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What Are the Causes of Hyperacusis, an Increase in Sensitivity to Everyday Sounds?

Hyperacusis is a hearing condition in which sounds that are typically audible to most people become excessively loud. You may also experience head or ear pain, generalised physical discomfort, and aggravation in response to stimuli, regardless of how mild or high pitched they are. Some people consider it a mere irritation, while others find it challenging to live a healthy and happy life while suffering from this ailment.

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What Are the Causes of Hyperacusis?

If you have hyperacusis, you must understand the disorder, its symptoms, causes, and treatment. Certain drugs can assist manage the stress caused by the disease.

Hyperacusis is an uncommon hearing impairment in which sounds that are normal to most people appear painfully loud to people with this condition.

When Everyday Sounds Are Too Loud

Loud sounds, such as dishes banging together, glass breaking, sirens, automobile engines, and loud conversations, can be excruciating for persons suffering from hyperacusis.

Some people may be somewhat affected by these sounds. In contrast, others may experience more severe symptoms such as dizziness or seizures.

It is difficult, if not impossible, for persons who have a severe aversion to sound to function in an ordinary setting with all its ambient noise.


Above all, the community of hearing professionals should prioritise the broad awareness of decreased sound tolerance as an issue that requires attention and proper treatment.

A strong intolerance may make it impossible for the individual to operate at home or at work, depending on the degree of ambient noise.

Sound desensitisation is a successful therapy option. A specialist works with you to expose you to white noise at first at a low volume, gradually increasing it to build tolerance.

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Hyperacusis Does Not Mean You Have Super Hearing

Hearing tests for hyperacusis may show normal hearing sensitivity. However, this does not imply that a person with hyperacusis can hear better than others.

The most effective way to control hyperacusis is to employ noise generators in conjunction with a programme to reduce fear and anxiety associated with sound exposure.

Hearing Loss and Loud Sounds

Those who suffer from a debilitating intolerance to the loudness of ordinary sounds are among the neediest people for hearing healthcare practitioners.

The fundamental problem is to shift the debilitated people from sound-attenuating hearing protection to sound-enriching therapy to promote sound tolerance.

However, recent technological developments make it feasible to safely boost a patient’s hearing sensitivity and sound tolerance levels.

Loud Music Can Damage Your Hearing

The majority of hearing loss is through damage to the sound-sensitive cells within the cochlea, a structure in the inner ear.

Listeners with usual hearing sense a rise in loudness as the intensity of a sound increases. Still, at levels beyond 120 dB, listeners perceive the sound as extremely loud and uncomfortable.

Loud music or loud sounds, mainly if unexpected, were generally described as bothersome, as is clapping, popping balloons, and explosions.

Does Hyperacusis Become Better with Time?

Hyperacusis may improve with time, depending on the cause. There is a chance that sensitivity to sounds will become more acceptable in brain or hearing system injuries. However, in cases where the cause is unclear, relief may be delayed.

While tinnitus can occur in some people after prolonged exposure to loud noise, the percentage of people afflicted is highly varied, and the duration is unpredictable.

External sounds and intermittent and chronic tinnitus may be affected by hypersensitivity, making it harder to cope with the illness.

Tinnitus cannot be cured. However, there are treatments available to make it less distracting. Approximately 75% of people who have tinnitus are not affected by it.

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Protect Yourself from Loud Sounds

Excessive or unnecessary usage of hearing protection can limit the range of sounds that can be tolerated. It is not recommended that people wear hearing protection when it is quiet or during normal conversation.

Use hearing protection only when exposed to dangerously loud sounds, such as at a sporting event, when riding a motorcycle, at a concert, or at other similar activities.

While wearing earplugs can assist in softening sounds, avoiding sound can make you more sensitive. As a result, hearing protection should not be worn during routine daily activities.


Aspirin, an anti-inflammatory medicine used to treat rheumatoid arthritis, has long been recognised to cause acute tinnitus in people and animals.

Tinnitus is frequently associated with sound sensitivity, and some people lose their capacity to deal with unexpected loudness changes.

Furthermore, many people experience tinnitus and increased sensitivity to sound, and some experience a loss of dynamic hearing range.

Hearing Loss, Tinnitus, and Hyperacusis

The high overlap between tinnitus and hyperacusis shows that the two illnesses have common risk factors and mechanisms.

Tinnitus retraining and cognitive behavioural therapy are the most effective tinnitus remedies for considerably improving the quality of life.

Too Little Noise Can Worsen the Problem

Though there is a substantial overlap between tinnitus and hyperacusis, prevalence estimates show most people have only one of the two disorders.

