↩ In reply to: "I am 24 years old. BMI = 24.5.... i have none of the associated symptoms you mentioned." Ok. There are different causes for pulsatile tinnitus. Like: -Hypertension - which can lead to change in blood flow and things like stress, alcohol, and caffeine can make the noise more noticeable -Anemia - which can make ur blood flow quickly n loudly -Irregular blood vessels - when blood flows through narrowed or kinked vessels near or around z ear it can change pressure and make noise. There are also other serious causes. So I think it's better if you go to an ear specialist and check up.