The District of Columbia is a special case. It is not an actual state, and hence does not have senators or congressional representation. It is located between Virginia and Maryland on the Potomac River. It is on the Potomac River between Virginia and Maryland and coextensive with the District of Columbia.
Alcohol, caffeine, antibiotics, aspirin, or other drugs can also cause ear noises. Tinnitus may occur with hearing loss. Sometimes, it is a sign of high blood pressure, an allergy, or anemia. Rarely, tinnitus is a sign of a serious problem like a tumor or aneurysm.
In such cases, ringing in the ears could be due to problems for frequencies above 8,000 Hz, which can be not routinely analyzed, or microlesions in small areas of the sensory epithelium, in between those that encode regular audiometric frequencies.