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contact your GP or NHS 111 to arrange urgent ENT review, or attend A&E if out-of-hours and urgent ENT access is via the emergency department locally Hearing loss accompanied by severe dizziness, vomiting, or inability to maintain balance Hearing changes following head trauma Discharge from the ear, particularly if bloody or foul-smelling Your healthcare provider will conduct a thorough assessment, which may include examination of the ears, hearing tests (audiometry), and evaluation of your diabetes control