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.
If a foreign body or earwax causes tinnitus, removing the object or wax often makes the tinnitus go away. Tinnitus that sounds like a heartbeat may be more serious. It could be due to an abnormal growth in the region of the ear, such as a tumor or an abnormal connection between a vein and artery.