Not a diagnosis: a head start. These are the three drivers most worth checking first, based on what the evidence says gets missed most often.
Distress amplifies perception, which amplifies distress. Breaking the loop is the treatment with the best evidence.
Wax, hearing loss and some medications (aspirin-class, some antibiotics) all cause or worsen it.
One-sided tinnitus or with hearing change deserves proper ENT assessment.
Hearing test, medication review
1. Start a two-minute note in the free journal that asks back, so the pattern becomes visible.
2. Take the test list above to your GP; the GP Script Generator will help you say it clearly.
3. Read the evidence: Browse the library.
Want it tracked and reviewed monthly by a real person? The Club, £10/month.
Education, not diagnosis, and never a replacement for your GP or pharmacist. Reference ranges and guidance vary; sudden, severe or worsening symptoms need 111, or 999 in an emergency. By Hussain Sharifi · independent, affiliate-free health intelligence.