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Ear conditions, explained simply

Blocked ears, infections, sudden changes, dizziness, tinnitus and more. What each condition is, the signs to look for, what helps, and when you need a doctor rather than an audiologist. Written by independent audiologists in Birmingham.

Free hearing tests in clinic  ·  £60 microsuction earwax removal  ·  Home visits £50  ·  HCPC registered
Free hearing test
60 minutes at our Birmingham clinic
Free
→
Earwax removal
Microsuction, both ears, clinic or home
£60
→
Home hearing test
We come to you, across the West Midlands
£50
→

Need help today?

  • Hearing loss that came on suddenly, over hours or a few days, in one or both ears
  • Severe ear pain with a high temperature, or swelling and redness behind the ear
  • Sudden dizziness with weakness, numbness, slurred speech or a drooping face (call 999)

Sudden hearing loss is an emergency. Contact your GP or NHS 111 the same day, rather than waiting for a routine hearing test. For anything else, we are happy to help, and if we find something that needs a doctor we will write to your GP for you.

Blocked, full or muffled ears

The most common reason people come to see us, and very often the easiest to put right.

Earwax build-up

Why wax builds up, the signs it is blocking your ear, and what clears it safely.

Read about earwax build-up
Blocked ears

The usual causes of a blocked ear, from wax to a cold, and when to get it checked.

Read about blocked ears
Muffled hearing

When the world sounds like it is behind glass: what it usually means and what to do.

Read about muffled hearing
Eustachian tube dysfunction

Pressure, popping and crackling, and why it often follows a cold or a flight.

Read about eustachian tube dysfunction

Infections, pain and the ear canal

What is going on, what helps at home, and when you need a pharmacist or GP rather than us.

Ear infections

Middle and outer ear infections in adults, the signs, and how they are treated.

Read about ear infections
Swimmer's ear (otitis externa)

An infected, sore ear canal, including fungal infections, and how to stop it coming back.

Read about swimmer's ear (otitis externa)
Earache

The common causes of ear pain, including the ones that are not in the ear at all.

Read about earache
Itchy ears

Dry skin, eczema, allergies and hearing aid moulds, and how to stop the itch.

Read about itchy ears
Ear discharge

What different kinds of discharge usually mean, and when it needs a doctor.

Read about ear discharge
Perforated eardrum

How eardrums tear, how they heal, and how to look after your ear meanwhile.

Read about perforated eardrum
Glue ear

Fluid behind the eardrum in adults and children, and how it affects hearing.

Read about glue ear

Sudden or one-sided hearing changes

Some of these need a doctor the same day. Read these first if your hearing has changed quickly.

Sudden hearing loss

Why sudden loss is a medical emergency, and exactly what to do today.

Read about sudden hearing loss
Hearing loss in one ear

The causes of one-sided hearing loss, and why it should always be checked.

Read about hearing loss in one ear
Acoustic neuroma

A rare, non-cancerous growth on the hearing nerve, and the signs that lead to a scan.

Read about acoustic neuroma

Balance and the inner ear

Dizziness and vertigo that come from the ear, and how they affect hearing.

Ménière's disease

Attacks of vertigo with hearing loss, tinnitus and fullness, and how it is managed.

Read about ménière's disease
Labyrinthitis and vestibular neuritis

Inner ear inflammation that causes sudden dizziness, and how most people recover.

Read about labyrinthitis and vestibular neuritis

Tinnitus and sound sensitivity

Sounds you hear that are not there, and everyday sounds that feel far too loud.

Tinnitus

Ringing, buzzing or hissing, and the support built into every hearing test with us.

Read about tinnitus
Pulsatile tinnitus

A whooshing in time with your heartbeat, and why it is checked differently.

Read about pulsatile tinnitus
Hyperacusis

When ordinary sounds feel painfully loud, and how sensitivity is gradually reduced.

Read about hyperacusis

Patterns of hearing loss

What your hearing chart is telling you, and what usually causes each pattern.

Types of hearing loss

Conductive, sensorineural and mixed, explained simply.

Read about types of hearing loss
High-frequency hearing loss

The most common pattern, and why speech sounds mumbled before anything sounds quiet.

Read about high-frequency hearing loss
Low-frequency hearing loss

A less common pattern, its usual causes, and how it is helped.

Read about low-frequency hearing loss
Age-related hearing loss

Why high sounds go first as we get older, and what helps.

Read about age-related hearing loss
Noise-induced hearing loss

Damage from loud noise at work and play, and how to protect what you have.

Read about noise-induced hearing loss

Less common conditions

Rarer causes of hearing loss we look out for at every assessment.

Otosclerosis

Bone growth in the middle ear that slowly reduces hearing, often in younger adults.

Read about otosclerosis
Cholesteatoma

An abnormal skin growth behind the eardrum that needs ENT care.

Read about cholesteatoma
Auditory processing disorder

When the ears hear but the brain struggles to make sense of sound.

Read about auditory processing disorder
Medicines that can affect hearing

Ototoxicity: the medicines linked to hearing loss and tinnitus, and what to ask.

Read about medicines that can affect hearing
Not sure what it is?

Most ear problems start with the same simple check.

A look in your ears and a full hearing test tells us whether it is wax, fluid, infection or a change in your hearing, and what to do next.

Earwax removal, £60

Gentle microsuction for both ears in about 30 minutes, with a free hearing check included. No GP referral needed.

Free hearing test

A full 60 minute assessment at our Birmingham clinic, with your results explained the same day.

Home visits, £50

The same assessment at home across the West Midlands, evenings and weekends included.

Referral when needed

If something needs a doctor, we tell you plainly and write to your GP with our findings.

Frequently asked questions.

We examine your ears, test your hearing and can identify the common causes such as wax, a perforation or a pattern of hearing loss. We do not prescribe medicines. If something needs medical treatment, we write to your GP with our findings and recommend the right referral.

No. You can book a hearing test or earwax removal with us directly, in our Birmingham clinic or at home.

We currently see adults only. For children, your GP or health visitor can refer you to the local NHS paediatric audiology service.

Sudden hearing loss, severe pain with a fever, swelling behind the ear, or dizziness with signs of a stroke. Use NHS 111, your GP, or 999 for stroke symptoms, rather than booking a routine appointment.

Book a check with us.

In our Birmingham clinic or in your own home, with evening and weekend appointments.

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Written and clinically reviewed by our HCPC registered audiologists. Last reviewed: 15 October 2026. This page is general information, not a diagnosis. If you are worried about your hearing or your ears, book an appointment or speak to your GP.