Pulsatile tinnitus Q&A w/ Mayo Clinic expert, Dr. Breen July 16

Allow me to introduce you to Dr. Joseph Breen, an expert ear surgeon at Mayo Clinic in Florida offering advanced treatment for outer, middle and inner ear disorders. He specializes in hearing loss, chronic ear infections and rare or complex ear disorders. These disorders include pulsatile tinnitus, cholesteatoma, otosclerosis and superior semicircular canal dehiscence.

During the week of July 14, Dr. Breen will answer questions in a text-style Q&A about pulsatile tinnitus, hearing challenges and any other ear concerns you may have.

Please note that this text-style Q&A is for informational purposes only, and any concerns you have should be addressed to your treating physician. If you would like to learn about care by Dr. Breen and his care team at Mayo Clinic in Florida, please visit this page for information about their program.

Please submit your written questions in advance by commenting on this thread, and Dr. Breen will reply to your comments soon. You will receive a Mayo Clinic Connect notification when he responds to your question.

Please make sure to post a comment with your question by 9am on Wednesday, July 16.

You can start submitting questions now – so please go ahead! What questions do you have for Dr. Breen?

Interested in more discussions like this? Go to the Ear, Nose & Throat (ENT) Support Group.

I have pulsating tinnitus specifically at night and inconsistently. My E.N.T. mentioned a CT scan with contrast. I am allergic to contrast agents- are there other tests that can be done to evaluate possible causes? When I change the position of my head on the pillow it can sometimes eliminate the pulsating or significantly reduce it.

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I have a whooshing , throbbing sensation in my left ear(never in right). It’s quite loud and keeps me awake. It’s not positional. It’s not in synch with my heartbeat.
It’s been happening off and on for 2 months.
Last night it was happening almost all night, and a few hours of the afternoon. My ENT has said that it’s allergy related, and hasn’t given me a satisfactory reason for the issue, or any idea what to do to regarding how to stop it or at least minimise it.
Please help. Thanks

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I have tinnitus I’ve been to many physicians For answer. There is no answer just does not go away- no matter what anyone says .- the noise does reduce as time goes on because your brain gets used to the incoming change- just have to deal with it sorry-

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There is a difference between pulsatile tinnitus and tinnitus.

Pulsatile tinnitus is a rare issue. Like tinnitus, pulsatile tinnitus can affect your quality of life, keeping you awake when you want to rest or distracting you when you need to concentrate. The difference is tinnitus makes constant random noise. Pulsatile tinnitus is like a real-time soundtrack of your blood flowing to and from your heart. Annoying as it may be, that soundtrack may save your life. Pulsatile tinnitus may be the first sign you have a serious medical condition that affects your blood flow. Talk to your healthcare provider if you notice noise in your ears that keeps time with your pulse. They’ll find out if there’s an underlying and potentially serious problem and take steps to treat it.

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I also have pulsatile tinnitus for a couple of weeks now. It started only at night when I was lying in bed. In the meantime it also is there during the day, but it's also not permanently. What @beegie described earlier is also valid for me. I've recently went to a specialist and she thinks it could be related to thegosis or tensions in my neck muscles. Not sure about that, but I will look into that.

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