A hiccup ear inside the rustling may be a normal phenomenon, may also be the ear canal foreign body stimulation, secretory otitis media and other diseases related. 1. Normal phenomenon: ringing in the ears when hiccups may be a normal phenomenon. When there is a buildup of secretions in the ear, the hiccups may drive the activity of the ear canal secretions, thus making a sound. When the hiccups stop, the ringing will disappear, and no treatment is needed. 2. Stimulation of foreign bodies in the ear canal: when there are tiny cerumen or other debris-like foreign bodies in the deep part of the ear canal, they are easy to stick with the eardrum, which will cause the opening of the eustachian tube when hiccups occur, leading to the shaking of the eardrum and friction with the foreign bodies, which will be manifested as a rustling sound in the ears when hiccups occur. 3. Secretory otitis media: when suffering from secretory otitis media, it leads to negative pressure and fluid accumulation in the tympanic cavity. This leads to uneven pressure inside and outside the tympanic cavity when hiccups occur, resulting in a rustling sound. If the ringing in the ears when hiccups persist, it is recommended to go to an ear specialist for a complete examination and timely treatment under the guidance of a doctor.