When should I refer a patient with tinnitus to an audiology specialist?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Refer a patient with tinnitus to an audiology specialist if they have persistent tinnitus that is causing distress, especially if it is unilateral or pulsatile, or has significantly changed in nature .

Refer immediately if tinnitus is associated with sudden onset of neurological symptoms, significant neurological signs, or suspected stroke .

Consider referral for tinnitus assessment and management in line with local pathways if the patient has persistent tinnitus despite initial support, or if tinnitus is unilateral, pulsatile, or significantly distressing .

Additionally, refer if tinnitus is associated with objective tinnitus or unilateral/asymmetric hearing loss .

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