Do you ever hear a ringing, buzzing, or hissing sound in your ears? You're not alone. Tinnitus affects between 10-20% of the population, and it can be an extremely annoying symptom.
Dr Edmund Farrar

Dr Edmund Farrar

Medically Reviewed by
Co-Founder & CEO of Oto

Can Allergies Cause Tinnitus? 9 Crucial Factors to Consider


Do you ever hear a ringing, buzzing, or hissing sound in your ears? You're not alone. Tinnitus affects between 10-20% of the population, and it can be an extremely annoying symptom. While it's often associated with age-related hearing loss or exposure to loud noises, there's a lesser-known but significant connection between tinnitus and allergies.

Allergies, whether seasonal or perennial, can lead to various symptoms like sneezing, itchy eyes, and nasal congestion. But did you know that these allergic reactions can also be responsible for inflammation in the ears, causing tinnitus? 

In this comprehensive guide, we'll delve into the intricate relationship between allergies and tinnitus. We'll explore the underlying causes, risk factors, and the science behind how allergies cause ringing in the ears. 

How can allergies cause ear ringing?

The connection between allergies and tinnitus is a multi-faceted one involving various physiological processes. Here's an in-depth look at how allergies can lead to the condition:

Inflammation of the Eustachian Tube

Allergies can cause inflammation and swelling in the Eustachian tube, a small canal connecting the middle ear to the throat, leading to a blockage. This obstruction affects the pressure regulation in the middle ear, creating a sensation of fullness. The altered pressure can disrupt normal hearing function, causing tinnitus that can range from mildly annoying to severely disruptive.

Sinus infections

Allergic rhinitis, commonly known as hay fever, can lead to sinus infections. The inflammation and excess mucus production cause pressure in the sinus cavities, which can extend to the ears. This pressure affects the way sounds are processed and perceived. Proper treatment of sinus infections can often alleviate these symptoms.

Eustachian Tube dysfunction

Allergies can cause the Eustachian tube to become dysfunctional, leading to fluid accumulation in the middle ear. The fluid hampers the vibrations of the eardrum, causing conductive hearing loss and tinnitus. This dysfunction can be temporary during an allergic reaction or more persistent if the allergies are chronic, requiring medical intervention.

Impact on blood flow

Allergies can cause changes in blood flow due to inflammation and histamine release, which can affect the inner ear. This is particularly noticeable in cases of pulsatile tinnitus, where the sound may pulse in time with the heartbeat. Understanding the underlying cause of the altered blood flow can guide treatment and provide relief.

Impact on the immune system

Chronic allergies can lead to a weakened immune system, making the body more susceptible to infections, including in the ear. These infections can further exacerbate tinnitus and other hearing issues. Strengthening the immune system through proper allergy management and overall health care can help reduce the risk of infections and their impact on hearing.

Risk factors for allergy-induced tinnitus

When it comes to tinnitus, allergies are often an overlooked yet significant trigger. Below, we explore the various risk factors for allergy-induced tinnitus: 

Type of allergy

  • Seasonal allergies: The body's reaction to pollen can cause inflammation in the ear. High pollen seasons, especially during spring and fall, may worsen tinnitus. Managing exposure to pollen through medications or lifestyle changes can help control symptoms.
  • Perennial allergies: Chronic exposure to allergens like dust mites or pet dander can cause ongoing irritation in the ear, affecting the Eustachian tube. Regular cleaning and air purification can mitigate these effects.
  • Food allergies: Certain foods, especially those high in histamine, can cause temporary inflammation in the ear and may trigger tinnitus in some individuals. Identifying and avoiding trigger foods is essential for management.

Age and gender

  • Older adults: Age-related changes in the ear, such as reduced blood flow or degeneration of inner ear structures, may make older individuals more susceptible to tinnitus. Regular hearing checks and proper ear care can help in early detection and treatment.
  • Gender: Some studies suggest that men may be more prone to tinnitus, though the reasons are not fully understood [1]. Hormonal differences or occupational exposure to noise may play a role. Further research is needed to understand this correlation fully.

