If the sound of tinnitus suddenly becomes louder, most cases suggest that the patient’s pathology has suddenly aggravated. In this case, patients should be advised to go to the ENT department, improve the relevant examination, and actively give comprehensive treatment such as vasodilatation, nerve nutrition, hormone, etc. to avoid aggravation of the condition. 2. For patients with otitis media, if tinnitus becomes louder, most of them suggest aggravation of middle ear inflammation, so they should improve the examination and continue to give anti-inflammatory treatment. 3. If the tinnitus suddenly becomes louder, it may indicate that the auditory neuroma is bleeding locally or the tumor has broken down, etc. It is necessary to improve the examination and evaluate the condition as soon as possible and provide active treatment. All in all, if a patient has loud tinnitus, he or she should continue to see a doctor to improve the examination, and should not be left alone.