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 1. Home
 2. Health and wellness
 3. Health topics A-Z
 4. Hearing

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HEARING HEALTH AND HEARING AIDS

Our ability to hear is something we may often take for granted, assuming it may
always be there. For many, our powerful ears work without us having to think
twice — until one day you may realize the TV volume is much higher than it used
to be. Or, you may start to notice a dull ring in your ear. It may be normal for
many people to gradually lose some hearing as the years go by. But thankfully,
hearing technology and devices, like hearing aids, are available to help support
over-worked ears.  


WHAT MAY CAUSE HEARING LOSS?

If you've read about how our ears work before, you know they’re small, mighty
machines. They turn sound waves into vibrations, and then translate those
vibrations into electrical signals for our brain to decipher. Unfortunately,
because we use our ears so much, they may experience some wear and tear over
time, which may make them not work as well. Here are some common causes of
hearing loss1 :

Hearing loss- symptoms and causes www.mayoclinic.org, 2019.

close
 * Damage to the inner ear: Natural aging or exposure to loud noises may damage
   the little hairs inside your ear (the ones that send those sound signals to
   your brain). Ever leave a concert with a high-pitched ring in your ear? That
   may be a signal that your ear hairs may be strained — and that they may have
   actually been damaged. 
 * A buildup of earwax: While our ears need a bit of wax to be healthy,
   producing too much may block the ear canal and may prevent sound waves from
   getting in there. A simple earwax removal might do the trick.
 * Ear infections, bone growths or tumors: Any one of these may cause hearing
   loss. If you suspect there’s something serious going on, see your doctor
   right away.
 * Ruptured eardrum (ouch): Any loud blast of noise or sudden change in pressure
   might rupture your eardrum and impact hearing. (Think loud fireworks or even
   cannonballing too hard into a pool.)
 * Certain medicines: More than 200 medicines are considered ototoxic (toxic to
   the ears).2
   
   Ototoxic Medications (Medication Effects) www.asha.org, 2020.
   
   close
     If you’re taking a medicine for a serious infection, cancer, or heart
   disease, your doctor or care team likely talked with you about the potential
   impact to your hearing before you started taking it. If you still have
   concerns, schedule another conversation with your doctor to re-evaluate your
   current medicines and potential hearing side effects. 


ARE THERE DIFFERENT KINDS OF HEARING LOSS?

Our ears have three parts — the outer, middle and inner ear. It’s no surprise
that because our ears are so complex, different kinds of hearing loss may happen
in different parts of them.

 * Conductive hearing loss: This happens when sounds can’t get to your inner
   ear. With conductive hearing loss, you might have a hard time hearing soft
   sounds or notice that louder sounds are muffled. Medicine or surgery may be a
   way to fix it.3
   
   Conductive Hearing Loss www.asha.org, 2020.
   
   close
 * Sensorineural hearing loss: This is the most common type of permanent hearing
   loss and it happens when your inner ear gets damaged4
   
   Sensorineural Hearing Loss www.asha.org, 2020.
   
   close
    . According to Mayo Clinic, medicine or surgery is usually not going to help
   you if you have sensorineural hearing loss — so you may want to talk to your
   doctor because you may want to start thinking about hearing technology, like
   hearing aids.4
   
   Sensorineural Hearing Loss www.asha.org, 2020.
   
   close
 * Mixed hearing loss: This happens when there’s a problem with your outer or
   middle and inner ear. Basically, with mixed hearing loss, you may have
   conductive and sensorineural hearing loss at the same time.5
   
   Mixed Hearing Loss www.asha.org, 2020.
   
   close


WHAT CAUSES RINGING IN EARS?

Hearing your heartbeat in your ears? Or maybe a ringing, buzzing, or humming?
You may have tinnitus. Tinnitus is a common (and non-serious) sign of an
underlying condition, with age-related hearing loss being one of the most
common.6  If your tinnitus makes it harder to enjoy daily activities, visit your
doctor to talk about the best treatment option. Learn more about tinnitus.

