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General Health
Question #26254
91 days ago
155

what causes hearing loss - #26254

Zoya

I am worried because my grandma, who used to be super chatty and fierce, has suddenly been struggling with her hearing. Like, it’s really weird and concerning to see her miss parts of conversations or tell us she can’t hear the TV well anymore. We thought maybe it was just her getting older, you know? But then I started wondering, what causes hearing loss that happens like this? She never even had an ear infection or anything noticeable before. Recently, she mentioned she hears this annoying ringing sometimes too, which really made me think maybe there’s more to this. We took her for a hearing test, and sure enough, the audiologist said there’s some degree of hearing loss, but didn’t explain much about what causes hearing loss like this popping up out of nowhere. I’m just really concerned. There’s got to be at least a few reasons, right? Age could be one, but could meds or previous loud noises (she worked in a place way too loud) play a role too? Anyone else’s family deal with a sudden change in hearing like this? What causes hearing loss like that?

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Doctors' responses

Hearing loss in older adults can indeed be concerning and there are several possible causes. Age-related hearing loss, known as presbycusis, is quite common, and often results from changes in the inner ear as people age. But since you’re noting that this is quite sudden and she experiences ringing in her ears (tinnitus), it’s important to consider other factors too. Long-term exposure to loud noises could certainly play a role, especially since your grandma worked in a noisy environment. This can lead to noise-induced hearing loss, which damages the hair cells in the cochlea (a part of the inner ear), affecting how sounds are transmitted. Medications, too, are a factor to consider. Ototoxic drugs (which can damage the ear) include some antibiotics and high doses of aspirin or diuretics, among others. If she’s taken any new medications, it might be worth discussing their side effects with her doctor. Less commonly, sudden hearing loss can be due to viral infections, vascular issues disrupting blood supply to the inner ear, or autoimmune diseases. It’s crucial to address this promptly, as certain medical conditions causing sudden hearing loss require immediate treatment to prevent lasting damage. Continuing to work with an audiologist and perhaps an ENT specialist can help determine the exact cause and best course of action. Lifestyle adjustments, such as managing noise exposure and checking medications, can also be practical steps moving forward. If the hearing loss is significant, hearing aids or assistive devices may be considered to improve her quality of life. Ensuring she attends follow-up appointments will be vital in managing this condition effectively.

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