Sensitivity to Sound (Hyperacusis)

What is Hyperacusis?

Hyperacusis is an abnormal sensitivity to everyday sounds, making normal noises seem uncomfortably loud.

Common Causes

  • Bell's Palsy
  • Facial nerve disorders
  • Ear disorders
  • Head injury
  • Neurological conditions 

Investigations

  • Hearing tests
  • Neurological assessment
  • MRI Brain 

Treatment Options

  • Sound therapy
  • Hearing protection
  • Treatment of underlying cause 

Red Flags

  • Hearing loss
  • Facial weakness
  • Severe dizziness 

FAQs

Can Bell's Palsy cause sound sensitivity?

Yes.

Is hyperacusis permanent?

Usually not.

Should hearing be tested?

Yes.

When to Consult

Persistent sound sensitivity should be evaluated to identify treatable causes.

Ringing in the Ears (Tinnitus)

What is Tinnitus?

Tinnitus is the perception of sound in the absence of an external source. Patients may hear ringing, buzzing, humming, clicking, or whistling sounds in one or both ears.

Tinnitus may be temporary or chronic and can significantly affect sleep, concentration, and quality of life.

Common Causes

  • Head injury
  • Noise exposure
  • Hearing loss
  • Ear infections
  • Earwax buildup
  • Meniere's disease
  • Neurological disorders
  • Certain medications 

How is it Diagnosed?

Assessment includes:

  • Medical history
  • Hearing evaluation
  • Ear examination
  • Neurological examination 

Investigations

  • Hearing tests (Audiometry)
  • MRI Brain
  • CT Scan
  • Vestibular testing 

Treatment Options

Treatment depends on the cause and may include:

  • Hearing aids
  • Tinnitus retraining therapy
  • Medications
  • Stress management
  • Treatment of ear conditions 

When Should You Consult a Doctor?

Consult a doctor if tinnitus:

  • Persists beyond a few weeks
  • Affects sleep
  • Occurs after head injury
  • Is associated with hearing loss 

Red Flags

  • Sudden hearing loss
  • Severe dizziness
  • Facial weakness
  • Head injury
  • Neurological symptoms 

FAQs

Can tinnitus disappear on its own?

Yes, particularly when caused by temporary factors.

Is tinnitus a sign of hearing loss?

Often, yes.

Can stress worsen tinnitus?

Yes. Stress commonly aggravates symptoms.

When to Consult:

Persistent ringing in the ears should be evaluated to identify treatable causes and improve quality of life.

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