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Writer's pictureAnna Donaldson

Understanding the Connection Between Anxiety and Ringing Ears

Have you ever wondered why, during times of heightened stress or anxiety, you may experience unusual sensations in your ears? It's not uncommon for people to report sensations like ringing, roaring, hissing, or even the feeling of being underwater when they're in a state of anxiety. In this blog post, we'll delve into the intriguing relationship between psychology, the human body, and the phenomenon of ringing ears. So, let's explore why hearing changes when you're anxious.


Girl holding her hand over one ear.

The Psychological Domino Effect

When anxiety sets in, your body instinctively prepares for the classic "fight or flight" response. This response is like a set of dominoes falling, one after the other. Your brain sends signals to your body, setting off a cascade of reactions to get you ready to either confront a threat or escape from it.


As your body goes into high alert, several significant changes occur simultaneously. Your heart rate increases, your blood pressure rises, and you might even feel a surge of internal heat. These physiological fluctuations are all part of your body's defense mechanism. However, what's particularly intriguing is how these changes can influence your ears.


The Ears' Response to Stress

Your ears are sensitive and intricate organs, and they're not immune to the effects of stress and anxiety. When your body's alarm system goes off, it doesn't discriminate; it affects every part of you, including your auditory system. Here's how it happens:

  1. Blood Flow Changes: The increase in heart rate and blood pressure can lead to changes in the blood flow to various parts of your body, including the ears. This altered blood flow can sometimes cause a sensation of ringing or pulsing in the ears.

  2. Muscle Tension: Anxiety often leads to muscle tension, and this tension can extend to the muscles in and around the ears. The tightening of these muscles can create sensations like hissing or humming sounds.

  3. Sensory Perception: Anxiety can also affect how you perceive sensory information. Your brain may become hyper-aware of sounds, making even the slightest noises seem louder or more prominent.


The Variety of Sensations

One of the fascinating aspects of this phenomenon is the sheer variety of sensations that people report when their anxiety levels are elevated. It's not just limited to a simple ringing in the ears; it can feel like a whole symphony of sounds.


Some individuals describe it as a low rumbling, similar to distant thunder. Others liken it to a swooshing or pumping sensation as if they can hear their own heartbeat in their ears. For some, it's a persistent buzzing or whizzing sound, while others perceive it as a rhythmic throbbing or pulsing.


In some cases, anxiety may make sounds seem muted or distant, as though you're hearing everything through a thick layer of cotton. For others, it can be akin to the sensation of being underwater, where sounds become muffled and distorted.


Understanding the Fight or Flight Response

To comprehend why these sensations occur, it's crucial to delve deeper into the fight or flight response itself. This evolutionary mechanism is hardwired into our biology and has been a part of human survival for millennia.


When faced with a perceived threat, whether it's a physical danger or a stressful situation, our brains initiate a series of changes to prepare us for action. These changes are meant to enhance our chances of survival. However, in today's modern world, our bodies often react to non-life-threatening stressors in the same way they would in a life-or-death situation.


The Role of Stress Hormones

Central to the fight or flight response are stress hormones, particularly adrenaline and cortisol. When your brain detects a threat, it releases these hormones into your bloodstream, setting off a chain reaction of physiological responses.


Adrenaline, also known as epinephrine, is responsible for many of the immediate effects. It increases your heart rate, constricts blood vessels, and dilates air passages to provide more oxygen to your muscles. This surge in adrenaline can lead to the sensation of a racing heart, heightened alertness, and even tremors in some cases.


Cortisol, on the other hand, is often referred to as the "stress hormone" because it plays a significant role in regulating the body's response to stress. It can increase blood sugar levels, suppress the immune system, and even affect memory and learning. In the context of anxiety and its impact on the ears, cortisol's influence on blood flow and muscle tension is particularly relevant.


The Ear's Vulnerability

The intricate connection between the ear and the body's stress response lies in the ear's vulnerability to changes in blood flow and muscle tension. Let's break down how this vulnerability can manifest in various ways:

  1. Blood Flow and Tinnitus: As mentioned earlier, changes in blood flow can influence the sensation of ringing in the ears. This phenomenon is often referred to as tinnitus, and it can vary from a faint, intermittent ringing to a constant, high-pitched tone.

  2. Muscle Tension and Auditory Sensations: When the muscles in and around the ear tense up due to stress, it can lead to various auditory sensations. These sensations may include hissing, humming, or even a feeling of fullness in the ears.

  3. Heightened Sensory Perception: Anxiety can make your senses more acute, including your hearing. This heightened sensory perception can cause you to notice sounds you might typically ignore or perceive as louder and more bothersome.

  4. Muffled Sounds and Feeling Underwater: On the flip side, some individuals report a sense of sounds being muted or distorted when they're anxious. This sensation is akin to the feeling of being underwater, where everything seems distant and unclear.

It's important to note that these auditory sensations are typically temporary and often subside as your stress levels decrease. However, for some individuals, particularly those with chronic anxiety, these sensations may persist or recur frequently.


When to Seek Help

While occasional auditory sensations during periods of anxiety are common and generally not a cause for concern, there are instances where it's advisable to seek medical guidance:

  1. Persistent Symptoms: If you experience prolonged or recurrent auditory sensations, such as ringing in the ears, it's a good idea to consult with a healthcare professional, such as an audiologist or an ear, nose, and throat (ENT) specialist.

  2. Accompanied by Other Symptoms: If these sensations are accompanied by other concerning symptoms, such as dizziness, vertigo, hearing loss, or pain in the ears, it's essential to seek prompt medical evaluation.

  3. Interference with Daily Life: If the auditory sensations significantly interfere with your daily life, work, or sleep, it's important to address the issue with a healthcare provider who can offer guidance and potential solutions.

Managing Anxiety-Related Auditory Sensations

If you're experiencing auditory sensations related to anxiety, there are several strategies you can explore to manage and alleviate them:

  1. Stress Reduction Techniques: Engage in stress-reduction practices such as mindfulness, deep breathing exercises, meditation, or yoga. These techniques can help calm your body's stress response.

  2. Regular Exercise: Physical activity is an excellent way to reduce anxiety and promote overall well-being. Exercise can also improve blood circulation, which may have a positive impact on auditory sensations.

  3. Limit Caffeine and Alcohol: Both caffeine and alcohol can exacerbate anxiety symptoms and potentially worsen auditory sensations. Consider reducing or eliminating these substances from your diet.

  4. Healthy Sleep Habits: Ensure you're getting enough restorative sleep. Poor sleep can increase anxiety levels, making auditory sensations more pronounced.

  5. Professional Help: If auditory sensations persist and significantly impact your quality of life, consider seeking professional help from a therapist or counsellor who specializes in anxiety disorders.

The Bottom Line

In conclusion, the connection between anxiety and auditory sensations in the ears is a complex interplay of psychological and physiological factors. Your body's natural response to stress, mediated by hormones like adrenaline and cortisol, can influence blood flow, muscle tension, and sensory perception in the ears.


While these sensations are generally harmless and temporary, it's essential to pay attention to persistent or severe symptoms and seek medical advice when needed. Managing anxiety through stress reduction techniques and a healthy lifestyle can often help alleviate auditory sensations and promote overall well-being.


Remember that your body's response to stress is a natural and adaptive mechanism, and with the right strategies, you can learn to navigate it effectively, ensuring that your ears remain in harmony with your psychological well-being.

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