How Hearing Tests Can Detect Early Signs of Health Issues
Most people schedule hearing tests when they’re having trouble
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By: admin | June 20, 2025
Most people schedule hearing tests when they’re having trouble following conversations or hearing the TV clearly, but these evaluations can actually reveal surprising information about your overall health. Your hearing system shares connections with many other body systems, so changes in how you hear might be early indicators of health conditions you haven’t even noticed yet. It’s one of those situations where addressing one concern can lead to discovering something else that needs attention.
Having regular hearing tests creates opportunities for healthcare professionals to spot patterns that might otherwise go unnoticed for months or years. When your audiologist notices certain types of hearing changes or specific test results, they often recommend that you follow up with your primary care doctor or other specialists. This collaborative approach means your hearing evaluation becomes part of a broader picture of your health, potentially catching issues when they’re easier to manage and treat. What starts as a simple hearing check might end up being an important step in maintaining your overall well-being as you get older.
The human body consists of several major systems that continuously interact to keep us healthy and functioning properly. These include the nervous, circulatory, respiratory, digestive, endocrine, muscular, skeletal, immune, urinary and reproductive systems. Each system performs specialized tasks, but they all depend on one another in important ways. For example, the circulatory system transports oxygen and nutrients absorbed by the respiratory and digestive systems to the muscles and organs, while removing waste products. Without the respiratory system supplying oxygen or the digestive system providing nutrients, other systems cannot function efficiently.
The nervous system acts as the body’s command center, coordinating the activities of all other systems. It sends signals that regulate heart rate, breathing, digestion and muscle movement, ensuring everything works in harmony. Meanwhile, the endocrine system releases hormones that influence growth, metabolism and responses to stress, which can affect multiple systems simultaneously. The immune system works alongside the lymphatic system to defend against infections and repair damaged tissues, relying on resources delivered by the circulatory system. These connections mean a disturbance in one system often impacts others. For example, kidney problems within the urinary system can lead to imbalances affecting the cardiovascular system.
The auditory system is an integral part of the body’s network of systems, closely linked to many other functions beyond just hearing. It begins with the outer ear capturing sound waves and directing them through the ear canal to the middle and inner ear. Within the inner ear, the cochlea converts these sound waves into electrical signals that travel through the auditory nerve to the brain. The brain then interprets these signals as recognizable sounds. This process depends heavily on the nervous system, which not only transmits auditory information but also integrates it with other sensory input, helping us understand and respond to our environment.
The auditory system’s connection with other bodily systems is evident in several ways. For example, the circulatory system supplies oxygen and nutrients to the delicate structures of the ear, supporting their function and health. The balance system, located in the inner ear alongside the cochlea, works with the muscular and skeletal systems to help maintain posture and coordination. Additionally, the auditory system interacts with the endocrine system because hormones can influence hearing sensitivity and auditory processing. When these systems work together smoothly, we can communicate, stay balanced and react quickly to sounds in our surroundings.
When you come in for a hearing test, the audiologist will start by asking about your hearing history and any concerns you might have. This helps them understand your specific situation and what to focus on during the evaluation. The actual test typically takes place in a quiet room or sound booth designed to minimize outside noise. You’ll wear headphones or insert earphones through which a series of sounds will be played at different pitches and volumes. Your job is to indicate when you hear a sound, usually by pressing a button or raising your hand.
The hearing test itself usually involves several parts. The most common is pure-tone audiometry, which measures your ability to hear sounds across a range of frequencies. The audiologist may also conduct speech tests, where you listen to words at different volumes and repeat them back to check how well you understand speech in various conditions. Throughout the appointment, the audiologist will explain what each test means and answer any questions you have.
Your hearing test results are typically presented in the form of an audiogram, which is a visual chart that maps how well you hear different pitches and volumes in each ear. The graph shows the softest sounds you can hear across a range of frequencies, from low tones like a drumbeat to high tones like birdsong. This helps identify the degree and type of hearing loss, like whether it is mild, moderate, severe or profound, and whether the loss is sensorineural, conductive or a combination of both.
In addition to hearing thresholds, the results may include speech recognition scores. These scores indicate how clearly you understand spoken words at a comfortable listening level. Even if you hear certain sounds, it does not always mean speech is easy to follow. This part of the test helps determine how well your ears and brain process language. With all of this information, your audiologist can give you a clear picture of your hearing health and discuss whether any treatment is recommended or if monitoring is sufficient.
How often you should have your hearing evaluated depends largely on your age, medical history and exposure to certain environments. For newborns, hearing is usually screened shortly after birth as part of standard care. From there, children typically receive additional screenings during early childhood and again when they begin school. These early tests are essential because hearing plays a vital part in language development and academic performance. If no issues are detected, routine checks may not be needed every year, but periodic evaluations during key growth stages can ensure continued progress.
