Hearing Loss

What is hearing loss?

Loss of hearing can make it hard or not possible to understand spoken words and various noises. Hearing loss is graded mild, moderate, severe or profound. Certain forms of hearing loss are short-term and treatable while others are irreversible.

What causes hearing loss?

Loss of hearing can stem from issues throughout your auditory system, ranging from the outer and middle ear to the inner ear and the nerve leading to the brain.

Some individuals are born with reduced hearing capabilities, while others experience hearing loss later in life due to various health issues. The leading causes are aging and exposure to high decibel sounds.

Professions that subject individuals to high noise levels increase the risk. This encompasses construction workers, musicians, agricultural workers, miners, and members of the military. Additionally, engaging in loud music through headphones at venues like clubs or gyms, or in noisy environments, elevates the risk.

It’s common for individuals to notice a decline in their hearing as they age. Hearing loss can also be inherited.

What types of hearing loss are there?

The type of hearing loss you have depends on which part of your hearing pathway is affected. A good quality hearing test is essential, ideally before the consultation to identify where the issue is.

Auditory processing disorders

These happen when your mind struggles to handle sounds. This leads to difficulties in comprehending what people are saying or in identifying the origin of sounds.

Conductive hearing loss

Issues with your outer or middle ear prevent sound from reaching your inner ear. This could be due to:

  • ear wax
  • an ear infection
  • a torn ear drum
  • fluid in your middle ear
  • abnormal bone growth in your middle ear (known as otosclerosis)

Conductive hearing loss is more common in children

Sensorineural hearing loss

This happens when there’s an issue with your cochlea, the hearing structure in your inner ear, or your auditory nerve. It could be due to:

  • ageing (known as presbycusis)
  • exposure to loud noise (known as noise-induced hearing loss)
  • infections
  • Meniere’s disease
  • head injuries
  • some medicines and chemicals

Sensorineural hearing loss is often permanent.

Mixed hearing loss

This category encompasses both conductive hearing loss and sensorineural hearing loss.

What are the symptoms of hearing loss?

The initial indications of hearing impairment may be difficult to detect as they typically develop slowly.

They could involve:

  • having trouble hearing in noisy places
  • having trouble hearing people on the phone or if they’re not facing you
  • often asking people to repeat themselves
  • hearing sounds as muffled, as though people are mumbling
  • needing to have the TV up louder than other people
  • often missing your phone or the doorbell ringing
  • hearing buzzing or ringing in your ears avoiding situations
  • because you have trouble hearing

Your child might have hearing loss if:

  • they don’t startle at a loud noise or turn their head towards a sound
  • they start speaking later than other children their age
  • their speech is unclear, compared with other children their age
  • they want the TV volume up high
  • they don’t understand and follow instructions as well as other children their age
  • they need people to repeat themselves
  • they're struggling at school

What treatment will I need for hearing loss?

Should you suffer from a form of hearing impairment that is irreversible, there are tools on the market designed to enhance your auditory abilities, such as:

  • hearing aids
  • removing wax
  • treating infection
  • ear drum repair
  • replacing stiff hearing bones with an artificial replacement (Ossiculoplasty/Stapedotomy)
  • Hearing implant (Bone consuction/Cochlear)

Treating hearing loss early is important. Long standing hearing loss has been linked with dementia due to social withdawl.

I treat all reversible hearing loss.