*"I beg your pardon" "Could you please repeat that" "I'm sorry, I can't hear
what you're saying"*



Have you noticed that you've started using these phrases a lot more than you
used to? Do you now feel the need to increase the volume of your TV from 30
to 50 because you can't hear your favourite daily soap or the cricket
commentary? The above signs point to the fact that you're suffering from
hearing loss, but chances are, you don't even know it.



"Hearing loss is a hidden disability," says Dr Prashant Kamble, audiologist
and speech therapist, Karnadhar Hearing and Speech Therapy Centre. "Most
often it starts with a mild hearing impairment which gradually increases
over time. People only begin to notice it when it has reached a moderate
level and spoken speech becomes difficult to understand," he adds.



Today, loud noise has almost become a part of daily life. From the sound of
car horns on the road, the thundering local rushing past at the station, the
fire crackers during the festive season, or the loud speakers that blare out
at every wedding and festivity, we cannot help but subject our eardrums to
constant torture. But then, we also supplement it by listening to the iPod
on full blast or regularly partying at the local disco which belts out music
at volumes beyond normal endurance. As a result, we end up with decreased
hearing.



However, all hearing loss is not caused due to loud noise. Says Dr Sandra
DeSaSouza, head of the ENT department, Jaslok Hospital and Research Centre,
and consultant ENT surgeon at DeSa's, Breach Candy and Saifee Hospitals,
"Congenital factors such as inherited genetic deafness and Rh
incompatibility, frequent colds, wax, trauma, and infections of the middle
ear are some other common causes of hearing loss in children, adults and the
elderly."



It is fortunate that the treatments available to treat hearing impairment
are as varied as the causes, and depend vastly on the cause. "In case of ear
infections leading to hearing impairment, medical or surgical treatment is
required, for which it is advisable to visit an ENT surgeon. If the healing
loss is age-related or gradual in nature, then a hearing aid, or a cochlear
implant is the solution, for which a visit to an audiologist is best,"
elaborates Dr Kamble. "Grommet insertion for secretory otis media,
tympanoplasty for chronic otis media, and stapedectomy for otoscelrosis are
some of the common treatments available for hearing impairment caused due to
ear infections," adds Dr DeSaSouza.



Hearing impairment can be avoided to a certain degree if proper precautions
are followed. The most obvious are avoiding loud sounds and music, bursting
noisy firecrackers, and wearing protective devices if constantly exposed to
loud sounds. Other precautions to be taken, especially on the medical front,
are treating infections immediately, avoiding self-medication and ototoxic
drugs, and in the case of pregnant women, being careful of Rh
incompatibility and contraction infections such as measles.



There is also not enough awareness regarding hearing loss. Says Dr
DeSaSouza, "Some parents bring their children who have been deaf from birth
almost two years later, simply because they were not aware of the
condition." Dr Kamble feels that awareness about hearing loss and its causes
have increased, but there is a need to increase further. He also advises
everyone to get their hearing checked annually once they cross the age of
forty.



So the next time you schedule a health check-up or remember that
all-important eye examination, remember to make an appointment with your
audiologist as well and get your hearing checked.


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