Earwax or cerumen is a natural substance designed to clean and protect your ear canals by trapping dust and debris while helping to prevent infections. However, this protective mechanism can be disrupted, leading to an accumulation and blockage known as cerumen impaction.

Earwax buildup can cause temporary hearing loss, as well as a feeling of ‘fullness’, ringing in the ears (tinnitus), and even dizziness. Because of this, knowing the signs of earwax blockage and the proper steps and therapy for hearing loss management is fundamental to maintaining good auditory health.

What Is Earwax and Why Do We Have It?

Earwax is a combination of secretions from oil and sweat glands, mixed with dead skin cells and hair. Its appearance can vary significantly among individuals, ranging in color from light yellow to dark brown, and in consistency from soft and wet, to hard and dry. This variation is normal and often determined by genetics, age, and diet.

Far from being an indicator of poor hygiene, cerumen is a critical component of your ear’s defense system. It performs several key functions essential for hearing health, and some of these include:

• Lubrication and Protection: Cerumen acts as a natural lubricant for the skin within the ear canal. Its moisturizing effect helps to ward off dryness, flaking, and itchiness, thereby playing a vital role in keeping the canal healthy and comfortable.
• A Protective Barrier: Its sticky texture acts as a natural trap, catching dust, dirt, and other foreign particles before they can travel deeper into the ear and potentially damage the sensitive eardrum. It also has properties that help repel water, reducing the risk of moisture-related infections.
• Antimicrobial Defense: Cerumen is naturally acidic, creating an environment that inhibits the growth of bacteria and fungi. It contains specific enzymes with antibacterial properties that actively block pathogens, serving as your ear’s first line of defense against infection.

Symptoms of Earwax Buildup or Blockage

A clear set of symptoms characterizes earwax impaction, and recognizing these indicators is essential for determining if an earwax blockage is the source of your muffled hearing.

• Muffled Hearing or Partial Hearing Loss: The most common symptom of a blockage is a noticeable reduction in hearing clarity. This is because the impacted wax creates a physical barrier that obstructs sound waves from reaching the eardrum, a condition known as conductive hearing loss.
• Tinnitus: You may experience a ringing, buzzing, or hissing sound in the ear that is not from an external source. Pressure from the blockage on the tympanic membrane (eardrum) can trigger this condition.
• Sensation of Fullness: A persistent feeling that the ear is plugged, full, or under pressure is a frequent complaint.
• Earache and Discomfort: Hardened wax pressing against the sensitive skin of the ear canal can cause a dull, persistent ache or even sharp pain.
• Dizziness or Vertigo: In more severe cases, a deep impaction can affect the inner ear’s vestibular system, which is crucial for maintaining balance. A disruption to this system can lead to dizziness or a spinning sensation.
• Itchiness: The blockage can irritate the delicate skin lining the ear canal, causing a persistent itch from within the ear.

Causes of Earwax Problems

Cerumen impaction typically occurs when the ear’s natural, self-cleaning migration process is disturbed. Although some individuals are naturally prone to overproducing wax, blockages are most often caused by external factors that interfere with the ear’s ability to clear itself.

The factors that lead to problematic earwax buildup include:

• Improper Cleaning Attempts: The most frequent cause of impaction is the use of objects to clean the ear canal. Items like cotton swabs, napkin corners, or bobby pins push wax deeper toward the eardrum rather than removing it. A compacted plug of wax from these attempts is a primary and preventable cause of earwax blockage, hearing loss, and can even damage sensitive ear structures.
• Use of In-Ear Devices: Regular use of hearing aids, earbuds, or earplugs can physically obstruct the natural exit path for cerumen. Over time, these devices can prevent wax from migrating out, leading to accumulation and blockage.
• Natural Overproduction: Some individuals are simply predisposed to producing more cerumen than their ears can effectively manage on their own, resulting in a gradual buildup that eventually requires professional attention.
• Frequent Swimming: Exposure to water does not necessarily trigger more earwax production, but it can cause existing cerumen in the ear canal to swell and expand, creating a sudden blockage and hearing loss.

Who’s at Risk?

While anyone can develop an earwax blockage, certain anatomical and physiological factors can significantly increase an individual’s risk of hearing loss because of earwax. Understanding these predispositions is helpful for proactive ear care.

Individuals with the following conditions are more susceptible:

• Anatomical Variations: People with naturally narrow, curved, or surgically altered ear canals may find that wax does not exit as easily. Similarly, excessively hairy ear canals can trap cerumen and impede its natural outward migration.
• Age-Related Changes: As individuals age, the ceruminous glands tend to produce wax that is drier and harder. This less pliable consistency makes it more difficult for the ear’s self-cleaning mechanism to expel.
• Benign Growths (Osteomata): Osteomata are minor, benign growths of bone that can appear in the auditory canal. They can function as a physical barrier, effectively blocking the passage of cerumen and disturbing the ear’s self-cleaning process.
• Chronic Skin Conditions: Inflammatory skin issues like eczema or psoriasis affecting the ear canal can cause increased skin shedding or altered wax production, contributing to a faster buildup.
• Underlying Health Conditions: A history of repeated ear infections can cause scarring or changes that affect wax clearance. Additionally, certain autoimmune diseases, such as lupus, can cause inflammation that interferes with the normal function of the ear canal.

When to Seek Medical Treatment

If you are experiencing persistent symptoms of an earwax blockage, it is crucial to seek professional attention. Attempting to remove impacted wax at home with objects, such as cotton swabs or other tools, can push the blockage deeper, scratch the ear canal, or even cause permanent damage to your eardrum or hearing loss.

The recommended course of action is to consult with an ENT (Ear, Nose, and Throat) specialist. A professional will use a lighted instrument called an otoscope to inspect your ear canal visually, diagnose the extent of the cerumen impaction, and provide advice on the most appropriate treatment.

Professional Removal Methods

Based on the diagnosis, an ENT Doctor may use one of the following safe and effective removal techniques:

• Cerumenolytic Agents (Ear Drops): A doctor may advise the use of specific cerumenolytic agents (ear drops). These solutions are formulated to break down and liquefy impacted cerumen, facilitating professional extraction or promoting the ear’s natural clearance process.
• Ear Irrigation: This procedure involves using a controlled, gentle stream of warm, sterile water or saline solution to flush the impacted wax out of the ear canal.
• Manual Removal (Microsuction): A doctor uses a high-powered microscope for a clear view of the ear canal while using fine, specialized instruments or a gentle suction device to remove the wax. This dry technique is often preferred for severe impactions or for patients with certain ear conditions.

Important Considerations for Ear Irrigation

It is essential to understand that ear irrigation is not a suitable procedure for everyone. A doctor will determine if it is safe for you. This method is generally avoided in patients with:

• A current or past perforation of the eardrum
• Tympanostomy tubes (grommets), commonly used in children
• A history of recent ear surgery
• An active ear infection or discharge
• A past adverse reaction or complications from irrigation

Still Can’t Hear Well After Wax Removal?

For most individuals, the removal of an earwax blockage provides relief and a distinct return of hearing clarity. However, if your hearing remains muffled or unclear, it should be regarded as a critical indicator that the earwax was masking an underlying auditory condition.

It is possible that the temporary hearing difficulty from the wax buildup was obscuring an underlying problem, like sensorineural hearing loss.

To identify the root cause of your condition, it is recommended to consult with a qualified audiologist for a comprehensive hearing assessment in the Philippines to measure the nature, type, and degree of any persistent hearing loss. This professional evaluation provides the foundation for an effective management plan, which may include hearing solutions, such as Widex hearing aids, designed to help you rediscover clarity and reconnect with the sounds of your life.

Hearing loss in children is a condition where a child has a reduced ability to perceive sounds compared to a person with normal hearing. This can range from mild, where they may have difficulty hearing soft sounds, to profound, where they may not hear loud sounds at all.

In the Philippines, this condition is a significant public health concern. A national survey on hearing revealed that approximately 7.5% of Filipino children below the age of 18 experience moderate or worse hearing loss—a rate considered high compared to many other nations. The study also highlighted that middle ear conditions, which affect over 14% of the population, are a major contributing risk factor.

As parents, gaining a clear understanding of your child’s specific hearing needs will help you know what to do to build the foundation for a personalized support plan. This strategy will use management options and a strong support network to help your child learn and thrive.

Causes of Hearing Loss in Children

Hearing loss in a child can be congenital or acquired. The causes are diverse, and identifying potential risk factors can be instrumental in early detection. Approximately half of congenital hearing loss cases are linked to genetic factors, even without a known family history of the condition.

Beyond genetics, several other factors can contribute to hearing impairment in children:

• Perinatal Factors: Complications during birth can play a significant role. Children born prematurely or those who require a stay in the Neonatal Intensive Care Unit (NICU) have a higher incidence of hearing issues. Severe jaundice in a newborn has also been identified as a potential cause.
• Infections: Certain infections contracted by the mother during pregnancy, such as cytomegalovirus (CMV), or CMV tests in the Philippines are expensive.Some illnesses experienced by the child after birth, like meningitis, can lead to damage within the auditory system.
• Middle Ear Issues: Chronic or frequent middle ear infections (otitis media) are a prevalent cause of temporary or, in some cases, permanent conductive hearing loss. A perforated eardrum, whether from infection or injury, can also impair hearing.
• Noise Exposure: In today’s world, noise-induced hearing loss is a growing concern even for children. Prolonged exposure to loud sounds from toys, personal listening devices, or environmental noise can cause irreversible damage to the delicate hair cells in the inner ear.
• Ototoxic Medications: Some essential, life-saving medications, including certain antibiotics and chemotherapy drugs, carry the risk of damaging the auditory system as a side effect.

