Echo in the ear when the person next to you speaks is a kind of tinnitus, which is usually caused by herpetic tympanitis, secretory otitis media, and cerumen embolism in the ear canal. 1. Herpetic tympanitis: mostly caused by viral infection, winter is the most common season. It usually shows symptoms such as hearing loss, tinnitus and ear swelling. At the same time, herpes of different sizes and numbers may appear behind and above the eardrum. 2. Secretory otitis media: mainly due to the blockage of the eustachian tube, infection and other reasons, usually showing hearing loss, occlusion in the ear, tinnitus and other symptoms. It is recommended to take roxithromycin dispersible tablets, nasal spray budesonide and other drugs as prescribed by the doctor. 3. Ear canal cerumen embolism: long time without pulling out the ear or pulling out the ear in an incorrect way, resulting in cerumen gathering into a mass and blocking the ear canal, hearing loss, tinnitus and other symptoms, you need to go to the hospital in time to remove. There are also a variety of diseases that can cause tinnitus, it is recommended to go to the hospital in time, under the guidance of the doctor for treatment.