[38F] Experiencing whooshing sound in left ear and dull back pain

Patient Description

A 38-year-old female reports a moderate whooshing sound in her left ear, described as the sound of blood rushing through blood vessels, which has been present for approximately ten minutes. The sound is in sync with her heartbeat and started suddenly. There are no relieving factors identified, and this is the first occurrence. The patient denies any recent head or neck injuries, severe headaches, changes in vision, dizziness, vertigo, or hearing loss. Additionally, the patient mentions a dull pain on the right side of her back just below the kidney area. No other symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Pulsatile Tinnitus: This is a condition where you hear a rhythmic pulsing sound, often in time with your heartbeat. It's often caused by blood flow changes, either in the blood vessels near your ear or in the ear itself.

    • Tests for this condition might include a hearing test, blood work, and imaging studies like a CT scan or MRI to look at the blood vessels and structures in your ear and brain. Treatment depends on the underlying cause and might include medications, surgery, or lifestyle changes.
  • Kidney Infection or Kidney Stones: The dull pain in your back could be related to a kidney issue, such as an infection or kidney stones. However, these conditions usually also come with other symptoms like fever, nausea, or changes in urination.

    • Tests for these conditions might include a urine test, blood work, and imaging studies like an ultrasound or CT scan. Treatment depends on the underlying cause and might include antibiotics for an infection or medication and sometimes surgery for kidney stones.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They can perform a physical examination and order the appropriate tests to help determine the cause of your symptoms.
  2. Try to avoid loud noises and stress, as these can sometimes make the whooshing sound in your ear worse.
  3. Stay hydrated and avoid caffeine and alcohol, as these can sometimes contribute to kidney issues.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Sudden severe headache or the worst headache of your life
  • Sudden difficulty speaking or understanding speech
  • Sudden loss of vision, particularly in one eye
  • Sudden difficulty walking or dizziness, loss of balance or problems with coordination
  • Sudden severe back or side pain that comes and goes
  • Blood in your urine
  • Fever or chills

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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1 yr ago

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People Also Ask


What is pulsatile tinnitus and what causes it?

Pulsatile tinnitus is a condition where you hear a rhythmic pulsing sound, often in sync with your heartbeat. It can be caused by changes in blood flow in the blood vessels near the ear or within the ear itself.


What are the common symptoms of a kidney infection or kidney stones?

Common symptoms of a kidney infection or kidney stones include back or side pain, fever, nausea, and changes in urination. However, these conditions can vary in symptoms and severity.


How can pulsatile tinnitus be diagnosed?

Pulsatile tinnitus can be diagnosed through a combination of a hearing test, blood work, and imaging studies such as a CT scan or MRI to examine the blood vessels and structures in the ear and brain.


What lifestyle changes can help manage pulsatile tinnitus?

To manage pulsatile tinnitus, it is recommended to avoid loud noises and stress, stay hydrated, and limit caffeine and alcohol intake, as these factors can sometimes exacerbate the condition.


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