Signs and Symptoms of Hearing Loss 

If a child has symptoms of hearing loss, they can be subtle and easily missed, especially in infants. Recognizing developmental milestones is key to early identification.

In Infants (Birth to 1 Year)

A key indicator of hearing loss in children during infancy is a lack of response to auditory stimuli.

• Does not startle or react to sudden, loud noises.
• Fails to turn their head toward a sound by 6 months of age.
• Does not engage in vocal play, babbling, or imitating sounds by 6-8 months.
• Does not respond to their name or simple words like “no” by 12 months.

In Older Children

As children grow, the signs often relate to their speech development and social interactions.

• Delayed or Unclear Speech: Their speech may be difficult to understand compared to their peers.
• Communication Difficulties: They may frequently ask for things to be repeated, seem to ignore conversations, or give inappropriate answers to questions.
• Learning and Behavioral Issues: A child with hearing loss may show signs of frustration in school, particularly in noisy classroom settings, or appear to be inattentive.
• Volume Needs: Consistently turning up the volume on the television or personal devices to levels that are loud for others.

Take Immediate Action if You Suspect Hearing Loss 

Observing any hearing signs and symptoms of hearing loss warrants immediate and deliberate action. When it comes to a child’s development, the “wait and see” approach can lead to significant delays in language and learning. And, of course, knowing what to do if your child has hearing loss begins with seeking a professional evaluation.

• Consult Your Pediatrician: Start by discussing your concerns with your child’s doctor. They can rule out other issues and provide a referral to a specialist.
• See a Hearing Professional: Ask for a referral to an ENT (Ear, Nose, Throat) specialist and a pediatric audiologist.
• Get a Formal Evaluation: An audiologist will conduct a comprehensive hearing test service appropriate for your child’s age. This is the only way to diagnose the type and degree of hearing loss definitively.

Understanding Management Options

Following a hearing assessment, your audiologist will discuss a range of interventions. Modern technology offers management options, such as hearing aids, that allow children to access the sound they’ve been missing. As the exclusive hearing aid distributor in the Philippines for Widex models, we specialize in providing this type of technology.

• Hearing Aids: For the majority of children with hearing loss, hearing aids are the primary means to address their condition. Widex hearing aids are devices designed to deliver the most natural sound possible. They can be programmed to match a child’s specific hearing needs, helping to improve speech perception and support language development.
• Cochlear Implants: For children with severe to profound sensorineural hearing loss, a cochlear implant may be recommended. This hearing device bypasses the damaged inner ear and directly stimulates the auditory nerve.
• Speech Therapy: Often used in conjunction with hearing devices, speech therapy is crucial for helping a child develop clear language and communication skills.

Create a Good Listening Environment at Home for Your Child’s Comfort 

Creating a better listening environment at home can support your child’s ability to hear clearly. This helps your child hear more clearly and reduces the frustration of trying to communicate over background noise.

• Minimize Background Noise: Before speaking to your child, turn off or lower the volume on TVs, radios, or other noisy appliances.
• Position Yourself for Success: Get your child’s attention before you speak. Position yourself close to them and on their level, facing them so they can see your facial expressions and lip movements.
• Improve Room Acoustics: Hard surfaces reflect sound, creating echoes that make listening difficult. Use sound-absorbing materials like carpets, thick curtains, and upholstered furniture to soften the room’s acoustics. Close doors and windows to block out external noise.

For School-Age Children with Hearing Loss, Engage With Their School Support System 

For school-age children, a collaborative partnership with their school is essential for academic and social success.

• Inform Key Personnel: Make sure your child’s teachers, coaches, and other relevant staff are aware of the hearing loss and understand its implications in a classroom setting.
• Provide Information: If your child uses a hearing device, offer a quick tutorial on how it works, how to do a listening check, or how to troubleshoot minor issues, such as volume adjustment, battery checks, and Bluetooth connectivity settings.
• Collaborate on Accommodations: Work with the school to implement strategies like preferential seating (placing your child near the teacher and away from noise sources like windows or fans) or the use of classroom amplification systems if needed.
• Empower Your Child: As they get older, involve your child in these conversations. Teaching them to advocate for their own needs is a powerful skill that will serve them throughout their life.

Be Proactive and Stay Informed 

Managing hearing loss in a child is an ongoing process. Consistent engagement in your child’s care is crucial, which means making it a priority to attend all medical and audiology consultations. Working with speech therapists and other allied professionals is encouraged. Keep up to date with their educational progress and work with the school to adjust accommodations as needed. Technology and strategies are constantly evolving, and staying informed allows you to provide the best possible support.

Working as a Team 

Ultimately, helping your child thrive with hearing loss is a team effort. Consistent communication between you, your child’s teachers, and your hearing healthcare providers creates a robust support network.

Through consistent monitoring of your child’s progress in school, communication, and social skills, the support team can make timely adjustments to their approach. This teamwork is designed to provide your child with holistic support, helping them thrive both academically and socially.

A head injury can disrupt life in many ways, and one of its less-obvious consequences can be a change in your hearing. Traumatic brain injuries (TBIs) are a significant concern in the Philippines. Underscoring this, a study by St. Luke’s Medical Center in Quezon City points to the high volume of road accidents as a major contributing factor. Consequently, the risk of sustaining an injury that can affect hearing is a daily reality for many Filipinos.

The force from such an impact can affect both the delicate structures of the ear and the brain’s sound-processing centers, potentially leading to hearing loss. Given this potential, recognizing the signs of a hearing loss injury early and seeking a proper diagnosis is fundamental to effectively managing the condition and preserving your quality of life.

Causes of Hearing Loss After Head Injury

Hearing loss due to a head injury typically stems from two types of damage: direct mechanical trauma to the ear’s structures and neurological damage to the brain’s auditory pathways.

• Mechanical Damage: This involves direct injury to the physical parts of the ear that transmit sound, including:
  • Eardrum Perforation: A forceful impact can tear the eardrum (tympanic membrane), impairing its ability to vibrate correctly.
  • Middle Ear Trauma: The delicate chain of tiny bones (ossicles) can be fractured or dislocated, breaking the link that transfers sound energy to the inner ear. This often leads to conductive hearing loss.
  • Inner Ear Injury: A skull fracture can damage the cochlea, the vital organ that converts vibrations into nerve signals. Damage to its sensitive hair cells typically causes permanent sensorineural hearing loss.

• Neurological Damage: This occurs when the injury affects the nerve pathways or the brain’s sound-processing centers. This can involve:
  • Auditory Nerve Damage: The nerve that carries sound information from the ear to the brain can be stretched, compressed, or severed during a traumatic event, cutting off communication.
  • Brain Injury: An impact can damage the brain’s auditory centers, located primarily in the temporal lobes. In these cases, a person’s ears may function correctly, but their brain struggles to process, interpret, or assign meaning to sound, leading to difficulties in understanding speech.

Types of Hearing Loss After Head Injury

A head injury can cause several types of hearing loss. The specific type depends on which part of the auditory pathway is damaged. Because of this, a proper diagnosis is essential to plan for ways to address it.

1. Conductive Hearing Loss

This type occurs when sound is blocked from reaching the inner ear. A head injury can trigger this condition by dislocating the delicate bones of the middle ear (ossicles). It can also perforate the eardrum, which may cause blood to accumulate behind it. In some cases, trauma can also trigger abnormal bone growth, which obstructs sound pathways.

2. Labyrinthine Concussion

It is possible to sustain inner ear damage even without a skull fracture. This is known as a labyrinthine concussion and is common after blast injuries or the forceful impact of an airbag. Individuals with this condition often experience not only hearing loss but also persistent ringing in the ears (tinnitus) and dizziness, as the inner ear also plays a role in regulating balance.

3. Meniere’s Syndrome

While the exact cause can vary, a head injury can sometimes trigger Meniere’s syndrome, which is a disorder that characterizes an imbalance of fluid pressure within the inner ear. These fluctuations in pressure can trigger episodes of temporary hearing loss, a spinning sensation known as vertigo, and a feeling of pressure or fullness in the ear.

4. Sensorineural Hearing Loss

Damage to the most sensitive parts of the auditory system, like the cochlea or auditory nerve, results in what is known as sensorineural hearing loss. The intense force from a traumatic head injury—whether from a road accident, a fall, or a direct blow—can be powerful enough to harm the tiny hair cells within the cochlea or damage the auditory nerve. This not only makes sounds more challenging to hear but can also cause loudness distortion and an uncomfortable sensitivity to everyday sounds.

5. Auditory Verbal Agnosia

In rare instances, the injury’s impact is not on the ear but on the brain’s language centers. This results in a brain-based processing disorder where hearing is physically intact, but the brain cannot interpret spoken words, causing them to sound like meaningless noise.

Detecting Hearing Loss After Head Injury

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Should you notice any change in your hearing following a head injury, best to see an ENT doctor for an assessment and see an audiologist for a hearing test. This will help determine the extent and type of hearing loss through a comprehensive hearing test service. A typical evaluation includes a physical exam of the ear and audiometer tests to measure your ability to hear different sounds and frequencies.

