Not necessarily, but anaemia can cause pulsatile tinnitus. Anaemia can increase the speed of blood flow, increase the sound of blood flow in the arteries and veins of the neck and cause pulsatile tinnitus. In addition, if anaemia causes pulsatile tinnitus, it can often be accompanied by signs and symptoms such as pallor, weakness, fatigue, difficulty breathing after activity, rapid heartbeat and a systolic murmur in the carotid artery.