Tinnitus is a noise or ringing in the ear that may be associated with age-associated hearing loss. Often, diagnosis of the cause of pulsatile tinnitus involves the imaging of the vascular system of the head and neck. There are many, many possible causes, so you should probably see a neurotologist to have it checked out. Pulsatile tinnitus is distinguished from the more common non-pulsatile tinnitus, so it should be diagnosed and treated differently, but since as few as 3 of tinnitus sufferers have pulsatile tinnitus, it’s often difficult to find medical professionals who know enough about it. Permalink Reply by Caryn on February 18, 2010 at 10:39pm So strange,but when I was a kid I would hear a heartbeat sound in my ear,and sometimes the swishing sound. Cause of Tinnitus: Syringing. I’ve had this swishing tinnitus for years (I wrote an intro post of myself in the intro forum) and I get intermittent ringing.