Addressing Hearing Loss After Head Injury

Hearing loss resulting from a head injury can be managed through various interventions. The appropriate solution depends on the specific type and severity of the hearing loss.

Hearing Aids 

For many individuals, modern hearing aids are the solution. These are devices that an audiologist can program to match an individual’s unique hearing profile. They selectively amplify the specific frequencies a person struggles to hear, which can significantly improve sound perception and speech clarity.

A bone-anchored hearing aid is often a suitable option for individuals experiencing conductive hearing loss, particularly when it stems from damage to the middle ear. Instead of using the ear canal, this technology transmits sound vibrations through the cranial bones. The delivery of sound signals via this method bypasses the conventional auditory path, providing direct stimulation to the cochlea.

Cochlear Implants 

For more severe or profound sensorineural hearing loss, cochlear implants are a potential option. A cochlear implant is an electronic medical device that operates on a different principle. It bypasses damaged hair cells in the cochlea and instead uses electrical signals to provide direct stimulation to the auditory nerve. This requires a surgical procedure and a significant commitment to post-operative therapy with an audiologist to learn how to interpret these signals as meaningful sound. An assessment with an Otologist and an audiologist that specializesnwith cochlear implants will be done.

Coping with Hearing Loss After a Head Injury

Living with hearing loss after a head injury requires a tailored approach, with a plan based on whether the damage is in the ear or the brain. For long-term management, consulting with your audiologist is essential.

Audiologists can guide your rehabilitation, from making hearing device adjustments to recommending strategies for related symptoms, including options for tinnitus treatment in the Philippines. The expertise of your audiologist is supported by the services of a reliable hearing aid distributor, who ensures it is properly maintained.

Diabetes is a chronic metabolic disorder that disrupts the body’s ability to metabolize food into usable energy properly. In simple terms, your body either doesn’t make enough insulin or can’t effectively use the insulin it does make, leading to high levels of sugar or glucose in the blood. Without proper management, it may cause potential substantial damage to various parts of the body, such as the heart, kidneys, nerves, and eyes.

In the Philippines, diabetes is a growing health issue. By 2021 estimates, 4.3 million Filipinos have been diagnosed, yet a concerning 2.8 million were probably living with the disease unaware, revealing a significant public health challenge. The prevalence has since been on the rise, making it a silent epidemic that impacts millions of Filipinos and their families.

Given its widespread and often silent nature, many of the complications of diabetes can develop unnoticed. While issues with the heart, kidneys, and eyes are well-known, emerging evidence reveals another significant, often-overlooked connection: the link between diabetes and hearing loss.

This link is now a critical area of focus, showing how the effects of high blood sugar extend even to our ability to hear the world around us.

Understanding the Connection Between Diabetes and Hearing Loss

Data published by the U.S. Centers for Disease Control and Prevention (CDC) reveals a link between blood sugar levels and auditory health. The prevalence of hearing loss is doubled among those with diabetes, and for individuals with prediabetes, the rate is 30% higher than in the population with normal blood sugar.

This increased risk is primarily due to the impact of hyperglycemia on the body’s vascular and nervous systems. The inner ear’s delicate structures depend on these systems for a healthy blood supply and proper auditory function. For individuals with chronic hyperglycemia or prolonged high blood sugar, the integrity of their inner ear’s vital pathways is compromised, disrupting the ear’s function and contributing to the development of hearing loss over time.

Causes of Hearing Loss in People with Diabetes

The primary cause of hearing loss in people with diabetes is the adverse impact of high blood sugar on the inner ear’s intricate systems. To understand this, think of the inner ear as a sophisticated communication center containing thousands of tiny hair cells and a network of nerves. This entire system, which converts sound into signals for the brain, depends on a constant, nutrient-rich blood supply.

Chronic hyperglycemia disrupts this system by damaging the small blood vessels, a condition known as microangiopathy, which deprives the delicate hair cells of the oxygen they need to survive. Diabetes can also cause neuropathy or nerve damage, which can compromise the auditory nerve itself. When this nerve is damaged, the transmission of sound signals to the brain is broken. This dual impact means the brain fails to receive a clear message, leading to hearing problems.

While both Type 1 and Type 2 diabetes increase the risk, the prolonged exposure to high blood sugar often seen in long-term or poorly managed Type 2 diabetes puts individuals at significant risk. The cumulative vascular and nerve damage over the years can lead to a gradual but permanent decline in hearing ability.

Detecting Hearing Loss in People with Diabetes

The early signs of hearing loss linked to diabetes are frequently overlooked because the condition typically progresses slowly over time. The signs to watch out for include:

• Frequently asking others to repeat themselves.
• Difficulty following conversations, especially in noisy environments.
• Thinking that other people are mumbling.
• Needing to increase the TV or radio volume higher than others find comfortable.
• Experiencing tinnitus or the ringing or buzzing sound in the ears.

If you have diabetes and notice any of these symptoms, it’s essential to seek a medical evaluation or ask your doctor for possible referrals for a hearing evaluation. A comprehensive hearing test service can assess your hearing health. An audiologist may perform several tests, including:

• Pure-tone testing: This test identifies the quietest sounds you can hear at different pitches.
• Speech testing: This measures your ability to hear and understand conversational speech.
• Middle ear tests: These check how well the parts of your middle ear, like the eardrum, are working.
• Auditory Brainstem Response (ABR) and Otoacoustic Emissions (OAE) tests: These advanced tests measure the response of the hearing nerve and the function of the inner ear hair cells, respectively.

Given the high risk, individuals with diabetes should consider making regular hearing tests a routine part of their healthcare, just like yearly eye exams. Prompt diagnosis is fundamental to managing the illness and mitigating subsequent progression.

Options for Diabetes-Related Hearing Loss

The type of hearing loss most commonly associated with diabetes is sensorineural hearing loss (SNHL), a condition in which damage is located in the inner ear or the nerve pathways to the brain. SNHL is a permanent condition because the damaged hair cells and nerve fibers cannot regenerate.

While there is no cure for the condition, it can be managed. Digital hearing aids are a common solution. These devices are designed to be inconspicuous and can be custom-programmed to amplify specific sound frequencies an individual struggles to hear, enhancing their ability to communicate and interact with their environment.

Most hearing aid centers in the Philippines work with professionals who can assist you in finding a device that addresses your specific needs and fits your lifestyle. Therefore, be sure to consult an audiologist to determine the particular nature of your hearing loss and explore suitable solutions.

Other options, typically for more severe cases, include:

• Cochlear implants: By working around the inner ear’s damaged hair cells, this device delivers electrical stimulation directly to the auditory nerve, prompting it to send signals that the brain interprets as sound.
• Communication strategies: Learning lip-reading or sign language can also be beneficial, as they provide alternative visual methods to supplement or replace sound.
• Managing blood sugar levels: While it will not reverse existing hearing loss, strict glycemic control is crucial for maintaining the remaining auditory function from additional harm.
• Bone Anchored Hearing Aid (BAHA): For those that have conductive or mixed hearing loss issue.
• Contralateral Routing of Signals (CROS): For those with unilateral or asymmetric losses wherein one ear cannot use a hearing aid.

Minimizing the Risk of Hearing Loss in People with Diabetes

For individuals with diabetes, protecting their auditory health is primarily achieved through comprehensive management of the disease. Management of your blood sugar levels to keep them within the target range is a key strategy for protecting the vascular and nervous systems throughout your body, including the delicate structures in your ears.

Some essential healthy lifestyle tips to consider include:

• Monitor your blood glucose: Consistent monitoring helps prevent periods of high blood sugar that could potentially affect the delicate nerves and blood vessels within the inner ear.
• Follow a diabetes-friendly diet: Following a diabetes-friendly diet—rich in non-starchy vegetables, lean proteins, and whole grains—is key to maintaining stable blood sugar levels and protecting the inner ear’s sensitive structures from glucose-related damage.
• Exercise regularly: Regular exercise improves blood flow throughout the body, ensuring the auditory system receives the oxygen it needs to maintain its function.
• Manage other health factors: Controlling blood pressure and cholesterol helps preserve the health of the blood vessels that supply the inner ear, preventing damage that can lead to hearing impairment.
• Avoid smoking: Smoking damages blood vessels and increases insulin resistance, which disrupts circulation and significantly raises the risk of developing Type 2 diabetes. For smokers, quitting is a crucial step in helping to prevent the hearing loss associated with both conditions, as it improves circulation by preventing the narrowing of blood vessels, thereby ensuring that the inner ear’s delicate structures receive adequate oxygen.
• Protect your hearing: This practice prevents direct, noise-induced damage to the ear’s sensory cells, thereby avoiding the dual impact of noise and disease that would compound the risk already posed by diabetes.

Finally, schedule regular hearing screenings. An annual hearing test can catch changes early, allowing you and your healthcare team to take action before the problem significantly impacts your quality of life.

A Proactive Plan for Your Hearing Health

It is essential to understand that developing hearing loss with diabetes is not inevitable. Although the condition can damage the sensitive nerves and blood vessels in the inner ear, you can influence this outcome. Taking decisive, proactive steps to manage your diabetes through consistent care and healthy lifestyle choices is the key to reducing the associated risks of hearing loss.

Regular hearing evaluations are a crucial part of prevention, enabling the identification of any changes that may occur. Prioritize your auditory health with the same diligence as other aspects of your diabetic care. Take control of your health today by consulting with your doctor and seeking guidance from audiology professionals.

