Do you feel like you're losing your hearing too? (Hearing Loss) - Let's talk about this!

Do you feel like you're losing your hearing too? (Hearing Loss) - Let's talk about this!

Do you sometimes feel like the TV volume is too low? Or do you have to ask "What did you say?" a couple of times when someone is talking? Do your family members scold you for shouting too much when you talk on the phone? These are not just random things. Maybe this is the beginning of a gradual decline in hearing. Although you may think that this is something that only happens as you get older, it can happen at any age. So don't be afraid, let's talk about this openly.

Simply put, what is hearing loss?

Hearing loss is when your hearing system is affected and you can't hear sounds properly. If you have this condition, it can be very difficult to understand and participate in a conversation. Talking on the phone, participating in an online meeting, or even understanding dialogue while watching TV can be a challenge.

This condition can affect your work, your relationships with others, and your ability to enjoy life. Often, hearing loss is difficult to completely reverse. But don't worry. There are specialists who can treat and help. We call them Audiologists . They are doctors who diagnose and treat hearing problems. They can recommend treatments like hearing aids or cochlear implants to help you restore your hearing.

This is a much more common condition than you might think. Millions of people around the world suffer from this condition, so you are not alone.

What are the main types of hearing loss?

Hearing loss can be divided into three main types. It depends on which part of your ear is damaged. Let's look at it this way to make it easier to understand.

Type of hearing loss Simply explained
Conductive Hearing Loss This happens when something blocks the sound waves from traveling through your outer ear (eardrum and ear canal) or middle ear. Think of it like a road being blocked. Sound can't get in.
Sensorineural Hearing Loss This is caused by damage to your inner ear over time. Most of the time, it happens gradually. But very rarely, it can happen suddenly, over a period of days. We call this Sudden Sensorineural Hearing Loss (SSHL).
Mixed Hearing Loss As the name suggests, this is a combination of the two types mentioned above. That means you have problems with your outer or middle ear (conductive) as well as problems with your inner ear (sensorineural).

How do I know if I'm losing my hearing? What are the symptoms?

Most people lose their hearing very slowly, gradually. So they don't even realize it at first. But if you're experiencing these things, it could be a sign of hearing loss.

  • If you always ask others to repeat what they said, "What did you say?" has become a common thing for you to say?
  • If you have difficulty understanding a conversation, especially when talking on the telephone or in a noisy place like a restaurant.
  • If you feel like other people are whispering. Do you feel like "people's voices aren't as clear now"?
  • If you can't hear very subtle, high-pitched sounds like birdsong.
  • If you need to turn up the volume on your TV, computer, or tablet much louder than usual.
  • If you experience a ringing sound (tinnitus) in your ears.
  • If you have an earache .
  • If the ear feels like it is filled with fluid or has pressure.
  • If you have balance problems or dizziness when walking .

What are the symptoms like in young children and babies?

It's very important to be aware of this as a parent. Young children don't understand when you say they can't hear.

Keep an eye out for these signs in babies who are a few months old:

  • If you don't get scared by a sudden loud noise.
  • After 6 months of age, if the baby does not turn its head towards a sound.
  • Even at one year old, they still can't say simple words like "mom" and "dad".
  • If they don't respond when you call their name.

Look at these characteristics of slightly older children:

  • If you always ask "What?" "What?" (huh?) .
  • If you start talking later than other children of the same age.
  • If the words are not clear when speaking.
  • If the instructions given are not followed properly (maybe because they are not heard).
  • If you turn the TV volume up too much.

Why are you so deaf? What are the reasons?

There are many reasons why hearing loss can occur. For example, sudden exposure to loud noise, like going to a concert, can temporarily affect your hearing. Let's break down the causes.

Reason type Examples
Causes of Conductive Hearing Loss
Obstruction in the ear canal - Earwax buildup.
- Something getting stuck in the ear (e.g. a small child getting a pea stuck in it).
- Swimmer's ear (otitis externa).
Middle ear problems - Fluid accumulation in the middle ear due to a cold or allergies.
- Middle ear infections (otitis media).
- Rupture of the eardrum (ruptured eardrum).
- Tumors in the middle ear.
- Eustachian tube problems.
Causes of Sensorineural Hearing Loss
Aging and lifestyle - Aging (common to many people).
- Prolonged exposure to loud noise (e.g. working in factories, construction sites).
Other illnesses - Heart disease (coronary artery disease), high blood pressure (hypertension), strokes or diabetes.
- Some genetic (inherited) medical conditions.
- Severe blows to the head.
Medications and infections - Some medications are harmful to the ears (Ototoxicity).
- The effect on the baby of infections such as cytomegalovirus (CMV) contracted by the mother during pregnancy.

