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Tinnitus

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Tinnitus

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A tricky topic with no easy solution. This topic has been covered comprehensively on A4Medicine. The cause of tinnitus is displayed clearly – under the headings subjective and objective tinnitus. Wax and infections are the common cause and are easily treatable. Objective tinnitus is rarely seen and can be due to a variety of causes. GPs may note that all patients referred to the ENT get a hearing test as part of the assessment – a formal hearing test should be considered in all patients who present with tinnitus. GPs should consider tuning fork tests as part of the routine assessment and elicit h/o significant noise exposure in history. Management of tinnitus is discussed and interventions as CBT, hearing aids, tinnitus retraining therapy, white noise, Neuromonics, Biofeedback can be considered along with reassurance. The GP should consider referring patients to www.tinnitus.org ( once serious and reversible causes have been excluded )

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