Music is a universal language, a source of joy, and, for many, a way of life. Whether you’re a musician crafting melodies or an avid listener soaking in every beat, your hearing health is crucial to fully experiencing the world of sound.

But have you ever stopped to wonder if loud music can really damage your hearing?

The answer to this question is yes.

One of the significant risks of exposure to loud noises is Music-Induced Hearing Loss (MIHL). MIHL is a term used to describe hearing loss caused by overexposure to high-intensity music. A national survey conducted in 2020 indicated that in the Philippines, moderate or worse hearing loss affects 7.5% of children, 14.7% of adults aged 18 to 65, and 49.1% of those over 65. It’s a growing concern, especially with the easy availability of personal listening devices and the vibrant music scene.

With the prevalence of unsafe listening practices today, understanding the risks is the first step toward protecting one of your most precious senses.

How Loud Music Can Cause Hearing Loss

Even as music enriches our lives, its presence at high intensities demands a closer look at its physiological impact.

Impact on the Inner Ear

The inner ear houses a crucial, snail-shaped structure known as the cochlea, where the intricate process of hearing unfolds. Within this cochlea reside thousands of tiny, delicate hair cells—specialized sensory cells distinct from the hair on your head. These remarkable cells are responsible for detecting sound vibrations and converting them into electrical signals, which the auditory nerve then transmits to your brain.

Think of hair cells as delicate bristles on a brush that can get bent or broken with rough use. Exposure to loud sounds can damage or even destroy these irreplaceable hair cells. This damage impairs their ability to send clear and accurate signals to the brain.

Increased Risk of Progressive Hearing Loss After Noise Exposure

Once these vital hair cells are damaged, they do not grow back. This means that hearing loss is permanent. In addition, the damage can lead to progressive hearing damage, which can worsen over time, even if you are no longer exposed to the harmful noise levels.

While typically gradual, extremely loud bursts of sound, like an explosion or a gunshot very close to the ear, can cause sudden damage. However, for most music-related hearing loss, it’s the cumulative effect of exposure over time.

Common Symptoms of MIHL

When the delicate structures of your inner ear are affected by loud music, the effects on your hearing can vary. These can impact your daily life and enjoyment of sound.

1. Hearing Loss

Hearing loss often begins subtly, making it harder to hear high-pitched sounds like children’s voices, bird songs, or the ‘s’ Atherton sounds in speech. Over time, conversations may become difficult to follow, especially in noisy environments, and music can lose its crispness, feeling dull or muffled.

2. Sound Distortion 

Beyond just sounds being fainter, MIHL can cause sounds to seem distorted or unclear. Speech might sound mumbled even if loud enough, and music can lose its richness and detail, with different instruments or voices becoming difficult to distinguish.

3. Tinnitus 

A common symptom, tinnitus, involves perceiving sounds like ringing, buzzing, hissing, or clicking when no external sound is present. Occurrence can be constant or intermittent, varying in loudness, and may become more noticeable in quiet settings.

4. Disorder of Loudness Perception

When it comes to disorders related to the perception of loudness, everyday sounds that others find normal may seem uncomfortable or even painfully loud. This heightened sensitivity can make environments like restaurants, traffic, or even the clatter of dishes quite distressing. It’s not about sounds being clearer but rather about them having an excessive, unpleasant intensity.

Managing Hearing Loss with Your Personal Listening Devices

Headphones and earbuds bring immense convenience and joy to our personal listening experiences, especially when we’re on the go. To enhance this enjoyment and ensure it lasts, knowing how different sound environments might tempt us to raise the volume is helpful.

The good news is that headphone technology now offers features that enable you to manage your listening experience.

• Active Noise Cancelling (ANC) headphones: These could help reduce background noise, allowing users to listen at lower, safer volumes.
• Noise-isolating headphones: These could aid in physically blocking external sound, also allowing for lower listening volumes.
• Bone conduction headphones: These headphones transmit sound as vibrations through the skull directly to the inner ear, bypassing the outer and middle ear. Because they don’t sit inside the ear canal or press against the eardrum, they may help reduce the risk of damage from prolonged exposure to loud sounds or the repeated insertion of traditional earbuds.
• Output-limiting headphones: Some headphones, especially for children, have built-in volume limiters to manage excessive loud playback.

Preventative Measures for Protecting Hearing

Fortunately, music-induced hearing loss can be minimized through proactive measures. By taking conscious steps to safeguard your hearing, you can enjoy the world of sound safely.

• Test your listening device volume: A simple rule is the “arm’s length test.” If someone standing an arm’s length away can hear music from your headphones, it’s likely too loud. Generally, sounds at 70 A-weighted decibels (dBA) or below are safe.
• Practice concert safety: Love live music? Stand away from speakers. Consider using custom earplugs to help reduce volume without muffling sound or noise-reducing headphones. An ear diagnostic hearing aid center can often help with custom solutions.
• Be aware of your “sound dose”: To minimize your risk of hearing damage, it’s crucial to understand your total ‘sound dose,’ which is determined by a sound’s intensity (loudness), the duration of exposure, and the frequency (how often you are exposed). Since hearing damage is usually cumulative over time, consciously managing these three factors by choosing lower volumes, limiting listening periods, and ensuring your ears have adequate rest is key to preserving your hearing.
• Use phone sound monitoring: Actively engage with your smartphone’s health app or built-in settings that automatically measure your headphone audio levels and alert you when you exceed recommended sound exposure to music from your mobile phone, up to 40 hours per week at 80 dB. These tools often provide weekly or daily summaries of your listening habits, empowering you to become more aware and make conscious adjustments for safer sound enjoyment, thereby helping to prevent long-term hearing damage.
• Encourage hearing screenings: Regular assessments and check-ups are vital. Most hearing clinics in the Philippines offer hearing test services to assess your current hearing health and identify any early signs of hearing loss.

The Role of Audiologists and Hearing Clinics

Minimizing your risks of hearing damage allows you to continue enjoying the vibrant sounds of music and life for years. Audiologists, hearing clinics, and ear diagnostic hearing aid centers like Hear Life PH can help you understand the risks of hearing loss through comprehensive hearing assessments and personalized consultations that explain the risk factors. Seeking the advice of professionals is recommended to address hearing-related issues.

Hearing loss can present challenges in a professional setting, but with thoughtful strategies and adjustments, both individuals and organizations can thrive. Emphasizing inclusive communication, identifying common obstacles, and making practical changes can create a workplace environment where everyone feels supported and empowered to succeed.

Explaining Hearing Loss to Colleagues

Transparency is important in fostering good communication in the workplace. Therefore, discussing hearing loss with colleagues can help minimize misunderstandings and encourage a more supportive atmosphere.

Consider explaining several aspects of the condition to help improve communication between you and your coworkers, such as:

• Explain the condition clearly: Share specific details, such as difficulty hearing in noisy environments or reliance on visual cues. This helps colleagues understand the condition better.
• Be more open about specific challenges: Let colleagues know if you struggle with certain frequencies or experience sound distortions, offering them valuable context.
• Provide guidance on communication:
  • Ask colleagues to speak clearly and face you while talking.
  • Request that they avoid speaking while turned away or covering their mouth, as lip-reading can be a helpful tool.

When hearing loss begins to affect workplace performance, open communication is essential. Discussing specific needs and providing guidance to colleagues on how to adapt helps create a bridge of understanding and fosters a more inclusive work environment.

Make the Most of Assistive Devices

Assistive devices could help address the challenges associated with hearing loss at work, providing tools to improve communication and navigate daily tasks better. However, these devices are not one-size-fits-all solutions; instead, they can be tailored to individual needs, work environments, and the specific type of hearing loss.

Incorporating the right assistive technology could help employees with hearing loss to engage fully in professional settings while reducing barriers and promoting inclusivity at work.

1. Hearing Aids

Hearing aids are essential devices that amplify sound for individuals with hearing loss, helping them compensate for diminished hearing in specific frequencies. Selecting the right hearing aid involves considering several factors, such as the degree of hearing loss, lifestyle, work environment, and ear-related concerns like earwax production.

Nowadays, modern hearing aids offer features such as noise reduction, directional microphones, and Bluetooth connectivity, which could help enhance the listening experience. Hearing aids in the Philippines also come in various options, and an audiologist can help determine the most suitable device tailored to individual needs and preferences.

By improving auditory clarity, these devices could help people with hearing loss navigate daily activities better. In professional settings, hearing aids could support clear communication to enhance workplace productivity and collaboration.

2. Personal FM/DM Systems

Personal frequency modulation/digital modulation (FM/DM) systems, also known as remote microphone hearing assistive technology (RM-HAT), transmit sound directly to a receiver. The sound will be delivered through a hearing device, such as headphones or ear-level receivers, ensuring clearer and more focused audio for the user.

These systems could help those with hearing loss who work in environments such as classrooms, restaurants, and home settings where background noise may be a challenge. The speaker uses a microphone, and the sound is transmitted wirelessly, bypassing ambient noise and delivering clear audio directly to the listener.

3. Personal Amplifiers

Personal amplifiers are designed to enhance sound while reducing background noise. These devices could help individuals with normal hearing in specific environments, such as outdoor settings or cars. They are typically small, portable, and compatible with headsets or earbuds, providing a convenient solution for enhancing auditory clarity in challenging environments.

Effective Face-to-Face Communication Strategies

Face-to-face communication at work could help minimize the risk of misunderstandings, promoting clear and efficient interactions for individuals with hearing loss.

