What Causes Ear Ringing (Tinnitus) During Defecation?

Potential Causes and Treatments for Tinnitus During Defecation

Tinnitus experienced during defecation can be attributed to various factors such as excessive straining during bowel movements, mental stress, ear canal blockage, hormonal imbalance, or dilation of cerebral blood vessels. It is advisable to seek medical attention promptly, where targeted general and pharmacological treatments can be prescribed under a doctor's guidance. Details are as follows:

1. Excessive Straining During Defecation

Excessive force during defecation can increase intra-abdominal pressure, affecting blood circulation in the inner ear and triggering tinnitus. This is generally considered normal and does not require treatment. It is recommended to avoid excessive straining, especially for patients with chronic conditions like hypertension and constipation, to maintain smooth bowel movements and prevent blood pressure fluctuations or worsening of conditions.

2. Mental Stress

Mental stress or anxiety during defecation can disrupt normal physiological functions, leading to poor blood circulation in the inner ear and tinnitus. To manage this, engage in meditation twice daily, each session lasting 20-30 minutes. In a quiet environment, wear comfortable clothing, close your eyes, focus on your breath, and clear negative thoughts or emotions to regulate your mental state and reduce stress.

3. Ear Canal Blockage

Foreign objects or secretions blocking the ear canal can interfere with sound conduction during defecation, causing tinnitus. Sodium bicarbonate solution can be used to soak the blockage, followed by removal with a negative pressure suction device after three days.

4. Hormonal Imbalance

Hormonal imbalance can affect normal physiological functions, including blood circulation in the inner ear. Prolonged imbalance may lead to tinnitus. Medications like Methimazole Tablets, Levothyroxine Sodium Tablets, and Estradiol Valerate Tablets can be prescribed to alleviate symptoms.

5. Dilation of Cerebral Blood Vessels

During defecation, intestinal peristalsis stimulates the parasympathetic nervous system, causing cerebral blood vessel dilation and blood pressure elevation. This can affect inner ear blood circulation, resulting in tinnitus. Medications such as Nimodipine Tablets, Nitrendipine Tablets, and Flunarizine Hydrochloride Capsules can be prescribed for relief.

Apart from the above, tinnitus may also stem from insufficient blood supply to the brain. Ensuring adequate sleep, a balanced diet, and a positive mindset in daily life is equally important.