Tinnitus & Sound Sensitivity
If you believe you are having a medical emergency, call 911 or go to the nearest emergency room. The guidance below is educational and does not replace an in-person evaluation.
If your symptoms have been building gradually without red flags, starting with an audiology evaluation is often the right first step. Our hyperacusis overview and coping guide can help you plan from there.
At a glance
- Sudden hearing loss, severe vertigo, new neurologic symptoms, trauma-related changes, or infection signs need urgent care.
- New one-sided symptoms and pulsatile whooshing deserve prompt evaluation even when not an emergency.
- Gradual-onset sound sensitivity without red flags is usually well suited to starting with an audiology evaluation.
Red flags that need urgent evaluation
If any of the following are happening now, do not wait for a routine appointment; seek urgent medical care. These include sudden hearing loss or a sudden major change in hearing, especially over hours to a couple of days or when one ear suddenly feels blocked with a real hearing drop. Sudden hearing loss can be time-sensitive, so prompt care matters.
Vertigo, neurologic, and trauma warning signs
Seek urgent evaluation for severe vertigo or new trouble walking, such as spinning, falling, or vomiting with dizziness. New neurologic symptoms like facial weakness, new numbness, a severe headache unlike your usual, confusion, difficulty speaking, or vision changes also need urgent assessment. And after any head or ear trauma, a fall, accident, or blast exposure, a new hearing change, intense sound sensitivity, or dizziness should be checked urgently.
Infection signs
Fever, severe ear pain, or ear drainage can signal an infection or another issue that requires medical treatment rather than self-management. If you notice these alongside sound sensitivity, arrange to be seen promptly rather than waiting to see whether they pass on their own.
Symptoms to evaluate soon
Some symptoms warrant prompt attention without necessarily being emergencies, especially if they are worsening, persistent, or one-sided. These include new one-sided sound sensitivity, tinnitus, or hearing changes; a persistent pulsatile sound, a rhythmic whooshing in time with your heartbeat, which can require medical workup particularly if new or worsening; and rapidly worsening tolerance where you notice more triggers, less tolerance, and frequent spikes.
When to start with an audiologist
If your symptoms have built gradually and you do not have urgent red flags, an audiology evaluation is often the right starting point. This suits gradual-onset sound sensitivity that grows over weeks or months in restaurants, transit, or busy rooms; hyperacusis that shows up together with tinnitus, where the plan often needs to address both sides; and situations where you simply want a safe coping plan and are unsure about earplugs, avoidance, and gradual exposure. A hearing test helps clarify what is going on.
If you are not sure what category you are in
That uncertainty is common. If you are 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 will help triage the next steps, coordinating referrals to ENT or other specialists if anything looks medically concerning.
What to expect
What a tinnitus appointment actually involves
- We take the history first15 min
When it started, whether it is one ear or both, what it sounds like, what makes it worse, and what it is stopping you doing. Sleep and concentration matter here as much as the sound itself.
- A full diagnostic hearing evaluation30 min
Air and bone thresholds, speech testing, and middle-ear measures. Most tinnitus sits on top of a hearing loss, and the shape of that loss changes what will help.
- Pitch and loudness matching, where it is useful10 min
We find the frequency and level your tinnitus most closely matches. It is not a severity score. It is a starting point for sound therapy and a way to track change.
- We go through what we found, the same visit20 min
What is causing it if we can tell, what it is not, and which of the options actually apply to you: amplification, sound therapy, tinnitus retraining, Lenire, or a referral.
- A plan you leave with
Written down, with the next appointment booked if you need one. Habituation is a course of care over months, not a device you are handed at the door.
A tinnitus evaluation is a diagnostic appointment, so it is billed to your medical insurance in the same way a hearing test is. We check your benefits before the visit and tell you what your plan covers.
Frequently asked questions
Questions patients ask us
What counts as a hyperacusis emergency?
Sudden hearing loss, severe vertigo with falling or vomiting, new neurologic symptoms, hearing changes after head or ear trauma, and signs of infection like fever, severe pain, or drainage all warrant urgent medical care rather than a routine appointment.
Is pulsatile whooshing serious?
A rhythmic whooshing in time with your heartbeat can require medical workup, especially if it is new or worsening. It is worth being evaluated soon even if it is not an emergency.
My sound sensitivity is only in one ear. Should I worry?
New one-sided sound sensitivity, tinnitus, or hearing change should be evaluated. One-sided symptoms are an important clue that deserves prompt professional attention.
I do not have red flags but sound bothers me more each week. What now?
Gradually worsening sensitivity without urgent red flags is a good reason to schedule an audiology evaluation, where we assess your hearing and sound tolerance and build a safe coping plan.