To do this, start by gaining the speaker’s attention before beginning a conversation and ensuring proper lighting to make lip-reading easier. Maintain eye contact, speak clearly without shouting, and adjust speech based on the listener’s needs.

Additionally, gestures and visual cues can help convey the message more effectively. It’s also beneficial to speak at a moderate pace and allow for pauses to ensure comprehension.

Overcoming Communication Barriers

To minimize misunderstandings, encouraging employees to rephrase or use alternative communication methods with employees with hearing loss could help. This might involve using simpler language, providing written instructions, or utilizing visual aids. Patience and open-mindedness are essential for productive conversations that can foster a more collaborative and supportive atmosphere at work.

Flexibility and a willingness to adapt can assist colleagues in managing hearing loss better at work. Overcoming communication barriers can also ensure that everyone feels heard and understood.

Know What Modifications to Request

Creating an inclusive workplace often involves advocating for necessary accommodations. Employers are often willing to make adjustments when provided with practical and cost-effective solutions.

Some examples of modifications or facilities to consider requesting include:

• Quieter workspaces to minimize background noise
• Assistive devices, such as FM systems or personal amplifiers
• Captions and subtitles for presentations
• Emergency alert systems equipped with visual signals
• A visual alert device that emits a flash of light when the phone rings.

Proposing these solutions not only benefits individuals with hearing loss but also promotes a more inclusive workplace for all employees.

Tips for Managers and Employers

Managers and employers can also help create a workplace environment that supports employees with hearing loss by providing some adjustments to accommodate them. Addressing hearing loss at work goes beyond practical solutions; it might involve building a supportive environment where everyone has the opportunity to thrive.

• Implement inclusive policies: Establish workplace policies that prioritise accessibility, ensuring a supportive environment for individuals with hearing loss.
• Provide necessary accommodations:
  • Offer soundproof meeting rooms to minimize distractions.
  • Utilise captioned software for virtual meetings to enhance communication.
• Cultivate an inclusive culture:
  • Create a workplace where every employee feels valued and understood.
  • Promote long-term success for both individuals and the organisation by addressing diverse needs.
• Equip employees with knowledge:
  • Provide training on effective communication strategies.
  • Raise awareness about hearing loss and its impact in the workplace.
  • Encourage an atmosphere where employees feel comfortable sharing their needs.

Take Steps to Thrive at Work

Taking proactive steps to cope with hearing loss at work can improve both productivity and overall well-being. However, self-advocacy, such as seeking appropriate accommodations and discussing hearing or communication needs openly, is necessary.

If you need additional support, consult a hearing professional or explore resources like adult hearing screening in the Philippines to understand your hearing health better. Don’t hesitate to schedule an appointment to assess your hearing issues and receive the necessary guidance to manage your symptoms.

Early detection and intervention can potentially help minimize the impact of hearing loss on your professional and personal life. Remember, thriving at work with hearing loss can be achievable with the right support and strategies. Taking these steps not only benefits the individual with hearing loss but could also foster a more inclusive and empathetic work environment for all.

Hearing loss can significantly impact daily life, affecting communication, social interaction, and overall well-being. Therefore, choosing the right hearing aid device is essential to help manage its effects and enhance quality of life.

Nowadays, there are many hearing aid types available with unique designs, features, and benefits. Thus, understanding their differences is essential for making an informed decision that suits your specific hearing needs and preferences.

This article will explore further some of the popular types of hearing aids, what each device can do, their specific features, and who might benefit from each.

1. Behind-the-Ear (BTE) Hearing Aids

BTE hearing aid devices are among the most widely recognized and used types of hearing aids. These devices have an ergonomically designed case that’s placed comfortably behind the ear and is connected to a custom-fitted earmold by a thin tube.

Ideal Candidates for BTE Hearing Aids

People with mild to profound hearing loss may benefit from BTE hearing aids. They are particularly suitable for those who prioritize long battery life and durability, as these devices are designed for daily use. Additionally, they cater well to people with dexterity challenges or limited fine motor skills due to their design allowing for easy handling and maintenance.

Key Features and Considerations for BTE Hearing Aids

These hearing aid devices are larger than other types, making them ideal for severe hearing loss. Their earmold is customized to fit the unique shape of the user’s ear, ensuring comfort and clear sound delivery.

BTE devices also include components like tubing and an ear hook that connect them to the earmold. In some cases, they are compatible with cochlear implants, offering versatility for managing hearing loss.

BTE Hearing Aid Features

• Easy-to-Use Volume Buttons: User-friendly controls allow quick and straightforward volume adjustments, making it easier for individuals to adapt to changing environments.
• Bluetooth Streaming Capabilities: Many modern BTE hearing aids feature Bluetooth connectivity, enabling seamless streaming from smartphones, tablets, and other compatible devices.
• Telecoil Availability: Telecoil technology is another common feature in BTE hearing aids, allowing users to connect directly to compatible sound systems.
• Battery Options: BTE hearing aids offer flexibility with battery types, including rechargeable and disposable options.

2. Receiver-in-Canal (RIC) Hearing Aids

RIC hearing aid devices are a modern and increasingly popular variation of BTEs. These types of hearing aids place a miniaturized receiver (speaker) directly in the ear canal, connected to the behind-the-ear unit by a thin, discreet wire. This design minimizes the distance sound travels, enhancing clarity and offering a blend of both power and discretion.

Advantages of RIC Hearing Aids

RIC hearing aids are among the most popular options because of their discreet design and versatility. They can accommodate a wide range of hearing needs, from mild to severe hearing loss. Additionally, this type of device often incorporates the latest technologies, delivering a natural sound experience, particularly for users with normal hearing in the lower frequencies.

Important Considerations for RIC Hearing Aids

RIC hearing aids often resemble BTEs, but their in-canal receiver demands careful upkeep to avoid damage from earwax and moisture. The delicate speaker wire requires gentle handling. Regular wax guard changes are essential for optimal sound. Some RIC models offer OTC self-fitting for added convenience.

RIC Hearing Aid Features

• Easy-to-use Buttons: These hearing aids are equipped with easy-to-use buttons, allowing users to quickly adjust volume or switch between listening modes, enhancing usability in different environments.
• Bluetooth Streaming Capabilities: Many RIC hearing aids include Bluetooth connectivity, enabling seamless streaming of audio from smartphones, TVs, and other devices.
• Telecoil Functionality: Telecoil technology allows users to connect directly to hearing loop systems in public venues, improving sound quality by reducing background noise.
• Flexible Battery Options: They offer both rechargeable and disposable battery options, giving users the flexibility to choose the power source that best fits their lifestyle and preferences.
• Remote Programming: These devices support remote programming, allowing audiologists to make adjustments to the hearing aids via a smartphone app or internet connection, saving users time and trips to the clinic.
• Self-fit OTC Options: Certain RIC hearing aids include over-the-counter (OTC) self-fit options, enabling users to personalize their devices without professional assistance and making them a more accessible choice for independent users.

3. In-the-Ear (ITE) Hearing Aids

In-ear hearing aid models are custom-made to fit entirely within the outer ear, providing a personalized and comfortable fit that conforms to the individual’s ear anatomy. This design offers a larger size that can accommodate more features and power.

Reasons to Choose ITE Hearing Aids

ITE hearing aids cater to various hearing loss levels, from mild to severe. Because these devices are custom-molded, they can also be a good choice for individuals with dexterity challenges or smaller ears. Moreover, they come with Bluetooth and streaming options that allow connections to multiple devices.

Essential Information About ITE Hearing Aids

Thanks to its smaller size, this type of hearing aid ensures they don’t interfere with glasses, which provides added comfort for glasses wearers. They also include features like Bluetooth streaming and rechargeable batteries, offering both functionality and convenience.

ITE Hearing Aid Features

• Volume and Mode Controls: ITE devices typically feature integrated volume and program control buttons or wheels, allowing for easy adjustments.
• Bluetooth Streaming: Bluetooth connectivity enables seamless wireless streaming of audio from smartphones, tablets, and other compatible devices.
• Telecoil Availability: A telecoil, or t-coil, allows the hearing aid to receive sound directly from loop systems in public spaces, reducing background noise.
• Battery Options: ITE hearing aids offer a variety of battery options, including both rechargeable and disposable batteries, to suit individual preferences.
• Remote Programming: Many modern ITE models support remote programming, allowing audiologists to adjust settings remotely, adding convenience and flexibility.

4. In-the-Canal (ITC) Hearing Aids

ITC hearing aids are typically smaller than the ITE type, providing a more discreet appearance. They are designed to fit partially within the ear canal, offering a balance between concealment and functional performance. This placement aims to provide both a less visible hearing solution and better sound amplification.

Rationale for Choosing ITC Hearing Aids

ITC hearing aids can help address mild to moderate hearing loss. These types may also enhance sound localization by utilizing the ear’s natural acoustics and provide a comfortable fit for various ranges of ear canals rather than CIC models.

What to Know About ITC Hearing Aids

While the compact design of ITC hearing aids limits speaker power, their microphone placement utilizes the pinna effect for a more natural and directional hearing experience. However, some users may experience the occlusion effect, a feeling of fullness or echo due to partial ear canal blockage.

Moreover, it’s important to ensure a sufficient ear canal size before selecting this device for a secure and comfortable fit.

