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Tinnitus, which is the perception of noise or ringing in the ears when no external sound is present, can be caused by a variety of factors. Ear infections, in particular, can lead to tinnitus. When the middle ear becomes infected, inflammation and fluid buildup can affect the auditory system, leading to abnormal sound perception or ringing in the ears. This condition disrupts the normal functioning of the auditory system, making ear infections a common potential cause of tinnitus.

High blood pressure can contribute to tinnitus as well, often due to increased blood flow impacting the structures of the ear, but it does not directly involve the ear itself like an ear infection would. Pneumonia and gastrointestinal distress are less commonly related to tinnitus, as they do not typically affect auditory functions. Therefore, ear infections are recognized as a more direct cause of tinnitus, making it the most relevant choice in this context.

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