Hearing Loss in Older Adults

Hearing Loss in Older Adults

Hearing loss in older adults is an incredibly debilitating and isolating condition, and it often goes undiagnosed for years. It affects more people than you would expect – 71% of over 70-year-olds and 42% of over-50-year-olds. Furthermore, most people who experience hearing loss as they get older do so due to a condition called presbyacusis. And caused by wear and tear to the tiny hair cells in our inner ear.

Causes of Hearing Loss

Hearing Loss in Older Adults. There are lots of potential causes of hearing loss, which include: Loud noise is one of the most common causes of hearing loss. Noise from lawn mowers, snow blowers, or loud music can damage the inner ear and result in permanent hearing loss. Loud noise also contributes to tinnitus. You can prevent most noise-related hearing loss by turning down the sound on your devices, moving away from loud noise, or using earplugs or other ear protection.

Earwax or fluid buildup can also cause hearing loss by blocking sounds that are carried from the eardrum to the inner ear. If wax blockage is a problem, your doctor may suggest mild treatments to soften earwax.

A ruptured eardrum can also cause hearing loss. The eardrum can be damaged by infection, pressure, or putting objects in the ear, including cotton-tipped swabs. See your doctor if you have ear pain or fluid draining from an ear.

Health conditions common in older people, such as diabetes or high blood pressure, can contribute to hearing loss. Ear infections caused by viruses and bacteria (also known as otitis media), a heart condition, stroke, brain injury, or a tumor may also affect your hearing.


Hearing Loss in Older Adults. Hearing loss can also result from taking certain medications that can damage the inner ear, sometimes permanently. These medications may be used to treat serious infections, cancer, or heart disease. They also include some antibiotics, and even aspirin at some dosages. If you notice a problem while taking a medication, check with your doctor.

Genetic variations can cause hearing loss as well. Not all inherited forms of hearing loss are evident at birth. Some forms can show up later in life. For example, otosclerosis, which is thought to be a hereditary disease, involves the abnormal growth of bone that prevents structures within the ear from working properly.

Age-Related Hearing Loss


Hearing Loss in Older Adults. Age-related hearing loss, also called presbycusis, comes on gradually as a person grows older. It seems to run in families and may occur because of changes in the inner ear and auditory nerve, which relay signals from the ear to the brain. Presbycusis may make it hard for a person to tolerate loud sounds or to understand what others are saying.

Age-related hearing loss usually occurs in both ears, affecting them equally. Because the loss is gradual, people with presbycusis may not realize they have lost some of their ability to hear.


Hearing Loss in Older Adults. Tinnitus is also common in older people. And is typically described as ringing in the ears, but it also can sound like roaring, clicking, hissing, or buzzing. It can come and go. It can be heard in one or both ears, and it may be loud or soft. Tinnitus is sometimes the first sign of hearing loss in older adults. It can accompany any hearing loss.

Tinnitus is a symptom, not a disease. Something as simple as a piece of earwax blocking the ear canal can cause tinnitus. It can also be a sign of other health conditions, such as high blood pressure or allergies. Tinnitus can also occur as a side effect of certain medications.

Health Effects Of Hearing Loss

Hearing Loss in Older Adults. Hearing loss can affect cognitive health. Studies have shown that older adults with hearing loss have a greater risk of developing dementia than older adults with normal hearing. Cognitive abilities (including memory and concentration) decline faster in older adults with hearing loss than in older adults with normal hearing. A recent analysis of several studies found that people who used hearing restorative devices (such as hearing aids and cochlear implants) had a lower risk of long-term cognitive decline compared to people with uncorrected hearing loss.

Older people who can’t hear well may become depressed or withdrawn from others because they feel frustrated or embarrassed about not understanding what is being said. Sometimes, older people are mistakenly thought to be confused, unresponsive, or uncooperative because they don’t hear well. These circumstances can lead to social isolation and loneliness.

Hearing loss, even in small amounts, is also linked to an increased risk of falls. It also can affect public as well as personal safety, such as the ability to drive safely, when warning sounds are harder to hear.

How to cope with hearing loss

If you notice signs of hearing loss, talk with your doctor. If you have trouble hearing, you should:

  • Let your family and friends know you have a hearing problem.
  • Ask people to face you and to speak louder and more clearly. Ask them to repeat themselves or reword what they’re saying.
  • Pay attention to what is being said and to facial expressions or gestures.
  • Let the person talking know if you do not understand what was said.
  • Find a good location to listen. Place yourself between the speaker and sources of noise or look for quieter places to talk.

The most important thing you can do if you think you have a hearing problem is to seek professional advice. Your family doctor may be able to diagnose and treat your hearing problem. Or your doctor may refer you to other experts, like an otolaryngologist (ear, nose, and throat doctor) or an audiologist (health professional who can identify and measure hearing loss).

Devices to help with hearing loss

Many types of assistive devices are available to help people with hearing loss. These devices can amplify sounds, provide alerts, and help you communicate with others. For example, alert systems work with doorbells, smoke detectors, and alarm clocks to send visual signals or vibrations. Devices that use keyboards, touch screens, or text-to-speech technology can help you give and receive information more effectively. Learn more about the wide range of assistive devices available for people with hearing loss from the National Institute on Deafness and Other Communication Disorders.

Hearing aids are electronic, battery-run assistive devices that make some sounds louder. There are two main ways to get a hearing aid: by prescription or over the counter.

  • An audiologist or hearing aid specialist can prescribe hearing aids for people with significant or complicated hearing loss. Prescription hearing aids require a medical exam, and then the health care professional will fit and adjust the device.
  • Hearing aids have recently become available without a prescription. Over-the-counter hearing aids, which are sold in stores and online, may help people with mild to moderate hearing loss.

Before buying a hearing aid, find out if your health insurance will cover part of the cost.


cochlear implant is a different type of assistive device that can help people who are profoundly deaf or hard of hearing. Whereas hearing aids make sound louder so damaged ears can hear it, cochlear implants create electric signals that the brain recognizes as sound. The implant requires surgical placement and hearing therapy.

If you are experiencing hearing loss, talk with your doctor about assistive devices that may be available to help.

In Conclusion

Hearing loss is a serious condition that you have to face when you realise that you have it. Also, do not try to hide or ignore it; there are so many options open to you. Hearing aids, both external and internal, are common and very efficient at restoring your hearing loss. The doctor is your first call, and from there, you can start to have your hearing fixed.

Important Note *

Remember that everyone is different, it is ultimately YOUR RESPONSIBILITY to find what your body responds to. So please do your due diligence before trying anything new, including getting Medical Advice to ensure your safety and peace of mind.

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4 replies on “Hearing Loss in Older Adults”

Hi Ian,
I have ringing in the ears. You have advised us well because at first noticing this noise I was afraid what it was. Which I think it tinnitus according to how you have described. The noise usually come in the evening and night after other noises are low. Please advice me what method to take to reduce this noise.

Hello Sarah, The blog posts I send you are researched by me, to make sure you get good but genuine information, but I am not a doctor. So I could not diagnose your problem; you need to see your doctor, who can arrange a hearing test, or could examine you in the surgery, and give a diagnosis of what treatment you need. All the very best Ian

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