ITC Features

• Volume and Mode Controls: ITC hearing aids often include small, easy-to-use volume and mode control buttons for quick adjustments.
• Bluetooth Streaming: Many ITC hearing aids offer Bluetooth capabilities, allowing seamless audio streaming from smartphones and other devices.
• Telecoil Availability: Telecoil functionality enables users to connect to hearing loops in public spaces, improving sound clarity and reducing background noise.
• Battery Options: ITC hearing aids typically come with either rechargeable or disposable battery options, catering to individual preferences.
• Remote Programming: With remote programming capabilities, users can have their hearing aids professionally adjusted via a smartphone app, ensuring optimal performance without visiting a clinic.

5. Completely-in-the-Canal (CIC) Hearing Aids

CIC hearing aids are among the smallest hearing aid options, fitting deeply into the ear canal for a near-invisible appearance. Designed to balance discretion and performance, they can provide sound amplification while maintaining a lightweight and compact form.

Who Benefits from CIC Hearing Aids?

CIC hearing aids are ideal for individuals who seek a subtle hearing solution that does not draw attention. They are particularly beneficial for those who require mild to moderate hearing loss. Their deep canal placement also ensures a snug and comfortable fit, making these devices suitable for people with normal-sized ear canals.

Key Information About CIC Hearing Aids

Their placement deep in the canal allows for a more natural hearing experience by capturing sound closer to its source. While their size enhances convenience, it may limit the power of the speaker and battery life.

Moreover, unlike larger types, these hearing aids typically lack space for onboard controls or extensive features like Bluetooth. However, some of the new versions have included external volume adjustment options or compatibility with smartphone apps, ensuring ease of use.

CIC Features

• Small Size: Their distinct characteristic is their diminutive size, enabling deep canal placement and near-invisibility.
• Battery Type: CICs utilize the smallest hearing aid batteries, which might need frequent replacement due to their limited capacity.
• Bluetooth Availability (Limited): While generally limited, some CIC hearing aids may offer basic Bluetooth functionality for specific applications or devices.
• Remote Adjustments: Many CICs support remote programming, allowing audiologists to fine-tune settings without requiring in-person visits.

6. Invisible-in-the-Canal (IIC) Hearing Aids

IIC hearing aids are considered the smallest and most discreet among all hearing aid types, offering near-complete invisibility when worn. Designed for deep insertion into the ear canal, these devices remain entirely out of sight. The deep placement makes them an ideal choice for those prioritizing discretion.

Reasons to Consider IIC Hearing Aids

IIC hearing aid devices are specifically designed for individuals with mild to moderate hearing loss. However, these types require an average ear canal size to ensure a secure and comfortable fit, as their deep placement is crucial for optimal performance. Despite their small size, IIC devices maintain essential functionality, providing reliable support to help manage the effects of hearing loss.

Essential Information About IIC Hearing Aids

IIC hearing aids are comfortable to wear and provide natural sound with reduced wind noise while staying securely in place during activities. They allow for natural sound direction detection and work seamlessly with headgear.

However, these types require precise maintenance, have limited features, have shorter battery life, and may be challenging for those with dexterity or visual impairments.

IIC Features

• Tiny size: Their defining characteristic is their exceptionally small size, enabling their deep and hidden placement.
• Battery information: IIC hearing aids utilize the smallest hearing aid batteries, requiring frequent replacement due to their limited power capacity. Unfortunately, there are no rechargeable IIC devices on the market so far.

Choosing the Right Hearing Aid Style

Selecting hearing aids depends on several factors, including dexterity, activity levels, hearing ability, and personal preferences. Consulting a hearing professional can help address these considerations. Below are some of the key aspects to consider when choosing a hearing aid device.

1. Dexterity Considerations

Individuals with dexterity challenges may find larger devices like ITE or BTE hearing aids more manageable, as their size allows for easier handling and adjustments. These devices also typically feature larger batteries, which are easier to replace and require less frequent changes, which offer added convenience. Their automated features and remote control options could also potentially help by simplifying adjustments and operations.

2. Activity Limitations

Homebound individuals or those with cognitive impairments may potentially benefit from BTE hearing aids with earmolds, which are durable, reliable, and easy to maintain. Assistive listening devices and alerting systems should also be considered to help enhance communication, safety, and independence. The robust design of BTE devices also makes them suitable for various activity levels.

3. Hearing Ability and Loss Type

Your hearing loss type may significantly influence the right hearing aid device for you. For instance, open-fit RITE styles are often suitable for high-frequency hearing loss, as they allow natural low-frequency sounds to enter the ear while amplifying higher frequencies.

Low-frequency hearing loss, however, presents unique fitting challenges, often requiring custom hearing aids or BTE devices with vented earmolds to deliver balanced sound without discomfort. Premium technology with advanced signal processing is also important for improving sound quality and clarity in cases of low-frequency loss.

Additionally, the size of the hearing aid could correlate with its power level. Smaller devices, such as completely-in-canal (CIC) or invisible-in-canal (IIC) models, might provide less amplification. In contrast, larger behind-the-ear (BTE) or in-the-ear (ITE) models could offer greater power and amplification, making them ideal for various degrees of hearing loss.

Other Key Questions to Ask

Choosing the right hearing aid in the Philippines involves several other considerations. In addition to familiarizing yourself with the six primary types, it’s essential to consider your personal needs.

Think about the severity of your hearing loss, your style preferences, the environments you’ll be in, and features like battery options and Bluetooth capabilities. Most importantly, ensure the device fits within your budget while searching for effective hearing aids for your condition.

While this guide offers a general overview of the options available, the ideal choice is ultimately a personal one. Thus, it’s important to schedule an appointment with a qualified hearing professional. They will perform a thorough hearing assessment, suggest appropriate hearing aid styles and features that cater to your specific requirements, and explain the different components of a hearing aid.

Whether you seek brand specifics, like Widex hearing aids, or ask for general information, a professional offers expert guidance for informed hearing health decisions.

The emergence of noise-canceling headphones has transformed how we listen to audio by utilizing advanced technology that reduces ambient sounds. These headphones can detect external noise and generate sound waves to cancel it out, allowing users to listen to music, podcasts, or calls without distraction.

However, a crucial question persists: does noise cancellation damage hearing?

While the technology isn’t inherently damaging, its misuse could pose significant risks to auditory health.

This article delves into the complexities of headphone listening, the science behind noise cancellation, and strategies for protecting your hearing.

The Risks of Headphone Listening

The widespread use of headphones and earphones, while offering immersive audio experiences, presents a growing concern for hearing health. This is because prolonged or excessive exposure to sound through these devices, even at seemingly moderate volumes, might cause bad side effects on the brain and damage the hair cells in the inner ear. This may lead to more profound hearing loss and other conditions like tinnitus (ringing in the ears).

And as a matter of fact, the World Health Organization (WHO) has highlighted a worrying trend of increasing hearing loss among Gen Z and Millennials, partially attributed to unsafe listening practices with personal audio devices. This can be mainly attributed to the fact that many users unknowingly listen at unsafe volumes, especially in noisy environments where they might instinctively increase the volume to overcome external sounds.

This is where noise-canceling technology comes into play, offering a potential solution by reducing background noise and theoretically allowing users to listen at lower volumes. However, this technology can also create a false sense of security, leading to extended listening sessions at higher volumes than necessary, as the quietening effect can mask the actual intensity of the sound.

This is particularly concerning with noise-canceling earbuds, as their in-ear placement can amplify sound pressure levels, potentially increasing the risk of damage even at seemingly moderate volumes.

Therefore, while noise-canceling technology can be beneficial in reducing ambient noise, it’s crucial to remember that it doesn’t eliminate the risk of hearing loss.

The Pros and Cons of Noise-Canceling Headphones

Noise-cancellation features present a nuanced situation when it comes to the well-being of our ears. They offer many auditory advantages in certain situations, yet their use is not without potential side effects.

Below are some of the advantages and drawbacks of noise-canceling devices to help you make informed decisions about their use and prioritize your hearing.

Pros

• Reduced Background Noise: By minimizing external sounds, noise-canceling headphones allow users to enjoy the audio without having to increase the volume excessively. This might be a useful feature, particularly in noisy environments like airplanes, public transport, or busy places.
• Potential for Safer Listening Volumes: The ability to block out distracting noise may enable users to comfortably listen at lower, safer volumes, reducing the risk of noise-induced hearing loss.

Cons

• False Sense of Security: The quietening effect of noise cancellation can mask the actual intensity of the sound, potentially leading users to listen at higher volumes than they realize. This can inadvertently increase the risk of hearing damage.
• Extended Use Concerns: Even with noise cancellation, prolonged headphone use can still contribute to ear fatigue, which may lead to potential hearing issues. Therefore, taking regular breaks and limiting your listening durations is important.

Keep in mind, that even with noise-cancellation features, you should monitor the volume and keep it below 80dB to avoid long-term ear damage. Moreover, ensure you don’t wear your headphones all day or for a long period, as it could be bad for your hearing health.

The Science Behind Active Noise Cancellation

Active Noise Cancellation (ANC) is a technology that reduces unwanted background noise by creating a second sound specifically designed to cancel it out.

The process begins with the tiny microphones within the headphones capturing ambient noise waves. The headphones’ internal electronics then generate an inverse sound wave, known as ‘anti-noise,’ which effectively neutralizes the original noise.

When these two waves meet, they will cancel each other out, resulting in a quieter listening experience. This process happens continuously and rapidly, reducing steady sounds.

