Imagine living with a constant ringing or buzzing sound in your ears, a sound that has been with you since birth. It may seem unimaginable, but for some individuals, tinnitus has been a lifelong companion. In this article, we will explore whether tinnitus can truly be present from the moment of birth, shedding light on this mysterious condition that affects millions of people worldwide. While it may not be a common occurrence, the possibility of having tinnitus from birth raises intriguing questions about its origins and potential treatment options.

Can you have tinnitus from birth?

Can you have tinnitus from birth?

Definition and Overview of Tinnitus

Tinnitus is the perception of sound, such as ringing or buzzing, in the absence of any external auditory stimulation. While it is commonly associated with exposure to loud noises or age-related hearing loss, tinnitus can also occur from birth. It can affect individuals of all ages, including infants, and can have a significant impact on their quality of life.

Understanding Tinnitus from Birth

Tinnitus from birth, also known as congenital tinnitus, refers to the presence of tinnitus symptoms in infants from the time of their birth. It is a relatively rare condition, but its impact can be substantial. As infants are unable to communicate their discomfort or explain their symptoms, it is crucial for parents and healthcare professionals to be aware of the factors associated with congenital tinnitus and the appropriate methods for diagnosis and management.

Causes of Tinnitus from Birth

1. Genetic Factors

Genetic factors can play a role in the development of tinnitus from birth. Certain conditions, such as Pendred syndrome and Waardenburg syndrome, have been linked to congenital tinnitus. These genetic abnormalities can disrupt the normal functioning of the auditory system, leading to the perception of tinnitus.

2. Maternal Health Conditions

Maternal health conditions during pregnancy can also contribute to the development of tinnitus in infants. Conditions like gestational diabetes, hypertension, and autoimmune disorders can have an impact on the developing auditory system of the fetus, potentially leading to tinnitus at birth.

3. Medications and Treatments During Pregnancy

Certain medications and treatments administered during pregnancy can have adverse effects on the fetus, including the auditory system. Ototoxic medications, which are known to cause damage to the inner ear, can result in tinnitus in infants when exposed in utero.

4. Birth Trauma and Complications

Birth trauma or complications during delivery can lead to hearing loss and tinnitus in newborns. Physical injury to the auditory system, such as damage to the cochlea or auditory nerve, can result in the perception of tinnitus.

5. Congenital Hearing Loss

Congenital hearing loss, which is present at birth, is strongly associated with the development of tinnitus. The absence or impairment of auditory input can cause the brain to generate abnormal neural activity, leading to the perception of tinnitus in infants.

Diagnosing Tinnitus in Infants

1. Recognizing Symptoms

Diagnosing tinnitus in infants can be challenging due to their inability to express their discomfort verbally. However, certain signs may indicate the presence of tinnitus, including excessive crying, irritability, difficulty sleeping, and a consistent lack of response to sound.

2. Auditory Testing

Auditory testing is a crucial step in diagnosing tinnitus in infants. Techniques such as auditory brainstem response (ABR) testing and otoacoustic emissions (OAE) testing can assess the functionality of the auditory system and identify any abnormalities or hearing loss that may be contributing to the perception of tinnitus.

3. Medical Examination

A comprehensive medical examination is essential to rule out any underlying health conditions that may be causing tinnitus in infants. This examination may involve assessing the overall health of the infant, reviewing the mother’s medical history during pregnancy, and conducting additional tests if necessary.

Managing Tinnitus from Birth

1. Counseling and Support

For parents of infants with congenital tinnitus, counseling and support are crucial. Understanding the condition, its potential causes, and available treatment options can help alleviate concerns and provide a supportive environment for both the infant and their caregivers.

2. Hearing Aids and Assistive Devices

Hearing aids and assistive devices can be beneficial in managing tinnitus in infants with accompanying hearing loss. These devices amplify sounds and provide auditory stimulation, which can help reduce the perception of tinnitus and improve overall auditory function.

3. Sound Therapy

Sound therapy involves the use of external sounds to mask or distract from the perception of tinnitus. In infants, gentle and soothing sounds, such as white noise or lullabies, can help provide relief and improve overall comfort.

4. Medications and Treatment

In certain cases, medication or specialized treatment may be recommended to manage tinnitus in infants. However, the use of medication in such young patients is carefully evaluated, and any potential risks or side effects are weighed against the benefits.

Outlook and Future Research

While tinnitus from birth can pose significant challenges, advancements in the understanding and treatment of this condition provide hope for improved outcomes. Ongoing research aims to uncover the underlying mechanisms of tinnitus and develop targeted therapies to alleviate symptoms and enhance the quality of life for those affected from birth.


Though relatively uncommon, tinnitus from birth can affect the well-being of infants and their families. Genetic factors, maternal health conditions, medications, birth trauma, and congenital hearing loss are potential contributors to the development of tinnitus in newborns. Early diagnosis, counseling, and appropriate management strategies can help alleviate the impact of tinnitus from birth and promote healthy auditory development in infants. Ongoing research provides optimism for further advancements in understanding and treating this condition, offering a brighter future for those born with tinnitus.