Hi Dr. Nagler, thank you for taking the time to read my question. I have had ringing in both ears (predominantly right) since childhood, as well as lots of ear infections, but two years ago after a long plane flight (with a minor cold) I developed pulsatile tinnitus in my right ear. It began very loudly when lying down, as thudding and rumbling, and gradually got quieter, but is still there. Through experimentation I have discovered that when I consume a lot of dairy, it gets significantly worse, so I am avoiding it as much as I can. I also feel congested on the right side, with headaches, and a tender ear (such as when I push on the cartilage or bone behind it) when the tinnitus is especially bad. Sometimes I hear my heartbeat or whooshing. The sound seems to change a lot. I have seen 2 ENTs (not within the last year), who don't think anything is wrong. Yesterday during a general health check a GP commented that I had excessive ear wax in my right ear, but other than that it looks fine, but I feel that that obviously is pointing to an answer... Can you offer any advice?