Effectiveness of Noise Cancellation Technology

While sophisticated, noise cancellation technology has its limitations. Its effectiveness may vary depending on the sound frequency and the headphones’ design. Low-frequency sounds, like the hum of an airplane engine, are generally easier to cancel out than unpredictable, high-pitched noises. This is because the consistent nature of low-frequency sounds makes them easier to analyze and counteract.

The design of the headphones also plays a crucial role. With their larger earcups and ability to create a better seal around the ears, over-ear headphones tend to be more effective at noise cancellation than earbuds.

Passive features like snug ear cups can also help to improve noise cancellation. These physical barriers complement active noise cancellation by blocking out additional sound. When combined, these technologies not only create an immersive listening experience but may also help protect your hearing from the bad effects, such as hearing damage, of prolonged exposure to loud sounds.

Risky Listening Habits and Their Impact

Our listening habits may affect our hearing health, especially when it comes to how we use headphones. While modern features like noise cancellation can help reduce some risks, certain practices may still have a bad impact on your ears over time.

From listening at high volumes to wearing headphones for extended periods, it’s essential to understand the potential risks and make informed choices to protect your hearing from damage.

1. High-Volume Listening

Despite the noise cancellation feature, high-volume listening can still potentially damage the cochlea’s hair cells, which convert sound vibrations into electrical signals. Damaged hair cells cannot regenerate, which may lead to permanent hearing loss.

2. Extended Usage

Continuous headphone use without breaks might cause ear fatigue and increase hearing damage risk. So, if you’re wondering whether it’s bad to wear noise-canceling headphones all day, the answer is that it could be harmful. Even with noise cancellation, using headphones for a long time can potentially pose a risk.

3. Ignoring Early Signs of Hearing Loss

Ignoring early signs like tinnitus (ringing in the ears) can lead to irreversible damage. Therefore, it’s important to consult an audiologist when you experience troubled hearing to prevent further damage.

4. Lack of Volume Control

Listening to audio at high volumes for extended periods can damage your hearing. Unfortunately, many people develop risky listening habits, especially when using headphones or earphones. Without volume-limiting features, it’s easy to exceed safe listening levels, putting your hearing at risk. Controlling the volume when using headphones or earphones is thus crucial for protecting your hearing.

Protecting Your Hearing with Noise-Canceling Headphones

Although noise-canceling headphones might reduce external noise, improper use can still potentially damage your hearing.

Below are some practical tips to help you use headphones responsibly and protect your hearing.

1. Maintaining Safe Volume Levels (Below 80dB)

Staying within the 80dB limit for less than 40 hours is crucial. A good rule of thumb is to keep the volume below 60%. You can also try using health apps that track listening habits and can provide real-time feedback on safe listening levels.

2. Taking Regular Listening Breaks

Taking regular breaks is important to prevent ear fatigue. One effective guideline is the 60/60 rule, which involves listening at 60% volume for no more than 60 minutes at a time, followed by a brief pause to rest your ears.

3. Wise Use of Noise-Canceling Features

Noise-canceling technology can be useful for protecting your hearing, but it’s important to use it wisely. Don’t simply rely on noise cancellation to lower the volume. Instead, actively monitor your volume levels and keep them within a safe range. Also, remember how long you wear your headphones to prevent hearing damage.

4. Monitoring Listening Habits

Tracking apps can be useful for monitoring listening duration and volume, helping users stay within safe limits. By proactively keeping track of these habits, you could reduce the potential risk of long-term hearing damage.

5. Ensuring Proper Headphone Fit

A proper fit not only enhances noise cancellation but also prevents bad audio quality and improves overall comfort. To achieve this, adjustable ear cups or correctly sized ear tips can ensure your headphones fit properly for the best listening experience.

6. Recognizing Signs of Hearing Loss

If you notice signs such as muffled hearing or tinnitus, seek professional help promptly. Early intervention through a hearing consultation can help make a substantial difference.

Over-Ear Headphones vs. Earbuds: Which is Safer?

Whether over-ear headphones or earbuds are safer for your hearing isn’t a simple question, as the answer ultimately depends on personal preferences, needs, and lifestyle. Both types of devices have their own sets of benefits and drawbacks when it comes to hearing health.

Over-ear headphones tend to offer a better advantage in noise reduction due to their larger ear cups, which create a physical barrier against background sounds. This passive isolation, coupled with active noise cancellation, often allows for listening at lower, safer volumes, helping to minimize the risk of auditory damage.

Their design also generally distributes pressure more evenly around the ear, reducing potential discomfort for some users. However, their bulkier size can be less convenient for portability and can become warm and uncomfortable during extended use.

Earbuds, on the other hand, are more portable and often more affordable. Their compact and lightweight design makes them ideal for on-the-go use, and newer models offer improved ergonomic designs and noise-canceling features.

Nevertheless, achieving a proper seal can be challenging, especially in noisy environments. This could indirectly contribute to bad listening habits if users try to overcome the noises by increasing the volume.

In-ear placement can also cause discomfort or pressure for some individuals, and the smaller devices may not provide the same level of bass or overall sound quality as larger over-ear headphones.

Choosing Between Earbuds and Over-Ear Headphones

Generally, over-ear headphones offer a distinct volume advantage due to their noise-reduction capabilities. The ability to create a physical barrier around the ears against external noise, coupled with advanced noise cancellation technology, allows for a more immersive and safer listening experience.

These features make them ideal for those who prioritize audio quality and often listen in noisy environments. However, their larger size and bulkier design can be a bad choice for those constantly on the go or who find them uncomfortable to wear for extended periods.

Earbuds, on the other hand, provide better portability and affordability. Their compact size makes them easy to carry and wear in various situations, such as commuting, exercising, or traveling.

Many modern earbuds now also feature active noise cancellation and ergonomic designs that enhance comfort and noise isolation. This makes them a viable option for those who prioritize convenience and mobility.

Prioritize Ear Health with Smart Listening Practices

Headphones with noise-cancellation technology can give both benefits and potential side effects. While they help maintain safer listening volumes, using them responsibly is essential. For instance, you can keep the volume below 80dB, take regular breaks, and monitor your listening habits with health apps.

Furthermore, recognizing early symptoms of hearing loss and seeking a hearing test service or a hearing aid trial and fitting can help safeguard your auditory health and prevent further hearing damage.

By adopting safe listening practices, you can enjoy the benefits of noise-canceling technology without compromising your hearing. Responsible use is the cornerstone of long-term ear health, whether you prefer over-ear headphones or earbuds.

Choosing a good hearing aid can be a challenging decision, with many factors to consider, from technology and sound quality to individual hearing needs. However, when it comes to brand selection, Phonak and Widex are two established names frequently mentioned, each providing different features that address various needs.

This article explores how these two options compare, helping you weigh the considerations that may influence your choice.

Introducing the Options

Among the many brands available, Widex and Phonak are two prominent names in the hearing aid industry that often come to mind. With decades of experience, both companies have been providing products designed with a range of features to meet various hearing needs.

Widex is a Danish brand that was founded in 1956 and is known for its natural sound quality, music fidelity, and AI integration.

Phonak, on the other hand, was established in 1947 in Switzerland, and their devices are known for having health-tracking technology and universal Bluetooth capabilities.

With a diverse product range that offers a variety of features, both brands take different approaches that might align with various user preferences and requirements.

1. Style and Design Showdown

The design of a hearing aid can significantly impact the user experience, influencing both comfort and functionality. Understanding this, brands like Phonak and Widex are known for their focus on ergonomic designs and distinctive aesthetics, enhancing both the comfort and aesthetics of their hearing aids.

Widex offers the smallest rechargeable RIC on the market, with a boxy shape, and a variety of models, including Completely-in-Canal (CIC), In-the-Canal (ITC), and In-the-Ear (ITE) options, as well as Behind-the-Ear (BTE). Furthermore, Widex has also revamped the internal components of their custom hearing aids, making them 40% smaller for a sleeker, more discreet look. Their Moment range also includes a Behind-the-Ear (BTE) model, which might be suitable for those needing extra auditory power. Overall, Widex hearing aids deliver high sound quality to help improve the listening experience in every design.

Meanwhile, Phonak hearing aids are designed with rounded, teardrop-shaped Receiver-in-Canal (RIC). Phonak’s devices also feature a toggle switch for manual control to enhance user-friendliness. However, some users have reported occasional problems with the double-tap feature.

2. Connectivity Face-Off

Both Widex and Phonak are among the hearing aid brands that provide optimal connection stability. This includes compatibility with smartphones and other gadgets, allowing users to easily stream calls, music, and other audio directly to their hearing aids.

Widex comes with robust Bluetooth capabilities, connecting effortlessly to iPhones through Made for iPhone (MFi) technology, delivering a seamless and high-quality sound experience. For Android devices, Widex utilizes ASHA (Audio Streaming for Hearing Aids) technology to provide excellent sound quality. iPhone users can also easily enjoy hands-free calls, although Android users may require an accessory for this functionality.

For Phonak, their hearing aids feature broad Bluetooth compatibility, allowing connections to a wide array of devices, ensuring flexibility and convenience for users. It also supports simultaneous connections and hands-free calling for both iOS and Android users.

3. App Control Battle

Both Phonak and Widex have developed mobile apps that can integrate seamlessly with their hearing aids, providing users with convenient access to a range of features and settings.

