Tinnitus for several years, suddenly sound aggravation, may be emotional or psychological factors, poor control of underlying diseases, acute otitis media, strong noise stimulation and so on. 1. Emotional or psychological factors: Emotional tension or psychological stress may cause tinnitus to worsen. 2. Poor control of underlying diseases: common clinical underlying diseases include hypertension, diabetes, hyperlipidemia, etc. If the relevant indexes are not well controlled, it may cause insufficient blood supply to the brain, and the blood supply to the ear will also be affected and tinnitus aggravated. 3. Acute otitis media: this disease is usually associated with bacterial infection, due to acute infection of the ear, sound conduction pathway is damaged, and hearing loss, ear pain, tinnitus and other symptoms. 4. Strong noise stimulation: If people with the disease suddenly hear extremely loud stereo sounds or sirens, it may cause transient hearing abnormalities, aggravation of tinnitus, or even damage to the auditory nerve. If the symptoms of tinnitus suddenly aggravated, it is recommended to go to the otolaryngology department of the hospital as soon as possible for examination, to clarify the cause of the disease and follow the doctor’s instructions, so as to avoid delaying the condition.