Q: I’m suffering from pulsatile tinnitus in my left ear. It starts just when I am falling asleep and keeps me awake on most nights. Please help.

Stress and anxiety can worsen all types of tinnitus. Pulsatile tinnitus is a rare form in which rhythmical steady noise beats in sync with your pulse. Some types of pulsatile tinnitus are experienced in single ear while few types are felt on both.

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Though anaemia and an overactive thyroid can be the cause, another reason could be blood vessel disorders. With age and buildup of cholesterol and other deposits, major blood vessels close to your middle and inner ear lose the elasticity, resulting blood flow becoming more forceful. Hypertension and factors that increase blood pressure, such as stress, alcohol and caffeine, can make tinnitus more noticeable. Malformation of capillaries can also result in tinnitus.

It is important to understand the underlying cause of your tinnitus. There are many self-management approaches that can help reduce symptoms. Listen to music – it’s relaxing and reduces a person’s awareness of tinnitus. Relaxation techniques, breathing exercises and meditation also reduce the impact.

There are a handful of effective Ayurvedic medicines and external therapies for tinnitus. Reduce cold exposure. Try applying a paste of half teaspoon Rasnadi choornam (herbal powder) and Karpasasthyadi thailam (ayurvedic oil) on the scalp (crown area) every day for 30 minutes. Try this for a week. Meet an Ayurveda doctor with the medical reports for a better understanding and treatment.

Dr VL Shyam is a Dubai-based Ayurveda practitioner. Got a problem? Our fantastic panel of renowned experts is available to answer all your questions related to fashion, well-being, nutrition, finance and hypnotherapy. Email your queries to friday@gulfnews.com.