What happens if hearing loss is ignored?

Hearing loss is not just about not being able to hear sounds. It can have a major impact on your mental and social life.

  • Feeling lonely: You may feel like you are socially isolated because you don't understand what others are saying.
  • Irritability and frustration: You can easily become angry and frustrated because you constantly have to hear what is being said again and you can't join in on the conversation.
  • Psychological problems: People with severe hearing loss are at increased risk of developing mental health conditions such as anxiety or depression .
  • Impact on children's education: Children with hearing loss may have difficulty understanding lessons at school. This may also result in lower exam scores.
  • Brain health in the elderly: Studies have found a link between hearing loss in the elderly and dementia, a memory loss disease.

How do you find out exactly if you have this condition?

If you suspect you have hearing loss, the best thing to do is to see your doctor right away. Your doctor will ask about your symptoms and perform a physical exam, especially to check for ear infections or other problems.

If you have had an accident in your ear or suspect a tumor, you may be asked to have a CT scan or MRI. After that, your doctor will refer you to a specialist, an audiologist, for hearing tests.

Here are some of the main tests an audiologist performs:

  • Pure-tone testing: This is the most common test. You are put on headphones and exposed to sounds of varying intensities. This determines the sound you can barely hear. It can also determine what type of hearing loss you have.
  • Otoacoustic emissions test (OAE): This tests the function of your inner ear.
  • Tympanometry: This test measures how well your eardrum moves. It can detect whether your eardrum is ruptured, fluid is present in the middle ear, or earwax is trapped.

What are the treatments?

Treatment depends on the type of hearing loss you have and its cause.

Type of hearing loss Treatment methods
Conductive - Antibiotics for ear infections.
- Surgery to repair the eardrum ( tympanoplasty ).
- Removing dirt or something stuck in the ear.
- Cyst removal surgery.
Sensorineural - Medications such as corticosteroids when ear cells swell due to loud noise.
- Wearing hearing aids .
- Surgery called cochlear implants .
Mixed For this, one or more of the above treatments may need to be used together. This will be decided by your doctor.

Can hearing loss be prevented?

We can't prevent some causes, such as aging, but the main cause of hearing loss is excessive noise. So there are many things we can do to prevent noise-induced damage.

  • Protect your ears: Wear earplugs or earmuffs when going to places with high noise levels (music concerts, places where machinery is operating).
  • Turn down the volume: When listening to music through headphones or earphones, keep the volume low enough to hear people around you. Don't listen to music at more than 80% of the maximum volume for more than 90 minutes a day.
  • Do not put anything in your ear: Do not put anything in your ear like cotton swabs or hairpins to clean your ear. These can push earwax further in and damage the eardrum.
  • Avoid smoking: Smoking interferes with blood circulation, which can reduce blood supply to the delicate parts of the ear and affect hearing.
  • A healthy lifestyle: Controlling diseases like diabetes and high blood pressure and getting regular exercise are also beneficial for ear health.

Remember, your ears are a very valuable organ. It is your responsibility to protect them.

Take-Home Message

  • Hearing loss is not just a condition that affects the elderly, but can affect anyone.
  • Be aware of symptoms such as difficulty understanding speech, turning up the TV volume, and ringing in the ears.
  • If you have these symptoms, don't be afraid or embarrassed, see your doctor as soon as possible.
  • Devices like hearing aids can help a lot in getting your life back to normal.
  • You can protect your ears by avoiding loud noises and avoiding putting foreign objects in your ears.

Hearing Loss, Deafness, Ear Infections, Hearing Aids, Hearing Aids, Cochlear Implants

නිතර අසන ප්‍රශ්න (FAQ)

What are the symptoms like in young children and babies?

It's very important to be aware of this as a parent. Young children don't understand when you say they can't hear.

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