For adults under 50 with no known risk factors or noticeable hearing changes, a baseline hearing test is still a good idea. Establishing this reference point allows future changes to be measured more accurately. After age 50, hearing tests should generally become part of a regular health routine, even if you do not notice any issues. Much like an annual vision exam or blood pressure check, a hearing evaluation helps track your overall wellness and may detect changes before they begin to affect daily life. If you are frequently exposed to loud environments or have certain health conditions like diabetes, high blood pressure or a family history of hearing loss, your provider may recommend more frequent testing.
Older adults are especially encouraged to maintain a regular schedule of hearing evaluations. Because hearing loss can occur gradually, it’s not always obvious when it starts to interfere with your communication or cognitive function. Regular checkups, even every one to two years, help catch these changes early enough to address them with the right solutions. Keeping your hearing monitored over time supports better conversations, better awareness and better overall health.
Hearing tests offer more insight than many people realize. Beyond identifying the presence and severity of hearing loss, they can also reveal early signs of broader health issues that might otherwise go unnoticed. For example, sudden or asymmetrical hearing loss may point to problems like circulatory issues, autoimmune disorders or even tumors affecting the auditory nerve. Chronic conditions such as diabetes and high blood pressure can impact the delicate structures in the inner ear, sometimes leading to a gradual decline in hearing that your audiologist may be the first to detect. In these cases, hearing tests can prompt further medical evaluation that leads to timely diagnosis and care.
Additionally, changes in hearing patterns over time can help flag potential concerns related to aging or neurological health. Untreated hearing loss has been linked to an increased risk of cognitive challenges, including difficulties with memory and concentration. It can also contribute to feelings of isolation or withdrawal from social activities, which can affect mental health. Regular hearing evaluations give both you and your audiologist valuable information to guide care decisions and keep track of any developments.
There is growing evidence that cardiovascular health and hearing ability are closely connected. Good circulation plays a key part in how well the inner ear functions, since the cochlea relies on a steady blood supply to maintain the delicate structures responsible for detecting sound. When blood flow is restricted due to conditions like high blood pressure, atherosclerosis or heart disease, the inner ear can become damaged over time. This damage may not always be immediately noticeable, but it often results in a gradual decline in hearing sensitivity, particularly at higher frequencies.
In many cases, hearing changes may be one of the first signs of an underlying cardiovascular issue. People with heart conditions often experience reduced oxygen levels throughout the body, and the auditory system can be one of the first areas affected. Because of this, some researchers and medical professionals are beginning to view hearing loss as a potential early warning sign of broader health problems. Recognizing this connection encourages a more complete approach to both hearing care and general health, making it important to monitor hearing alongside other indicators of cardiovascular function.
Auditory exams can sometimes uncover subtle signs that point to early-stage diabetes, even before other noticeable symptoms arise. This is because elevated blood sugar levels can gradually damage the small blood vessels and nerves throughout the body, including those found in the inner ear. As these tiny structures begin to weaken, changes in hearing may occur, particularly a loss in high-frequency sensitivity. During a comprehensive hearing evaluation, an audiologist may detect these patterns and recognize that they could be linked to systemic issues like diabetes rather than age alone.
In addition to hearing threshold shifts, individuals with diabetes may experience problems with balance or dizziness, since the inner ear also plays a role in maintaining equilibrium. Audiologists are trained to spot these indicators and, when appropriate, may recommend further medical evaluation. While a hearing test does not diagnose diabetes directly, it can serve as a helpful checkpoint that prompts earlier investigation into blood sugar levels or other signs of metabolic changes. This reinforces the importance of regular hearing exams not only for auditory health, but also for gaining insight into a person’s broader physical condition.
A hearing test can sometimes indicate signs of neurological disorders such as multiple sclerosis or acoustic neuromas, as these conditions can also affect your auditory system. The benefit here is that it could potentially lead to early diagnosis and treatment for these conditions. However, a hearing test alone cannot confirm such diagnoses – further medical evaluations are necessary for definitive answers. While this possibility may cause some concern, understanding that your audiologist is equipped to guide you through any next steps should offer reassurance.
Hearing tests may seem like a narrow focus, but they offer a surprising window into your overall health. When you make them a routine part of your care, you’re doing more than checking how well you hear. You’re giving your healthcare team valuable insight into how other parts of your body might be functioning. Subtle changes in your hearing can point to underlying concerns that might not have any obvious symptoms yet, and catching those early can make a meaningful difference in how they’re addressed.
Whether you’re managing existing health conditions or simply staying on top of things as you age, regular hearing evaluations are a smart part of the process. At Alliance Center for Hearing in Bismarck, ND, we can help you stay informed and proactive with comprehensive hearing assessments tailored to your needs. To schedule a test or learn more, give us a call at (701) 401-9719. It’s a simple step that supports a much larger picture of your long-term well-being.
Tags: audiogram, causes of hearing loss, hearing loss testing
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