Underlying health conditions

  • Chronic sinusitis: Persistent sinus infections cause inflammation and pressure in the sinus cavities. This can extend to the ears, affecting sound perception. Proper treatment of sinusitis, including antibiotics or surgery, may alleviate tinnitus.
  • Autoimmune diseases: Conditions like lupus or rheumatoid arthritis may affect the ears. The immune system's attack on healthy tissues can include the inner ear structures. Managing the autoimmune condition through medications and lifestyle adjustments can help control symptoms.

Medication and treatment side effects

  • Allergy medications: Some over-the-counter allergy medications, particularly those containing antihistamines or decongestants, may contribute to tinnitus. These medications can affect the inner ear's fluid balance. Monitoring side effects and consulting with healthcare providers can help manage this risk.
  • Ear drops: Ingredients in some ear drops may irritate the ear's delicate structures, leading to allergic reactions and tinnitus. It's essential to follow the instructions for use and consult with healthcare providers if any adverse reactions occur.

Environmental factors

  • Air quality: Exposure to pollutants or irritants such as tobacco smoke, vehicle emissions, or industrial chemicals can exacerbate allergies and tinnitus. These substances can irritate the respiratory system, leading to nasal congestion and subsequent ear pressure. Using air purifiers and avoiding exposure to known irritants can help mitigate these effects.
  • Occupational hazards: Working in noisy environments, such as factories, construction sites, or music venues, may increase the risk of hearing loss. Prolonged exposure to loud noises can damage the hair cells in the inner ear. Proper ear protection and regular hearing checks are vital for those working in noisy environments.

Symptoms of allergy-induced tinnitus

Navigating the symptoms of allergy-induced tinnitus can be overwhelming, but understanding the signs is the first step toward effective management:

Ear symptoms

  • Ringing, buzzing, or hissing: The hallmark symptom of tinnitus, these sounds can vary in pitch and intensity. They may be constant or intermittent and can significantly impact daily life, especially if persistent.
  • Fullness or pressure: Often accompanies tinnitus, especially if the Eustachian tube is affected. This sensation can be uncomfortable and may affect hearing, leading to a feeling of ‘clogged’ ears.
  • Hearing loss: Temporary or permanent loss of hearing may occur, especially if tinnitus is caused by underlying damage to the ear's structures. Regular hearing checks and prompt medical intervention can help manage this symptom.

Allergy symptoms

  • Nasal congestion: This may lead to pressure in the ears and tinnitus. The inflammation and mucus buildup in the nasal passages can extend to the ears, affecting pressure regulation.
  • Itchy eyes and sneezing: Common in allergic reactions but not directly linked to tinnitus. These symptoms are part of the body's immune response to allergens and may occur alongside the condition but are not causative.
  • Skin reactions: Hives or rashes may occur but are not directly related to tinnitus. These reactions are another manifestation of the body's response to allergens and may coexist with tinnitus without being a direct cause.

Psychological symptoms

  • Stress and anxiety: Managing chronic tinnitus can cause psychological distress. Its constant or recurring nature can be taxing, leading to anxiety or depression in some individuals. Therapy and support can help alleviate these symptoms.
  • Sleep disturbances: Tinnitus may affect sleep quality, especially if the sounds are more noticeable in a quiet environment. This can lead to fatigue and further stress, creating a cycle that exacerbates both tinnitus and sleep issues. White noise machines or other sound therapies may help.

Treatment for allergy-induced tinnitus

When it comes to treating allergy-induced tinnitus, a multi-faceted approach is often the most effective to help you find the relief you need. However, it's crucial to discuss any treatment options with your doctor first to ensure they are appropriate for your specific condition and to rule out any underlying health issues.


  • Over-the-counter decongestants or nasal corticosteroids: These medications may relieve congestion and swelling in the nasal passages and ears. They work by shrinking swollen blood vessels and tissues, allowing for better airflow and pressure regulation.
  • Antihistamines like Chlorpheniramine, Meclizine, and Terfenadine: These can be prescribed to control allergic reactions. By blocking the action of histamine, they reduce inflammation and other allergy symptoms, providing relief from tinnitus if it's allergy-induced.

