear. If it interferes with sleep or daily life. If it comes with dizziness, hearing loss, or ear pain.