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Tinnitus is generally classified into either objective tinnitus or subjective tinnitus. The latter is more common. It is described as the tinnitus that cannot be heard by others, which means that only the sufferer can listen to the noise and sounds produced by tinnitus. Unlike the subjective type, objective tinnitus is very rare and is described as the type of tinnitus that other people can hear through the use of special device such as stethoscope that the doctor uses to diagnose the condition. Since it is often associated to serious medical conditions, this type of tinnitus is quite disturbing. Its prevalence accounts to only 3 percent of all tinnitus patients.People with objective tinnitus frequently hear rhythmic clicking, low humming, or thumping sounds which are heard along with the breathing or heartbeat; hence its other name pulsatile tinnitus. This type of tinnitus may therefore be treated not only by treating the sounds or noise produced by tinnitus but also by treating the medical condition it indicates. There are major causes of objective tinnitus. First, it can be caused by the sudden changes in the flow of blood in the arteries or veins in the ear. This often results to thumping sounds heard in the ear. Second, it can be caused by the heightened sensitivity to the sounds and noise from the blood flow in the ears. This makes a person prone to hearing tinnitus sounds. In some few cases, this type of tinnitus may indicate the presence of a fatal medical condition like aneurysm. Therefore, the patients condition must be diagnosed correctly to pin down the possible factors causing the tinnitus sounds heard by the sufferer. This condition is usually clinically diagnosed through checking the medical history of the patient to see history of cardiovascular conditions. It may also be necessary for the patient to undergo tests such as ultrasound, angiography, magnetic resonance scanning (MRI), magnetic resonance angiography (MRA), and CT scan as these medical examinations and tests show blood flow and blood vessel images which can greatly help a doctor determine the root cause. Blood tests may also be done to see if the patient is suffering from anemia.Relief against objective tinnitus depends mainly on the primary condition, which upon identification must receive immediate treatment. For example, if the cause of the condition is hypertension, it must be treated by taking medication that can lower the blood pressure, diet change, and lifestyle modification. Pulsatile tinnitus patients must stay away from the following: High sodium diet Diet rich in fat Alcohol Beverages with caffeine Stress smokingCholesterol and high fat have always been linked to atherosclerosis, one cause of pulsatile tinnitus. Therefore, they must be avoided. Salt increases the fluid retention in body tissues, causing the blood pressure to rise. Caffeine is a stimulant that elevates the heart rate and blood pressure. Alcohol can alter the fluid balance in the body, thereby causing imbalance in the inner ear fluid. Stress triggers tinnitus symptoms. It is important to manage anxiety and fatigue to prevent the tinnitus from becoming severe. Keep in mind that the path to acquiring relief against objective tinnitus also involves alternative remedies, relaxation, and cognitive-behavioral therapy.