The Board denied the veteran's claims for service connection for ear pain, gastrointestinal condition (initially claimed as sore throat), left shoulder condition, fatigue, and weight loss. The veteran's skin rash claim was previously denied but not reopened.

The Board has granted a separate rating of 10 percent for ear pain throughout the appeal. The case is REMANDED to obtain updated VA medical records and schedule the Veteran for a VA examination to assess the current extent and severity of his service-connected bilateral hearing loss.

The Board has remanded the Veteran's claims for bilateral hearing loss, extraschedular rating for bilateral hearing loss, and TDIU due to issues with the adequacy of previous examinations and treatment records. The Veteran is also requested to provide updated VA treatment records and complete a VA Form 21-8940.

The Board has remanded the case for further development, including a new examination and consideration of whether an extraschedular rating is warranted for bilateral hearing loss. The Veteran's symptoms of dizziness, ear wetness, and ear pain are not contemplated by the current schedular criteria.

The Veteran's service-connected disabilities, including PTSD and depressive disorder, sciatic radiculopathy of the right and left lower extremities, intervertebral disc syndrome (claimed as low back condition), scars, degenerative joint disease of both knees, degenerative arthritis of the right shoulder, hypertension, tinnitus, bilateral nasal pinquecula with dry eyes, hernia, ear pain, and erectile dysfunction, have rendered him unable to secure or follow a substantially gainful occupation. The Board finds that his service-connected disabilities alone are at least in equipoise as to whether he is unable to obtain or maintain such employment.