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The initial step is for your GP to physically examine your head. Having an device with a at the end, called an or otoscope, they'll try to find something that is not regular, including; launch, a ear drum, perforated ear drum or a subject that could be stopping the ear.

You may also be asked about any pain or distress which you may be experiencing.

Tests include whispering or ticking watch, tuning fork, audiometry or bone oscillator:

Whispering or using a ticking watch. One ear at the same time will be blocked and the nurse or doctor will test your reading with sounds of different amounts. In the whispering test, you may need to repeat the language aloud, when you hear them whispered.

Tuning fork. A tuning fork is sound waves are produced by a Y-shaped metallic object which, when tapped, at a fixed frequency. It's often employed for tuning instruments. Doctors work with a tuning fork by tapping it on the shoulder or knee, to make it vibrate, then keeping it at each side of your mind. It will be used first in the air near your ear, to observe how well you hear sounds that are transmitted through air vibrations. Then it may be held to the bone behind your ear (mastoid bone) to see how you can hear when the waves are transmitted to your inner ear through the bone.

Audiometry. In this test you're given earphones to use, which are attached to a device. Sounds of different volumes (loudness) are played through the earphones, and you have to indicate whether you heard them. You may have to improve a hand or press a button. Children might have to move a coloured stop.

Bone oscillator. A slightly different test may be used to test how you hear sounds that are delivered through the bone rather than the air. This uses a musical instrument called a bone oscillator placed from the bone behind your ear. audiologist