My thumping was continuous at about 200 Beats per minute. The more quiet the louder the thumping seemed to be. I also noticed a few times that after being active and then stopping to rest it seemed louder. But that may just be in my mind because I would catch myself listening for it. I do know that loud noise is what started the thumping for me. I've had ringing in my ears for years but ive gotten used to the ringing. The thumping is something I don't think I ever could have gotten used to. I mentioned the flonase--but try wearing cotton in the troubled ear for a few weeks. I feel like what helped me most was wearing an ear plug in the thumping ear. I feel like my ear was traumatized by noise and the ear plug helped it get some noise releif and settle down. I may be all wet--but something seemed to settle my ear down!