What to do if…
you suddenly lose hearing in one ear or your hearing drops sharply
Short answer
Treat sudden hearing loss in one ear as urgent. Contact NHS 111 where available, your local urgent NHS advice route, or an urgent GP appointment today, and say clearly that it is sudden hearing loss.
Do not do these things
- Do not wait a few days to see if it clears if the hearing drop was sudden or happened over 3 days or less.
- Do not put cotton buds, keys, hairpins, fingers, or other objects into your ear to try to clear it.
- Do not do forceful ear-popping, aggressive Valsalva, or repeated hard blowing if it hurts or makes symptoms worse.
- Do not flush or irrigate your ear at home unless a clinician has specifically advised it for you.
- Do not start leftover antibiotics or steroid tablets on your own.
- Do not drive yourself if you have severe dizziness, new weakness or numbness, confusion, fainting, or vision or speech changes.
What to do now
- Check for emergency red flags. Call 999 now if you have stroke-like signs such as face drooping, arm weakness, speech problems, sudden confusion, new weakness or numbness on one side, sudden vision loss, collapse, chest pain, or a sudden severe headache. Call 999 if you cannot safely stand or walk because of severe continuous dizziness.
- Get urgent NHS help today. Call 111 where available, use your local urgent NHS advice route, or request an urgent GP appointment. Say: “Sudden hearing loss in one ear started on [date/time].”
- Ask for sudden-onset hearing loss to be considered. If the hearing loss happened suddenly or over 3 days or less, ask whether you need urgent ENT assessment, especially if there is no clear outer-ear or middle-ear cause such as wax, infection, or fluid.
- Seek emergency care after injury or ear bleeding. If the hearing loss followed a head injury, or there is blood or clear fluid from the ear, use 999, A&E, or urgent NHS advice depending on how safe you are to travel.
- Write a 60-second timeline before you call. Note the exact start time, whether it was instant or over hours, ear pain, discharge, recent cold or flu, recent flight or diving, loud noise exposure, new tinnitus, vertigo, and any new neurological symptoms.
- Do a safe check without putting anything in your ear. Remove earbuds or hearing aids, check phone audio and balance settings, and ask someone to speak at normal volume. If you use a hearing aid, check the battery, charge, and wax guard only as the device instructions describe.
- Protect your hearing and balance until you are assessed. Avoid loud noise, keep headphone volume low, move slowly if dizzy, and ask someone to help you get to care safely if you feel unsteady.
What can wait
- You do not need to decide right now whether it is wax, infection, pressure, or nerve-related.
- You do not need to research treatments, buy ear devices, or try home procedures today.
- Work messages, errands, driving, and non-urgent plans can wait until you have arranged urgent medical advice.
Important reassurance
Sudden hearing changes can feel frightening and disorienting. The important thing is not to solve the cause yourself, but to get assessed quickly so time-sensitive causes are not missed.
Scope note
This guide is for first steps in the first hours or day. Later decisions about hearing tests, ENT review, scans, medicines, or follow-up may need specialist medical help.
Important note
This is general information, not legal, medical, financial, therapeutic, professional advice, or a diagnosis. If your hearing loss was sudden, is worsening rapidly, or comes with neurological symptoms, severe dizziness, injury, blood, fluid, or discharge from the ear, seek urgent medical care immediately.
Additional Resources
About this guide
This guide was produced and is maintained by PanicStation.org using its published editorial process. Official and specialist sources are checked where relevant, and AI-assisted tools may be used for drafting, organisation, and consistency checks. The site operator remains responsible for publication, revision, and removal decisions.