If a patient has a thumping sound in the ears, consider the following problems: 1. The patient may have TMJ, which may cause a thumping sound in the ears when doing chewing exercises, and can be further treated by the stomatology department to avoid eating hard foods. 2. The patient may have otitis externa or purulent otitis media, which may cause a thumping sound in the ear due to the inflammation, so it is recommended to use levofloxacin ear drops to reduce inflammation. Patients must pay attention to protect their ears to avoid diseases.