Probably everyone has experienced tinnitus, but the duration of tinnitus varies from long to short and the pitch varies. Tinnitus is not a disease, it is simply a common symptom, a sensation of sound produced when there is no corresponding external sound source or electrical stimulation. The prevalence of tinnitus is high in the population, with approximately 24 million people in China affected by it in terms of sleep, energy, work and social skills. There are many diseases that can cause tinnitus, and tinnitus is closely related to social and psychological factors. 1.External ear disease: When the external ear canal is blocked by cerumen embolism, the sound transmission is obstructed. After the environmental noise is isolated, its masking effect on the human physiological noise decreases, so that the faint self noise in the body is relatively enhanced leading to the appearance of tinnitus. 2. Middle ear lesions: Middle ear lesions cause changes in the impedance of the middle ear sound transmission mechanism, which affects sound energy conduction and causes conductive deafness and weakens the masking effect of autologous noise, while the subjective sensation of tinnitus arises due to the relative enhancement of bone conduction and the strengthening of sound transmission in the body. Vascular pulsatile tinnitus can also be caused by vascular lesions in the tympanic chamber such as jugular vein bullae, etc. This type of tinnitus can often be heard by others, so it is also called objective tinnitus. 3.Cochlear and central lesions: Most tinnitus is caused by cochlear lesions, but some are caused by postcochlear or central lesions. 4. Systemic diseases: Some systemic diseases such as hypertension, coronary heart disease, anemia, hyperlipidemia, hyper- or hypothyroidism, kidney disease, diabetes, neurodegeneration, inflammation, trauma, drug intoxication, etc. may cause tinnitus to varying degrees, and its onset is often related to factors such as inner ear microcirculation disorders, endocrine disorders, toxin absorption and abnormal connections between the cochlea and certain neural pathways. 5. Relationship between tinnitus and psychological factors: A large number of studies have shown that tinnitus is closely related to psychological factors, and tinnitus can cause a series of psychological disorders in patients, which in turn can aggravate tinnitus, and psychological state and nerve type are inseparably related to tinnitus. Like many clinical diseases, early diagnosis and treatment of tinnitus will bring good results. If you have tinnitus, don’t be nervous and pay attention to adjust your mood and sleep in time. If the tinnitus does not improve after 1 to 2 days, you should go to the hospital immediately. Some tinnitus is a precursor to disease. For example, some ear diseases, such as sudden deafness and Meniere’s disease, often have tinnitus as the first symptom. Especially for deafness with mainly low-frequency drop, patients often ignore the symptoms of deafness. If they do not visit the hospital early to check their hearing and get timely treatment, they are likely to delay the best time for treatment and cause irreversible consequences. In addition, among some non-auricular diseases that can cause tinnitus, such as hypertension, anemia, jugular venous bullae, cervical vascular malformation, and auditory neuroma, there are often only symptoms of tinnitus in the early stage. If the cause of tinnitus can be clarified in time before it causes obvious damage, active and effective treatment measures can be taken, and the best time for surgery can be grasped, once the cause is eliminated, tinnitus may also be eliminated or diminished. The treatment of tinnitus is multifaceted, but the effect varies from person to person Psychological counseling, medication, biofeedback therapy and tinnitus masking therapy will all produce certain efficacy, but the effect varies from person to person. Therefore, it is important to maintain a good mood and an optimistic attitude towards life. In outpatient clinics we often hear some patients tell us that their tinnitus temporarily diminishes or disappears when they are at work or when they focus on doing something of interest. This shows that using active dominant activities can relieve the concern about tinnitus and thus achieve the effect of relieving tinnitus. This suggests that active self-help is one of the treatments for tinnitus. Some patients have fear and distress due to long-term persistent tinnitus and are in a state of restlessness and confusion all day long. For such patients, a comprehensive audiological examination and analysis should be conducted early to exclude other causes, to relieve their mind of worries, and to give effective comfort treatment, which may be more effective. Symptomatic treatment methods include: 1. Drug therapy: commonly used vasodilators to improve inner ear blood circulation, such as low-molecular dextrose, salvia tablets, etc.; or drugs to improve the energy metabolism of inner ear tissues, such as ATP and coenzyme A; anticonvulsants, such as carbamazepine, cipro, lidocaine, etc. can inhibit the abnormal excitatory activity of the auditory system. 2.Masking therapy: Tinnitus masking device is used to treat tinnitus, which is the use of external acoustic stimulation to inhibit the spontaneous excitation of the inner ear or auditory nerve, and hearing aids can also be used instead of masking devices. 3. Psychotherapy, such as biofeedback therapy: It is to use different biofeedback signals to train patients to enter a relaxed state and restore the relative balance in the body in order to achieve the purpose of treating tinnitus. In conclusion, tinnitus is generally not harmful to health, but it is annoying and disturbing. It is also difficult to treat at present. If you have tinnitus symptoms, you should actively go to the hospital for appropriate examination and treatment to avoid delaying the diagnosis and treatment of certain important diseases. If there is no specific disease, there is no need to be nervous, but you should keep your mood happy and divert your attention, and the tinnitus may be reduced.