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.
Inner ear disorders that increase hearing sensitivity (such as SCD) can cause pulsatile tinnitus. As this condition can be corrected surgically, it is one of the few fixable causes of pulsatile tinnitus. In the few patients we have encountered, the sound was not a swishing sound.