Hello, Thanks for your query. Common causes of tinnitus include the following: Fluid, infection, or disease of the middle ear bones or ear drum (tympanic membrane) Damage to the microscopic endings of the hearing nerve in the inner ear (advanced aging is generally accompanied by a certain amount of hearing nerve impairment) Loud noise exposure, such as loud noises from firearms, and highly intense music Medications (for example, aspirin) Meniere s syndrome In rare situations, tinnitus can be a symptom of serious problems such as a brain aneurysm or acoustic nerve tumor. I do hope that you have found something helpful and I will be glad to answer any further query. Take care