Understanding Hearing Loss

A Comprehensive Guide to Types, Causes, and Treatment Options

Family Medicine

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Last updated: Mar 24, 2025

What is Hearing Loss?

Hearing loss is a partial or total inability to hear sounds in one or both ears. It's a common condition that can affect people of all ages, though it becomes more prevalent with age.

Types of Hearing Loss

1. Conductive Hearing Loss

  • Affects the outer or middle ear
  • Often caused by blockages or mechanical problems
  • Usually temporary and treatable
  • Common causes include earwax buildup and ear infections

2. Sensorineural Hearing Loss

  • Affects the inner ear or auditory nerve
  • Usually permanent
  • Common causes include aging and noise exposure
  • Can be managed with hearing aids or implants

3. Mixed Hearing Loss

  • Combination of conductive and sensorineural loss
  • Requires comprehensive treatment approach

Common Causes

  • Age-related (presbycusis)
  • Noise exposure
  • Genetic factors
  • Infections
  • Medications (ototoxic drugs)
  • Head trauma
  • Medical conditions

Signs and Symptoms

  • Difficulty understanding conversations
  • Frequently asking others to repeat themselves
  • Turning up volume on TV/radio
  • Trouble hearing in noisy environments
  • Feeling that others are mumbling

Diagnosis

  1. Physical examination
  2. Audiometry tests
  3. Tympanometry
  4. Speech recognition tests

Treatment Options

Conservative Treatments

  • Earwax removal
  • Medication changes
  • Treatment of underlying conditions

Assistive Devices

  • Hearing aids
  • Cochlear implants
  • Assistive listening devices

Prevention

  • Avoid loud noise exposure
  • Use hearing protection
  • Regular hearing checkups
  • Maintain good ear hygiene

When to See a Doctor

  • Sudden hearing loss
  • Persistent tinnitus
  • Discharge from ear
  • Balance problems
  • Progressive hearing difficulty

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