Hyperacusis Red Flags: When to Seek Urgent Care

Safety guide

When to Seek Help for Hyperacusis: Red Flags to Take Seriously

Hyperacusis (sound sensitivity) is often manageable, but some symptoms need urgent medical attention.
This page helps you recognize red flags so you can take the right next step—quickly and safely.

If you believe you’re having a medical emergency, call 911 or go to the nearest emergency room.

Red flags: seek urgent evaluation

If any of the following are happening now, don’t wait for a routine appointment.
Seek urgent medical evaluation (urgent care, ER, or same-day ENT/medical care depending on severity).

Urgent red flags

UrgentSudden hearing loss or sudden major change in hearing

Especially if it happened over hours to a couple of days, or if one ear suddenly feels “blocked” with a real hearing drop.
Sudden hearing loss can be time-sensitive.

UrgentSevere vertigo or new trouble walking

If you’re spinning, falling, unable to walk normally, or experiencing vomiting with vertigo—get evaluated urgently.

UrgentNew neurologic symptoms

Facial weakness, new numbness, severe headache unlike usual, confusion, difficulty speaking, or vision changes need urgent evaluation.

UrgentHead/ear trauma followed by hearing change or intense new symptoms

After an accident, fall, or blast exposure—new hearing change, intense sound sensitivity, or dizziness should be assessed urgently.

UrgentFever, severe ear pain, or ear drainage

These can signal infection or other issues that require medical treatment rather than self-management.

Symptoms to evaluate soon (not necessarily the ER)

These symptoms usually warrant prompt evaluation, but they aren’t always emergencies. If they’re worsening,
persistent, or one-sided, it’s worth being seen soon.

New one-sided symptoms

New sound sensitivity, tinnitus, or hearing changes that are clearly worse on one side should be evaluated.

Schedule an evaluation →

Persistent pulsatile sound

A rhythmic “whooshing” in time with your heartbeat can require medical workup—especially if new or worsening.

Tinnitus hub (includes pulsatile info) →

Rapidly worsening tolerance

If your world is shrinking quickly—more triggers, less tolerance, frequent spikes—get help so you’re not guessing.

Coping guide →

When it’s appropriate to start with an audiologist

If your symptoms have been building gradually and you don’t have urgent red flags, starting with an audiology evaluation
is often the right first step. We can help you understand what’s happening, assess hearing and sound tolerance patterns,
and coordinate referrals if anything looks medically concerning.

Gradual onset sound sensitivity

Everyday sounds feel increasingly uncomfortable over weeks or months, especially in restaurants, transit, or busy rooms.

Hyperacusis overview →

Hyperacusis with tinnitus

If tinnitus and sound sensitivity show up together, the plan often needs to address both sides.

Tinnitus + hyperacusis guide →

You want a safe coping plan

You’re unsure about earplugs, avoidance, gradual exposure, and how to prevent setbacks.

Coping & gradual exposure →

Not sure what category you’re in?

That’s common. If you’re unsure whether symptoms are urgent, start with the safest option for your situation:
seek urgent care if you have sudden hearing loss, severe vertigo, or neurologic symptoms.
Otherwise, schedule an evaluation and we’ll help triage next steps.

Next steps and related guides

If you’re here because sound sensitivity is affecting your life, these pages can help you choose the next right step.

Hyperacusis overview

What sound sensitivity is, why it happens, and what treatment typically includes.

Read overview →

Coping & gradual exposure

Practical coping strategies that rebuild tolerance safely—without major setbacks.

Read coping guide →

Tinnitus + hyperacusis

Learn how to manage tinnitus distress while also improving comfort with everyday sound.

Read the guide →


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