Get urgent medical care if the pulsing is sudden, severe, one-sided, or comes with hearing loss, dizziness, headache, chest pain, weakness, or vision changes
See a doctor or ENT to check for causes such as earwax, infection, blood pressure issues, anemia, thyroid problems, or blood vessel conditions
Check and control your blood pressure
Reduce caffeine, nicotine, and alcohol
Manage stress and anxiety
Get enough sleep
Avoid loud noise and use hearing protection
Treat nasal congestion or allergies if present
Stay hydrated
Do not put objects or drops in the ear unless prescribed
Review medications with a doctor if the symptom started after a new medicine
Get your hearing tested
Use background sound or white noise at night if the pulsing is noticeable
Seek emergency care if the pulsing is accompanied by sudden hearing loss, fainting, severe headache, or neurological symptoms