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Coincidentally, I just went through a very similar situation about a week ago with my Creative X-Fi XtremeMusic. I had opened up my PC to clean the dust out, and when I booted it back up I didn't have any sound. If I tried to change the volume settings, or open the control panel, I got a message that there was no sound card detected. Reseated the sound card, and everything seemed fine for a bit.
Then, usually in between boots, Windows would suddenly stop detecting the sound card again. Sometimes I would have really low, distorted sound; other times none at all, but in either case if I tried to change any sound settings it kept saying there was no card detected. (or in the case of dual-booting into WinXP, just resulted in blue screen, and infinite boot loop)
Went on like this for a few days until finally Windows started to "lose connection" with the sound card unexpectedly, even while running, and I ended up getting exactly what you described. Really distorted sound, ear-piercing feedback noise, humming, etc etc. This would come on suddenly and without warning any time the PC was running (think I might actually be partly deaf now because of it, lol)
Anyways, long story slightly shorter... I ordered a new one off of ebay and the problem hasn't returned. In 20+ years of PC gaming I've never had a sound card fail prior to this one, but I guess there's a first for everything!
Sorry for the wall of text. TLDR; cleaned my PC, shorted out my sound card, got the same symptoms you describe, fixed with a new card.
60hz humm
make sure your pc and moniotr and other accessories are on the same outlet/circuit breaker