Tinnitus in the elderly may be caused by psychological factors, ear diseases, vascular tinnitus, systemic diseases, etc. It is recommended to consult a doctor in time. 1. Psychological factors: such as nervousness, mood swings, sleep disorders, etc., may also induce tinnitus. 2. Ear diseases: such as foreign bodies in the external auditory canal, cerumen embolism, external auditory canal tumors and other external ear lesions, acute and chronic otitis media, secretory otitis media, tympanic membrane perforation and other middle ear lesions, as well as Meniere’s disease, inner ear infections and other inner ear lesions, can induce tinnitus. 3. Vascular tinnitus: mostly pulsatile tinnitus, which can be caused by hypertension, abnormal pressure on blood vessels and other organic lesions, but also by posture, fatigue and other non-organic lesions. 4. Systemic diseases: such as anemia, diabetes, abnormal blood pressure, renal failure, etc., can be due to the inner ear blood supply disorders, lack of nerve nutrition and so on, resulting in tinnitus. Older people with tinnitus symptoms, not relieved by rest or accompanied by other discomforts, should consult a doctor in a timely manner, under the guidance of the doctor to identify the cause of the disease, and carry out the appropriate treatment.