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I’ve had it since I was born. I inherited it from my mother. Only about 5-10% of cases are heritary. The rest can be from damage, brain tumors, etc. It’s rarely a diagnosis and typically a symptom. If you have tinnitus, and haven’t had your doctor check it out, I’d recommend you do. There are often underlining issues that cause it. Its worse in my left ear due to having surgery as a child on my ear, which left scar tissue that bothers my nerves