I had tinnitus my entire life and it’s really annoying. I always thought everyone had it too, until I found out they didn’t, which, in a way, was even more annoying. At the same, I can say my hearing is pretty sharp. I often hear sounds that are too subtle or far away for others to hear. So I’m not sure if in my case the ringing has to do with hearing loss. But I’d be so happy to give anything a shot
I can hear ringing in dead silence, and if I pay close attention I can hear it without silence, too. But some say that's just blood flowing, and real tinnitus is much more obvious.
Regardless, I can't escape it either. If I focus on it, I can make myself dissociate from the pain.