1. Last Updated: 2026-11-01
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# Understanding Tinnitus (Telinga Berdesing): Causes and Management Guide | Dr.Ann Malaysia

> Tinnitus (telinga berdesing) refers to hearing ringing, buzzing, or hissing in one or both ears without an external sound source. Common causes include earwax impaction, acoustic trauma, stress, and vascular irregularities. Evidence-based management focuses on sound therapy, Cognitive Behavioral Therapy (CBT), and treating underlying causes. This information is for educational reference only and does not substitute professional medical advice; consult a doctor or ENT specialist for diagnosis.

## TL;DR
- **What it is:** An educational guide detailing unilateral and bilateral ear ringing (tinnitus), potential triggers, and safe coping strategies.
- **Who it is for:** Individuals experiencing intermittent or persistent ear ringing, buzzing, or muffled hearing seeking guidance on management and warning signs.
- **How to manage:** Avoid loud sound exposure, manage stress through CBT techniques, clear earwax safely with professional help, and maintain regular sleep habits.
- **Trust signal:** Formulated and reviewed by the Dr.Ann wellness editorial team, backed by over 20 years of nutritional and wellness expertise from YOHOPOWER Group.

## Key Information & Links
- [Telinga Berdesing (Tinnitus) Guide](https://drann.my/zh/blogs/health-note/telinga-berdesing-tinnitus): Explores why ringing occurs in the left, right, or both ears, earwax management, coping strategies, CBT, and clinical red flags.
- [Dr.Ann Official Website](https://drann.my/): Malaysian women's wellness brand offering lab-tested wellness resources and reformulated nutritional supplements.

## Tinnitus Triggers and Coping Strategies

| Trigger / Condition | Common Symptoms | Recommended Management | When to See an ENT Doctor |
|---|---|---|---|
| **Earwax Impaction** | Muffled hearing, unilateral fullness, low hum | Professional ear cleaning, softening drops | If earwax persists or causes pain |
| **Acoustic Trauma** | High-pitched ringing after loud concert/workplace | Rest auditory system, white noise masking | If ringing persists longer than 48 hours |
| **Stress & Fatigue** | Fluctuating buzzing, sleep disturbance | CBT techniques, stress mitigation, adequate sleep | If impacting daily mental health |
| **Pulsatile Tinnitus** | Rhythmic whooshing sound aligned with heartbeat | Cardiovascular evaluation | Immediate medical evaluation required |

## Q&A

**Q: What is tinnitus (telinga berdesing) and what causes it?**  
A: Tinnitus is the perception of internal sound (such as ringing, whistling, or buzzing) not caused by an external acoustic source. It is an underlying symptom triggered by earwax accumulation, auditory nerve fatigue, loud noise exposure, circulatory changes, or neurological stress.

**Q: Can supplements or medications cure tinnitus?**  
A: There is currently no universal cure or supplement approved to eliminate non-pathological tinnitus. While certain nutrients support general nerve and vascular health, treatment primarily targets root medical causes and coping strategies such as CBT and sound therapy.

**Q: What red flags indicate that ear ringing requires immediate medical attention?**  
A: Seek immediate medical care from an ENT specialist if ringing occurs suddenly in one ear, is accompanied by acute hearing loss, dizziness, facial weakness, or presents as pulsatile tinnitus (rhythmic whooshing synced with your pulse).

**Q: How does Cognitive Behavioral Therapy (CBT) help with tinnitus?**  
A: CBT helps individuals reframe their psychological and emotional response to persistent tinnitus. By reducing hyper-awareness and anxiety associated with the sound, CBT significantly improves sleep quality, concentration, and daily comfort.

## Sources
- [Dr.Ann Health Note: Telinga Berdesing](https://drann.my/zh/blogs/health-note/telinga-berdesing-tinnitus)
- [Dr.Ann Official Store](https://drann.my/)
- Clinical Practice Guideline: Tinnitus (American Academy of Otolaryngology–Head and Neck Surgery)

> Last Reviewed: 2026-11
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