Causes of Hearing Loss

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Author: Dr. Amanda Leddige

What caused my hearing loss? It’s a question we get asked many times throughout the day.

For adults, the causes of hearing loss generally fall into 4 categories:

Aging

Age related hearing loss is often called presbycusis. Presbycusis results when the delicate hair cell like structures of our inner ear deteriorate. Age related hearing loss often impacts the high frequency sounds first. This is why people with hearing loss often report, “people mumble”, “I can’t hear in background noise”, or “things don’t sound clear”. High frequency sounds are critical to speech understanding.

Noise exposure

Noise exposure is cumulative, meaning the damage can occur over time. Hearing loss may result from one single loud noise, for example a gunshot or firework, or years of continuous noise exposure, like hair dryers, vacuums, wood working saws or lawn mowers. Many of our patients with noise induced hearing loss say, “I wish I would have protected my ears better”, or “I wish younger people would protect their ears. They don’t know the damage they are doing.” We couldn’t agree more! High amounts of noise damage the hair cells of our inner ear. Unfortunately, hearing loss related to noise exposure can continue to worsen over time. Early identification and treatment is critical. If you have loud hobbies or are subjected to a significant amount of noise at your work, it’s important to have the correct hearing protection. Not all hearing protection is created equally and our audiologists are skilled in helping you find the best option for your unique environment.

Medical conditions

Medical conditions such as high blood pressure, diabetes and Meniere’s disease put you at greater risk for hearing loss. We recommend a comprehensive hearing test at age 50, sooner if you have concerns. This establishes a baseline of your hearing acuity. We recommend repeat hearing tests every 3 years, and then annually after age 65. Early identification and treatment of your hearing loss will provide significant long term benefits.

Medications

Did you know that aspirin can cause hearing loss in large doses? Did you know hearing loss and tinnitus (ringing/roaring in the ears) is one of the most common side effects of prescription medications? Certain chemotherapy agents may also be harmful to your hearing. We always recommend researching the side effects of any medication you may take. If you have noticed the onset or worsening of tinnitus and/or hearing loss after starting a new prescription or drug therapy we encourage you to speak with your doctor.

If you have concerns with your hearing or need advice on how to properly protect your hearing, we can help! Call us today to schedule your appointment!

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