Tinnitus- Symptoms and causes www.mayoclinic.org, 2019.

close


HEARING TESTS AND SCREENINGS

The most common hearing test is pure-tone audiometry. These tests are usually
taken in a quiet, sound-treated room or booth. You’ll likely wear headphones and
listen to sounds that are played at different volumes and pitches to see which
ones you can hear. Your results are likely shown on an audiogram (a graph that
maps the degree of hearing loss). From there, ask your hearing specialist to
chat with you about the best treatment or hearing technology solutions.7

Hearing Tests for Adults: What to Expect www.webmd.com, 2020.

close


CAN I PREVENT HEARING LOSS?

The short answer? Yes. To some degree. The little hairs inside your ears may
naturally break down a little bit with age. But there are a few ways to help
avoid other possible causes of hearing loss.8

8 Ways to Prevent Hearing Loss www.webmd.com, 2020.

close
 * Avoid or limit lots of noise: If you’re out somewhere and you may have to
   shout just to have a conversation, that’s a sign that the noise level may be
   too loud and may damage your hearing. If you have to be around loud noise,
   try to limit the amount of time you’re exposed.
 * Protect your ears: If you know you’ve got a concert coming up, a neighbor is
   consistently using loud power tools or it’s time to mow your lawn, invest in
   quality ear protection. 
 * Create a quiet environment: Be mindful about buying low-noise household
   appliances. And if you’re out somewhere with background noise (like a movie
   theater or restaurant) don’t be afraid to ask a staff member to turn the
   volume down.
 * Don’t smoke (or consider quitting): Tobacco may increase your chances of
   hearing loss.
 * Keep your ears clean: It's good to get in the habit of cleaning your ears —
   gently.
 * Check your meds: Certain medicines may harm your hearing. Re-visit the
   conversation with your doctor to talk about any risks.
 * Get a hearing test: It’s important to get your hearing checked regularly.


HEARING AIDS AND OTHER HEARING TECHNOLOGY

Fortunately, there are options on the market that may help improve hearing. Be
sure to do your research and talk with your doctor or hearing specialist about
which solutions might work best.9

Hearing Aids www.hearingloss.org, 2021.

close
 * Hearing aids: These are battery-powered devices you wear in or behind your
   ear that makes sounds louder.
 * Implants: These are small devices with two parts — one surgically implanted
   under your skin and one worn behind your ear. Cochlear implants are a popular
   kind of implant for people with severe hearing loss.
 * Apps: You may want to look into smartphone applications that do things like
   transcribe in real-time or amplify sound.
 * Assistive listening devices: These are hand-held microphones that amplify
   sound. The person you’re talking to might wear one around their neck so the
   device makes their voice louder and easier to hear. These can connect to
   hearing aids, implants, or headphones.
 * Captioning: Turning on closed caption during your favorite TV show will
   display the dialogue happening on screen. Using a captioned phone with a
   built-in screen that displays conversation text is another option.


WHO SHOULD I SEE FOR HELP WITH MY HEARING?

If you’re concerned about your hearing, schedule a visit with your primary care
provider (the doctor or provider you might see for your yearly exam). He or she
will look in your ear for possible causes of hearing loss, like earwax buildup,
inflammation or any structural changes. Your doctor may also do some general
screenings before deciding whether or not you should see a specialist. If your
doctor refers you to an ear, nose and throat doctor, or an audiologist, you’ll
likely take a thorough hearing test to gauge the severity of any possible
hearing loss. From there, you’ll talk treatment options.10

Hearing loss- diagnosis and treatment www.mayoclinic.org, 2021.

close
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Footnotes

 1.  Hearing loss- symptoms and causes www.mayoclinic.org, 2019.
 2.  Ototoxic Medications (Medication Effects) www.asha.org, 2020.
 3.  Conductive Hearing Loss www.asha.org, 2020.
 4.  Sensorineural Hearing Loss www.asha.org, 2020.
 5.  Mixed Hearing Loss www.asha.org, 2020.
 6.  Tinnitus- Symptoms and causes www.mayoclinic.org, 2019.
 7.  Hearing Tests for Adults: What to Expect www.webmd.com, 2020.
 8.  8 Ways to Prevent Hearing Loss www.webmd.com, 2020.
 9.  Hearing Aids www.hearingloss.org, 2021.
 10. Hearing loss- diagnosis and treatment www.mayoclinic.org, 2021.


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