Potential causative factors

Hearing loss initiated by impactful noise. 

Age correlating hearing loss. 

Diseases/conditions of the ear. 

Severe stress/traumatic events 

Wearing/degrading of cochlear hair cells. 

Ear issues; e.g otosclerosis (a fixed tiny stirrup middle ear bone)

Meniere’s disease (a swollen duct within the ear) 

Certain medications.

When exposed to noisy atmosphere; for instance through work, listening to music on high volume, playing a musical instrument, or exposure through alternate sources - it is critical to ensure use of certain protection equipment. If this is not done, hearing loss is a potential hazard and is significantly increased in likelihood, alongside tinnitus. 

It takes a mere sole occurrence of exposure to cause hearing loss or tinnitus to present (for instance fireworks/alternate explosions, gunshot in close proximity to your ear). 

There are numerous forms of hearing protection, like earplugs - that can obstruct this from occurring in relation to excess or intense noise. Hence, it is necessary to consistently ensure use of protection when being exposed to intensive noises: irrespective of whether or not the noise “seems” uncomfortable to you. Note that at higher frequencies hearing loss is often indistinguishable/pain free, and the most prevalent consequence is tinnitus.

Informing your medical doctor of your tinnitus is necessary, as certain medications may promote worsening of the condition or initiate it as an adverse effect. Be particularly attentive in case of medications used to treat arthritis, rheumatic diseases, certain antibiotics, and antidepressants. Intensive aspirin usage may further trigger problems, so consider discussing alternate options with your doctor. 

There is suspicion that certain foods or substances may exacerbate tinnitus: though scientific proof is not present. 

It is unnecessary to entirely steer clear of them, but consider laying back on caffeine, quinine (tonic water) and alcohol, because they may result in temporary worsening of the condition in certain individuals. Meals high in carbohydrates - such as pasta, May result in sedation/calming, which may further assist. It is important to allow adequate digestion time of your meal, though, prior to resuming to bed - in order to prevent sleep disturbance.