John Tunnell, Au.D.
Hearing loss in America is probably more common than you think. According to the Hearing Loss Association of America, approximately 20 percent of adults in the U.S., 48 million people, report some degree of hearing loss. At age 65, one out of every three people in this country has some form of hearing loss.
Although hearing loss is common in older adults, the problem affects people of all ages. Some are born with hearing loss, and others can lose hearing at a young age.
To protect your full range of hearing, look for early signs of hearing loss. Start by giving yourself the following quiz from the National Institute on Deafness and Other Communication Disorders. Keep in mind that this quiz is for general information. Only your health care provider can diagnose a hearing loss.
- Do you have a problem hearing over the telephone?
- Do you have trouble following the conversation when two or more people are talking at the same time?
- Do people complain that you turn the TV volume up too high?
- Do you have to strain to understand conversation?
- Do you have trouble hearing in a noisy background?
- Do you find yourself asking people to repeat themselves?
- Do many people you talk to seem to mumble or not speak clearly?
- Do you misunderstand what others are saying and respond inappropriately?
- Do you have trouble understanding the speech of women and children?
- Do people get annoyed because you misunderstand what they say?
If you answered yes to three or more of the questions, call your doctor and ask about getting a hearing test. In addition, go through these questions with a family member or friend. Other people might notice signs of your hearing loss long before you do.
Many conditions can cause hearing loss. Some of the more common causes include:
- Exposure to Hazardous Noise. Things like hunting and shooting, loud music, power tools, heavy equipment, lawn mowers and chainsaws can produce sounds capable of damaging your inner ear if appropriate hearing protective devices are not used. If you are in a noisy situation in which you have to raise your voice or shout to someone within three feet of you, the noise may be at hazardous levels. Signs of overexposure can be a ringing in the ears after exposure and muffled-sounding speech.
- Aging. People over age 50 are likely to gradually lose some hearing each year.
- Heredity. Family history plays a role in how resilient your hearing is, and several types of hearing loss seem to run in families.
- Medications. Certain medications can cause hearing loss. If you experience any signs of hearing loss, talk to the health care provider who prescribed your medication.
- Trauma/Infection. An injury or infection in the ear can cause temporary or permanent hearing loss. Examples of this are a ruptured eardrum or swimmer’s ear.
Hearing aids are devices that gather sound and amplify it for people with hearing loss. They come in many makes, models, shapes and sizes. The main types of hearing aids are:
- Receiver-in-the-ear (RITE)
Each type of hearing aid has its benefits and drawbacks. Discuss them with your audiologist to determine what is best for you.
When hearing loss is too severe to benefit from traditional hearing aids, another option may be cochlear implant surgery. A cochlear implant is a small device that bypasses parts of the inner ear that don’t work and converts sounds into electrical impulses that send sound information to the brain. Your health care provider can advise whether you may be a candidate for cochlear implantation and discuss the benefits and risks of this procedure.