What is Hearing Loss

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Hearing is our most critical sense when it comes to our ability to communicate

Even small degrees of hearing loss can have profound effects on how we interact and connect with others. Being separated from that ability not only has consequences for our social lives — it can have physical effects, as well, that can detract significantly from overall health.

Social Effects of Hearing Loss
Those suffering from hearing loss often begin to notice their difficulty in the following circumstances:

  • Hearing conversations in large groups
  • Participating in conversation in restaurants or other settings with background noise
  • Hearing on the telephone
  • Understanding women’s and children’s voices

 
Party settings and even small family gatherings can strain hearing to the point where the additional mental effort required to decode what seems like broken speech can become tiresome. Eventually such social situations can become so difficult that those experiencing hearing loss may begin to withdraw from them altogether. Individuals instead begin to prefer less demanding, quieter settings — often away from the precious social contact that enriches our lives and draws us closer to the ones we love.

The stress of living with hearing loss, too, can have its own consequences:

  • Distrust of others
  • Anger at not feeling understood
  • Feeling socially marginalized

 
Reluctance to seek treatment or to wear hearing aids can cause additional stress when individuals — often unconsciously — wish to conceal their hearing loss, and potentially miss out on important communications. Compromised hearing in the workplace, for instance, can have significant effects on job performance and even earning potential.

Physical Effects of Hearing Loss
Untreated hearing loss over extended periods of time can have damaging physical effects, as well, when the auditory system goes unused. Auditory deprivation, as audiologists refer to it, leaves nerves and portions of the brain underused, and — like other parts of the body — if the auditory system goes unused, it can begin to atrophy. Without fail, in our experience, the longer a patient waits to address their hearing loss, the more difficult it is to recover one’s ability to communicate.

Presbycusis
Sometimes, hearing loss is identified as age-related rather than noise-induced, as the hearing loss is progressive and is a cumulative effect from aging. The simplest characteristic that identifies presbycusis is bilateral symmetrical hearing loss, meaning each ear loses the ability to hear the same tones at essentially the same rate.

Deterioration starts early, usually in the teens, and higher tones tend to be lost first. It may only become noticeable later in life after a lot of cumulative loss, and is typically identified separately of other forms of hearing loss, but can still be confounded by additional types of hearing loss.

If you aren’t able to hear tones and things in your surroundings that you were once able to hear, please make an appointment with one of our ear, nose & throat specialists for a consultation on how we can help you hear better.

Increasing Evidence Connects Hearing Loss to Dementia
Additionally, increasing evidence points to a connection between hearing loss and cognitive decline in older adults. According to a study published in January 2013 in JAMA Internal Medicine, adults in their 70s and 80s with hearing loss developed cognitive problems at a rate 30-40 percent faster than those without hearing loss. While the reason for this apparent connect remains unknown, researchers have speculated that social isolation might be a factor. The additional mental demands of having to constantly decode speech might also be a contributing factor to the types of cognitive changes that, over time, can lead to the onset of dementia.

Since most hearing loss develops gradually over time, it can be difficult to know how well you are hearing now compared with how well you used to hear. Only an accurate hearing test can reveal if you are having difficulty with specific sounds, and if so, how you might be able to hear better.

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