Widex comes with the MOMENT™ app, and it includes a “Find My Hearing Aid” feature that can help users locate their devices when misplaced. MOMENT™ also supports remote programming using additional accessories with volume control, program switching, and sound personalization features, which allow users to adjust their hearing device to meet their unique needs.

Phonak has the MyPhonak app, which also allows users to personalize their devices. Users can easily adjust volume, switch programs, create custom programs, and even track their health metrics. However, this app still lacks a “Find My Hearing Aid” feature.

While both apps are designed to enhance user-friendliness, the right choice will depend on your needs, as each app offers distinct advantages that may appeal to different preferences and priorities.

4. Special Feature Face-Off

Widex and Phonak have also produced hearing aids with features that enhance sound quality, user comfort, and overall experience. Some of their models even incorporate AI-driven personalization options to cater to specific hearing conditions.

For instance, Widex devices have “Made by You” and “Made for You” features, which aim to enhance the user experience by using AI algorithms to tailor the sound settings to an individual’s specific hearing needs and preferences, ensuring an optimized listening experience in any environment. Widex also offers tinnitus masking solutions with Widex Zen and SoundRelaxTM sound therapy programs, which are available via the Widex Zen Tinnitus Management app. These programs will generate calming sounds that might help cover up the ringing associated with tinnitus.

Meanwhile, Phonak offers an array of colors and dedicated designs for children, ensuring inclusivity for users of all ages. For those seeking discreet solutions, Phonak also provides nearly invisible hearing aids that blend seamlessly into the ear canal. Additionally, their hearing aids are built to support active lifestyles, maintaining excellent sound quality even during dynamic activities.

5. The Sound Quality Challenge

Sound quality is one of the most important considerations when choosing a hearing aid. To ensure a quality audio experience, numerous brands have integrated modern technology into their devices, including Phonak and Widex. Particularly, they have used technology powered by AI to help enhance audio performance and provide a more natural listening experience.

Widex excels in delivering natural, mellow sound quality, which might be ideal for those with mild to moderate hearing loss. Its ZeroDelay technology also helps to ensure minimal sound processing delay for a more authentic listening experience. Moreover, music enthusiasts will also appreciate its rich, immersive audio quality.

For Phonak, their sound is characterized as sharp and percussive, with AI-powered automatic adjustments that could adapt to various listening environments. Phonak also leverages AI to help optimize sound clarity in challenging environments.

These differences highlight the different strategies each brand employs to improve sound quality and cater to the varied preferences of their users.

Choosing What’s Right for You

At this rate, there are a number of hearing aid products users can choose from; each offers unique features and technology. For those seeking hearing aids that provide natural sound quality and personalization options, Widex hearing aid models may be one of the ideal choices. Their features and commitment to delivering a better listening experience make them suitable for users who prioritize quality and comfort.

Keep in mind that each individual might require different features in their hearing aids, depending on their preferences and degree of hearing loss. Therefore, it might be essential to try several brands and consult with a hearing professional to help you choose the hearing aid that suits you best.

Working with a hearing aid distributor in the Philippines can help ensure that your devices are properly configured and optimized to suit your preferences.

Imagine waking up one morning and realizing that the world sounds muffled like you’re underwater. Or perhaps you notice a persistent ringing in your ear that just won’t go away. For those experiencing Sudden Sensorineural Hearing Loss (SSHL), this can be a frightening reality.

SSHL is a type of hearing loss that may occur suddenly and progress within several hours. This condition usually starts in one ear, though it can occasionally progress and affect both ears.

In this article, we’ll dive deeper into SSHL, exploring its symptoms, causes, and ways to address the condition.

What Causes SSHL?

While for most individuals diagnosed with this condition, the specific trigger remains unknown or idiopathic, some potential triggers often include vascular problems, abnormal cellular stress responses within the cochlea, and immune system reactions.

Although less common, the following conditions may also cause Sudden Sensorineural Hearing Loss:

• Meniere’s Disease: This condition of the inner ear is characterized by vertigo, tinnitus, and fluctuating hearing loss, which can sometimes cause sudden sensorineural hearing loss.
• Prolonged Exposure to Loud Noise: Constant exposure to loud sounds for a long period of time will potentially harm the sensitive components of the inner ear.
• Lyme Disease: Lyme disease can affect hearing health if undiagnosed or untreated. This disease can cause damage to the inner ear and nerves, which may lead to symptoms that include tinnitus, vertigo, hyperacusis, and even sudden sensorineural hearing loss.
• Malfunction of the Inner Ear: Any dysfunction in the inner ear, whether congenital or due to injury, can lead to sudden hearing loss. This could involve issues with the cochlea or auditory nerve.

Additionally, SSHL can be triggered by various other factors, including certain medications, snake bites, blood circulation problems, tumors, and aging.

Due to this range of potential causes, it’s crucial to seek medical attention as soon as symptoms appear. Early diagnosis and intervention can significantly improve the chances of managing the condition effectively and minimizing its impact on your hearing.

Congenital SSHL

Sensorineural hearing loss can be congenital in some rare cases, meaning it is present at birth. Hearing Science experts estimate that 1 to 3 out of 1,000 babies are born with some degree of hearing loss, and the causes can vary from genetics to viral infections during pregnancy.

Some of the factors that may cause congenital sensorineural hearing loss include:

• Genetic Factors: Some children are born predisposed to hearing loss due to inherited genetic mutations that affect the inner ear’s function.
• Complications During Pregnancy or Birth: Prenatal infections, insufficient oxygen during birth, or complications during delivery may disrupt the development of the auditory system, potentially resulting in hearing loss.
• Infections: Maternal infections such as rubella or cytomegalovirus (CMV) during pregnancy can sometimes affect the baby’s hearing development, leading to congenital SSHL.

Which Signs and Symptoms Occur with Sensorineural Hearing Loss?

SSHL is characterized by the sudden onset of hearing loss, which may occur and progress within hours or days. The hearing loss may be partial or complete. People experiencing SSHL may notice that their hearing ability drops without any apparent reason, sometimes waking up to find that they cannot hear as clearly in one ear. Some also might notice that sounds become muffled and speech becomes difficult to understand.

Besides hearing loss and muffled sound, other symptoms that can also be related to SSHL include:

• Tinnitus: A ringing, buzzing, or hissing sound in the ear, which can occur continuously or come and go.
• Vertigo: A spinning sensation or dizziness that can be severe, causing balance issues and an inability to stand or walk without support.
• The feeling of Blockage in the Ear: A feeling of pressure or fullness in the affected ear, which may resemble having water trapped in the ear after swimming.

How is SSHL Detected?

To detect sudden sensorineural hearing loss, healthcare professionals will rely on several methods. These methods may include going through the patient’s medical history, conducting a physical examination, and a range of tests to rule out possible causes of hearing loss.

1. Medical History and Physical Examination

To find the cause, your doctor will begin by reviewing information about your symptoms and medical history. This may involve questions about the onset of sudden hearing loss, recent illnesses, noise exposure, or family history of hearing issues. Furthermore, through a physical examination, doctors can also detect any potential infections in one or both ears or physical obstructions in the ear canal.

2. Hearing Tests (Audiogram)

Hearing assessments are commonly performed to assess the extent of hearing loss. This test measures how well a person can hear different frequencies and volumes. SSHL should be identified by a decrease of at least 30 decibels within a 72-hour period, which can make normal conversations sound like whispers.

3. Imaging Tests (MRI)

In some cases, imaging tests such as an MRI may be recommended. These tests can help find other possible causes of sudden hearing loss, such as tumors, damage to the auditory nerve, or other structural issues within one of the ears or brain.

4. Blood Tests

Blood tests can be used to detect Sudden Sensorineural Hearing Loss by detecting specific proteins, such as prestin, that are released from damaged outer hair cells in the inner ear. These proteins can be measured in the blood, offering a way to identify hearing loss at an early stage.

How is SSHL Treated?

When it comes to finding the best treatment for Sensorineural Hearing Loss, early detection is key. This is because the sooner SSHL is detected and addressed, the better the chances of regaining your hearing. The management of SSHL itself generally involves a combination of medications and follow-up care.

Some other management options can be tried to address SSHL, including:

• Corticosteroids: These medications are usually prescribed to reduce inflammation in the inner ear, which may potentially help in hearing recovery. Corticosteroids can be taken orally or given as injections directly into the ear.
• Antiviral Medications: In cases where a virus infection is responsible for SSHL, healthcare providers might opt for antiviral medications to combat the infection itself.
• Hyperbaric Oxygen Therapy (HBOT): When SSHL is related to the lack of oxygen, HBOT might be used to relieve the symptoms. This treatment uses pure oxygen to be inhaled in a pressurized setting to enhance healing and increase the oxygen flow to the inner ear.

In certain instances, starting treatment within the first two weeks of symptoms can lead to a better possibility of recovery from Sensorineural Hearing Loss. Therefore, if you suspect you might be experiencing SSHL, consider seeking help from an audiologist or healthcare professional immediately.

Outlook For People With SSHL

The outlook for Sudden Sensorineural Hearing Loss may vary, depending on the cause and how early treatment is received. In cases where the cause is detected early, treatment can be done immediately. This helps to increase the chance of regaining the hearing ability. For more severe cases, around 50% of people with SSHL can experience partial or full recovery within one to two weeks.

Furthermore, follow-up care and hearing rehabilitation can also help manage the condition, prevent it from worsening, and improve hearing ability over time. This process might involve getting hearing aids from a hearing aid distributor if necessary.