Buzzing in the head while talking may be caused by psychological reasons, cerebrovascular diseases, ear diseases and so on. 1. Psychological reasons: mental tension, anxiety, depression, psychological pressure, patients may appear in the head buzzing when talking. In this case, there is no organic lesion in the head, and the main treatment is mainly psychological counseling, but also under the guidance of the doctor to take antidepressant drugs, such as fluoxetine, citalopram and so on. 2. Cerebrovascular disease: cerebrovascular disease may appear the symptoms of tinnitus, such as cerebral infarction, cerebral hemorrhage, intracranial artery stenosis, etc., in order to actively intervene in the development of cerebrovascular disease, you can comply with the doctor’s instructions to use alteplase thrombolysis, fluocinonazole vasodilator, etc., and to actively control some of the adverse factors that can cause cerebrovascular disease. 3. Ear diseases: otitis externa, cerumen embolism, foreign bodies in the outer ear, acute and chronic inflammation of the middle ear, tympanic membrane perforation, otosclerosis, and Meniere’s syndrome in the inner ear can cause tinnitus, which can be manifested as a buzzing sound in the head when talking. Patients should seek timely medical treatment, symptomatic and causative treatment. When the symptoms of buzzing in the head while talking occur frequently, patients are advised to consult a neurologist in a timely manner.