Hearing aids and tinnitus maskers

  • Hearing aids: For those with hearing loss accompanying tinnitus, hearing aids can amplify external sounds, helping to mask the phantom sounds. By enhancing the perception of external noises, the prominence of the condition may be reduced.
  • Tinnitus maskers: These devices produce white noise or other soothing sounds to help cancel out the sounds. They can be customised to match the frequency of an individual's tinnitus, providing relief and improving daily functioning.

Behavioural therapy

  • In persistent cases: Cognitive-Behavioral Therapy (CBT) offers a personalised and evidence-based approach to treating persistent tinnitus, addressing both the physical symptoms and emotional impact. By working with a trained therapist, individuals learn practical coping strategies and relaxation techniques, empowering them to take control of their symptoms and improve their overall well-being. 

Essentially, as a complementary treatment that can be used alongside other therapies, CBT provides a holistic pathway to long-term relief, helping individuals tune out tinnitus for a more fulfilling life.

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Oto tinnitus programs: A solution to allergy-induced tinnitus

Living with tinnitus, especially when triggered by allergies, can be an overwhelming experience. The constant ringing, buzzing, or hissing in the ears can disrupt daily life, leading to stress and anxiety. But what if there was a scientifically backed solution tailored to your unique symptoms? Enter the Oto tinnitus programs.

What is Oto?

Oto offers personalised digital programs designed to help you reclaim your life from tinnitus and regain a sense of peace and calm. Unlike other treatments, Oto focuses on proven methodology and clinically backed therapies such as CBT, mindfulness, and retraining.

How does Oto work?

The Oto program helps change your brain's reaction to tinnitus by pushing it into the background, a process called habituation. Whether it's one-to-one coaching with leading audiologists or using the interactive Oto app, you can choose how and when you access coaching that works for you: 

  • One-to-one tinnitus coaching: Oto's expert specialists create customised plans delivered through remote video sessions, allowing you to access support whenever it suits you. With an impressive 96% success rate, Oto ensures that you can embark on your tinnitus management journey with the utmost confidence and assurance.
  • Tinnitus support app: Designed by experts, the Oto app teaches you how to tune out tinnitus in just a few minutes a day. Over 86% of users reported feeling better within just one month.

Why choose Oto for allergy-induced tinnitus?

Oto ensures that you can tune out tinnitus and focus on what really works. The program has helped thousands of individuals forget about their condition. Users like Imran found Oto to be the most helpful resource when nothing else seemed to help. Others, like Claire, credit Oto's CBT sessions, stating they offered the necessary tools to reclaim her life. 

Take control of your tinnitus today

If you're struggling with allergy-induced tinnitus, Oto offers a promising solution. With bespoke support, commitment, and patience, you can tune out your tinnitus and regain control of your life. Don't let tinnitus hold you back any longer.

Download Oto from the App Store or Google Play now and take the first step towards pushing tinnitus to the background of your life.


Allergy-induced tinnitus is a complex and often distressing condition that affects many individuals. From understanding the underlying causes, such as inflammation of the Eustachian tube and sinus infections, to recognising the symptoms and risk factors, this article has provided a detailed and comprehensive guide to navigating this challenging condition.

We've explored various treatment options, including medications, lifestyle changes, and hearing aids. Among these, CBT stands out as a promising approach, especially for persistent cases. 

In the realm of innovative solutions, the Oto Tinnitus Programs offer a personalised and scientifically backed approach to push allergy-induced tinnitus to the background. With Oto, you have a partner that understands your unique challenges and offers proven solutions. 

Take the first step towards peace and calm by downloading the Oto app today.

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Discover how to tune out tinnitus with our free webinar

Register for our 20 minute webinar and learn why you don't just have to live with tinnitus.
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Oops! Something went wrong while submitting the form.