Excessive loud exposure, tinnitus, physical trauma to the head, a viral infection of the inner ear, or specific diseases such as autism are all risk factors for hyperacusis.

A perplexing element of tinnitus and hyperacusis caused by noise, ageing, or medications. Only a tiny number of hearing-impaired people experience these debilitating symptoms, whereas most do not.


Some studies have also discovered brain areas that exhibit aberrant activity in persons with tinnitus and hyperacusis.

People who have hyperacusis may complain that commonplace sounds are loud. Increase tinnitus, “make them jump,” induce ear pain or discomfort, or cause them to fear that they are damaging their ears or hearing.

Those with hyperacusis who have tinnitus rate their hearing as worse, their tinnitus as louder, and their tinnitus pitch as higher.

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Hyperacusis and Tinnitus, Related but Very Different Conditions

However, when tinnitus begins to have a detrimental impact on one’s life and day-to-day functioning, it is vital to seek medical assistance.

If you feel you have hyperacusis, hearing loss, or tinnitus, your first step should be to visit a professional.

Do You Need More Health Awareness?

People are getting more aware of how certain things harm their health, but they are still mostly unaware of what noise can do to our bodies.

People are aware that eating highly processed foods and leading a sedentary lifestyle is detrimental to their health. Keep yourself ENT healthy, avoid difficulties, and take care of existing conditions to improve your or a loved one’s daily life.

Remember, the Human Auditory System Is Delicate

The relationship between the central auditory system and those areas of the brain associated with fear and anxiety are increasingly being studied.

There are specialised therapies available depending on the cause of your hearing problem. There are numerous therapeutic methods available to assist people in reducing their fears and worries. Develop coping techniques and decrease their sensitivity to sound, all to ensure a better quality of life.

While there may be no cure for this illness, there are a few things you may do to reduce your sensitivity to sound. Many people suffer from aural sensitivity without ever considering learning more or seeking help.

  • It can significantly impede a person’s regular functioning.
  • It can range in intensity from a little annoyance to a life-altering illness.
  • Tinnitus and poor sound tolerance impact a large percentage of the population.
  • Although every sound can be increased, high-frequency sounds can be intolerable.
  • There is little data accessible about the prevalence of impaired sound tolerance.
  • Sounds like crying babies, smashing glass, and alarm clocks can create worry and agony.
  • People sometimes perceive noises to be much louder or more intense than they actually are.
  • The ability to deal with sound intensity is lost due to a loss of dynamic range in the ears.

Focused counselling can assist a hyperacusis patient in developing appropriate coping mechanisms for times when the sounds of everyday life become too intense.

Although it can be tempting for people with hyperacusis to wear hearing protection. Doing so might be harmful to their hearing health in situations where the sound level is low.

Before obtaining any information relating to their diagnosis, cure, or treatment of an illness or problem, people must rely on their certified health care specialists’ unique and tailored medical advice.

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Some Treatments Can Help You

Because of the similarities, the same therapeutic procedures such as tinnitus retraining and cognitive behavioural therapy have been proposed as a treatment for hyperacusis.

Because there are no medical or surgical treatments for hyperacusis now, treatment focuses on regulating a patient’s reactions to abrupt loud sounds as well as seeking to diminish sensitivity.


Hyperacusis is a rare hearing condition. Typically, quiet noises become excruciatingly loud to those who suffer from it. People with a severe aversion to sound find it difficult, if not impossible, to function in an everyday context with all the surrounding noise. With the help of current technical advances, patients’ hearing sensitivity and sound tolerance can be safely increased. The most common cause of hearing loss is usually damage to the cochlea’s sound-sensitive cells, an inner ear structure. Tinnitus can develop in some persons who have been exposed to high noise for an extended period, but as the volume increases, the likelihood of developing the condition increases.

Tinnitus can occur while using the anti-inflammatory drug aspirin, which is commonly used for rheumatoid arthritis. Be careful with loud noises and wear hearing protection only when necessary. Such as at a sporting event, motorbike ride, concert, or other comparable activities when loud noises may be present. Hearing protection should not be worn while going about your everyday business because it can increase your sensitivity to sound. Hyperacusis is often accompanied by tinnitus, and some people can no longer cope with sudden volume increases. Hyperacusis patients may remark that everyday sounds are too loud for them.

There may be no cure for hyperacusis, hearing loss, or tinnitus. You can lessen your sensitivity to sound by doing a few things. As a possible treatment, tinnitus retraining and cognitive behavioural therapy have both been advocated.

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