Tinnitus and earache may be related to purulent otitis media, otitis externa, upper respiratory tract infection and other causes. 1. Suppurative otitis media: when bacteria and other pathogens invade the middle ear, they can cause a local inflammatory reaction, resulting in tinnitus, ear pain and other symptoms. 2. Otitis externa: the skin or subcutaneous tissue of the external auditory canal is infected by bacteria and other pathogens, which can cause mucosal congestion and edema, resulting in tinnitus and earache. 3. Upper respiratory tract infection: when the nasal, pharyngeal and other upper respiratory tract infection spreads to the ear, it can cause tinnitus and earache. 4. Others: Tinnitus may be an independent factor that happens to occur at the same time as the disease causing the earache, which is even more important to pay attention to and avoid missing. For example, sensorineural hearing loss, neurogenic tinnitus, acoustic neuroma and other conditions. It is recommended that people with tinnitus ear pain go to the hospital in time to clarify the cause of the disease and standardize the treatment under the guidance of the doctor to avoid delays.