What causes tinnitus?

Nov 28, 2025 Source: Cainiu Health
Dr. Lu Cheng
Introduction
In general, tinnitus may be caused by factors such as noise exposure, stress, external otitis, otitis media, or Ménière's disease. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a qualified hospital. In daily life, protective measures against noise should be taken to prevent ear damage, and a calm state of mind should be maintained to manage life stress effectively.

Under normal circumstances, tinnitus may be caused by noise stimulation, mental stress, external otitis, otitis media, or Ménière's disease. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. The specific analysis is as follows:

1. Noise Stimulation

Long-term exposure to high-decibel environments or sudden loud noises can damage the inner ear hair cells, leading to abnormal sound signal transmission and resulting in tinnitus. Immediately leave noisy environments, wear soundproof earplugs for protection, and avoid prolonged headphone use—keep the volume low.

2. Mental Stress

Chronic stress or anxiety can disrupt autonomic nervous system function, impairing inner ear blood circulation and triggering tinnitus. Maintain regular sleep patterns and avoid staying up late; relieve stress through physical exercise and meditation, and strive to maintain emotional stability.

3. External Otitis

Bacterial infection causes inflammation of the external auditory canal. Ear canal blockage due to secretions or inflammatory irritation of the eardrum can lead to tinnitus accompanied by ear pain. Follow medical advice when using ciprofloxacin hydrochloride ear drops, cefuroxime axetil tablets, and hydrogen peroxide solution, and keep the ear canal dry.

4. Otitis Media

Infection and congestion of the middle ear mucosa result in pus buildup that puts pressure on the ossicles, affecting sound conduction and causing tinnitus along with hearing loss. Under medical guidance, medications such as amoxicillin-clavulanate potassium tablets, ofloxacin ear drops, and prednisone acetate tablets may be used. In some cases, myringotomy (eardrum puncture) may be necessary to drain fluid.

5. Ménière's Disease

Endolymphatic hydrops (fluid accumulation in the inner ear membranous labyrinth) impairs auditory receptor function, causing tinnitus accompanied by vertigo and aural fullness. Medications such as betahistine mesylate tablets, hydrochlorothiazide tablets, and difenidol tablets may be taken under medical supervision. In severe cases, surgical intervention like endolymphatic sac decompression may be required.

In daily life, take precautions against noise to prevent ear damage; maintain a calm mindset and manage life stress; pay attention to ear hygiene to prevent infections; have regular hearing checkups; and seek prompt medical care if tinnitus worsens.