Stress can contribute to tinnitus, the perception of ringing or buzzing sounds in the ears, through various mechanisms. Stress activates the body's "fight or flight" response, triggering the release of stress hormones like cortisol. This heightened physiological state can increase blood flow, muscle tension, and inflammation, affecting the auditory system. Stress-induced changes in blood flow to the inner ear and alterations in neural activity may amplify or exacerbate existing tinnitus symptoms. Additionally, stress can heighten an individual's awareness and emotional response to the tinnitus sound, making it more bothersome. The interplay between stress and tinnitus is complex, and while stress management techniques may help alleviate tinnitus symptoms for some individuals, the relationship can vary among different people.