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Warning-sign checks

Otosclerosis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for hearing loss accompanied by signs such as facial drooping, weakness on one side, difficulty speaking, confusion, inability to walk, or a severe sudden headache.

    These symptoms may indicate a neurological emergency rather than otosclerosis.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek same-day urgent medical assessment if hearing drops suddenly over hours or a few days, even if the ear does not hurt.

    Sudden hearing loss is not typical of otosclerosis and may need time-sensitive treatment.

    Contact the surgical team promptly after ear surgery if you develop worsening pain, fever, discharge, facial weakness, severe or persistent vertigo, or a sudden reduction in hearing.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine hearing assessment if you have gradually worsening hearing, persistent tinnitus, or difficulty following conversations.

    These symptoms have several possible causes and need proper hearing tests rather than self-diagnosis.

Every sign above is quoted from the sofidex article on Otosclerosis. If you are not sure, err upward — it is always reasonable to be checked.