What is pulsatile tinnitus?

Pulsatile tinnitus is a type of tinnitus where the sound feels rhythmic and often matches your heartbeat - people commonly describe it as a “whooshing,” “thumping,” or “swooshing” in one or both ears.

What makes it different from “regular” tinnitus?

Most tinnitus is a steady ringing/buzzing tone. Pulsatile tinnitus is usually pulse-synchronous, which can point to a physical source of sound (often related to blood flow) rather than only nerve-related signals.

Why can it happen?

It’s often linked to blood flow changes or blood vessels near the ear/head/neck (for example, faster flow, turbulent flow, or increased awareness of normal flow).

Is it serious?

Sometimes it’s benign, but because it can be associated with underlying vascular or pressure-related causes, it’s worth getting assessed - especially if it’s new or persistent.

When to seek medical help

The NHS advises an urgent GP appointment if you have tinnitus that beats in time with your pulse.

Clinicians may examine you and - depending on your symptoms - consider tests and/or imaging to look for treatable causes.