COVID-19 and Tinnitus
November 15, 2021

COVID-19 and Tinnitus - Are They Related?
If you experience ringing or buzzing in one or both ears, you may have tinnitus. In my other article, I discuss the different causes and treatment for tinnitus. The purpose of this article is to investigate research that links COVID-19 to tinnitus.
Analyzing The Facts
In a systematic review of hearing-related symptoms post-coronavirus published by the International Journal of Audiology, nearly 15 percent of patients reported tinnitus, although the authors do mention this number may be overestimated. Although scientists are learning more about how the novel coronavirus affects the body, much remains to be discovered. According to Kevin Munro, Au.D.,
a professor of audiology at the UK's Manchester Center for Audiology and Deafness, coronavirus affects other organs and systems beyond the respiratory.
In December 2020, Munro conducted a study looking for audio-vestibular symptoms associated with the coronavirus. When this study was completed early during the pandemic, researchers were unable to find any symptoms related to severe acute respiratory syndrome (SARS) or Middle East respiratory syndrome (MERS). However, this time, Murs discovers that an estimated:
- 7.6% of people report hearing loss
- 14.8% report tinnitus
- 7.2% report vertigo
However, the study lacked control groups, leading to the possibility of error. Yet, a connection between tinnitus and COVID-19 is not implausible.
Other Factors
If COVID-19 does not directly cause tinnitus, it may cause it indirectly through lifestyle changes. During the pandemic, people experienced huge changes from their daily routines. Their social activity, sleep schedules, and diet may have dramatically worsened. These factors play a role in one’s auditory health as well as other physical fitness. To ensure your body remains strong and fit in all areas, be sure to get adequate sleep, exercise, nutrition, and hydration. Also, be sure to ease stress through social activity and daily sunshine.
Consider the Options
If you are noticing auditory problems after recovering from COVID-19, don’t hesitate to reach out to an experienced audiologist who can assess your hearing and provide advice. At
The Tinnitus and Hearing Center of Arizona
, we can help guide you to the help you need.
References
Almufarrij, Ibrahim and Kevin J. Munro. “One Year On: An Updated Systematic Review of SARS-CoV-2, COVID-19 and Audio-vestibular Symptoms.” International Journal of Audiology. Published March 22, 2021. https://www.tandfonline.com/doi/full/10.1080/ 14992027.2021.1896793?journalCode=iija20.
Madeleine Burry. “COVID-19 and Tinnitus: What’s the Connection?” Healthyhearing.com. Published June 7, 2021. https://www.healthyhearing.com/report/53206-Covid- tinnitus-and-coronavirus

Anxiety can cause many ailments, including tinnitus. Meanwhile, tinnitus can worsen anxiety. The two together can fuel a vicious cycle, but there are ways to tame down each and help alleviate the tinnitus and anxiety relationship. The Vicious Cycle: How Tinnitus Fuels Anxiety Those who have or have had tinnitus will likely agree that the constant noise is hard to get relief from. For many, it can worsen anxiety, and for some, it can directly cause it. Unfortunately, tinnitus and mental health issues often feed on each other. When general anxiety elevates to a fight-or-flight response, it creates an elevation in heart rate and shortness of breath, which heightens tinnitus. Alone or together, tinnitus and anxiety often make it hard to relax, to fall asleep, and to stay asleep. For some, the combination of tinnitus and anxiety also leads to social avoidance and isolation. That worsens the anxiety and contributes to depression. Concern may grow that the tinnitus will never go away and that it may be a sign of something more serious. This can lead to insecurity about the future and a feeling of hopelessness. The Amplifier: How Anxiety Worsens Tinnitus Stress hormones, including adrenaline, cortisol, and epinephrine, affect the nervous system and can affect the auditory system itself, leading to a reduction of blood circulation in the ears. The overstimulation of the nervous system can also cause cell damage through a lack of oxygen, worsening tinnitus, and contributing to a loss of hearing. For those who experience panic attacks, both a temporary ringing and long-term tinnitus, along with a pulsating in the ear canals, may begin as a panic attack heightens. The sound and pulsations can contribute to anxiety and cause a fear of potential threats. As such, the tinnitus amplifies and becomes louder, more noticeable, and more irritating.

We’re still surprised how many people have outdated ideas about what hearing aids are like. It’s common for patients to come in expecting large, uncomfortable devices that distort sounds or make everything seem tinny or artificial. In fact, one of the first things many of our patients say is, “I can’t believe how natural everything sounds!” Or they might remark on how comfortable they are to wear. We love pleasantly surprising people!









