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Hyperacusis is when a person finds it very difficult to tolerate everyday sounds that most other people find perfectly tolerable and natural.
In inner ear disease, loss of hearing at one frequency may be accompanied by increased sensitivity around the area of the hearing loss, resulting in hyperacusis. Loudness hyperacusis may occur in Bell's palsy -- here one of the small protective muscles in the ear, the stapedius, is paralyzed when the 7th nerve is damaged.
Matsuzaki et al (2014) reported hyperacusis in 9 boys with autism spectrum disorder was correlated with abnormlities in M50 dipole responses on magenetoencephalography. In the audiology community, the hypothesis is sometimes advanced that persons with hyperacusis have caused this problem themselves, by avoiding exposure to ordinary sounds.
Medications may occasionally help lessen the hyperacusis even though no cause can be found.
TRT (Tinnitus Retraining Therapy) is a mixture of psychotherapy and masking (for tinnitus) or sound generators (for hyperacusis).
Psychological help: Often, anxiety or depression which accompanies hyperacusis may be as big a problem as the hyperacusis itself. The newest Treatment for Tinnitus is Neuromonics, and we are proud to offer this innovative, music-based therapy at our clinic beginning in October 2006.
Hyperacusis is a condition in which people become oversensitive when hearing certain kinds of sound.
Medical conditions that have some relation to hyperacusis include Bell’s palsy, Lyme disease, post-head injury syndrome, and migraine.
People suffering from hyperacusis will seem to feel pain and irritation over hearing normal sounds, and because of this, they wear earmuffs or earplugs whenever they are in public places. In this treatment, music tapes are provided for the affected person, and these contain pleasant music.
People who have hyperacusis are advised to avoid wearing earmuffs or earplugs, as their continuous use changes the brain’s calibration due to the blockage of the ear.
Thus a focal hearing loss may be more likely to cause hyperacusis due to an overly broad increase in central sensitivity (this is just a conjecture). One would think that there would also be hyperacusis when the 5th nerve is damaged, paralyzing the tensor tympani muscle.
Examples here might be hyperacusis after a sudden hearing loss (attributed to viral damage to the hearing nerve), or microvascular compression syndrome.

Brainstem hearing disorders are rare, and it is also thought that brainstem hyperacusis is exceedingly rare. Benzodiazepines and and antidepressants probably reduce anxiety, depression, or obsessive thinking about hyperacusis. This approach is generally frowned upon, because there is a feeling that wearing ear plugs over the long term will increase hyperacusis.
This method of treatment would necessarily sacrifice some hearing, but is potentially reversible. Patient-reported speech in noise difficulties and hyperacusis symptoms and correlation with test results. Marsha Johnson, Doctor of Audiology, practices state-of-the-art treatment for these troublesome conditions. Our successful clinic program offers the latest and newest treatment for tinnitus and hyperacusis and is one of only a small handful of full time tinnitus & hyperacusis clinics in the world.
The sound which seems normal when heard by other people would seem louder to the hyperacusis patient.
The most disturbing sounds for people affected by hyperacusis are high-pitched alarms, clanking of dishes and silverware, bus brakes, and even children’s clapping and screaming. People with this condition are advised to make the extra effort in getting rid of the problem by determining its cause and taking the necessary treatments, because there are many health conditions that have hyperacusis as a symptom.
The cause of tinnitus is not fully known and at present no medical treatment exists that can cure it. In our clinical practice, Chicago Dizziness and Hearing, looking at a representative subset of our patient database, out of 33 patients with hyperacusis, 14 were men, and the average age was 48. In our clinical experience, in hyperacusis, inner ear disease is much less common than other disorders that cause hyperacusis (e.g. According to Spyridakou et al (2012), difficulty with hearing speech in noise does not correlate with hyperacusis, but increased suppression of OAE's by noise does.
In addition to hyperacusis, persons with migraine often have photophobia (sensitivity to bright light), motion intolerance, sensitivity to strong smells, and sometimes even unusual cutaneous sensitivity (allodynia). Finding these things usually does not mean that the person's hyperacusis is caused by psychiatric problems, but rather may indicate a comorbidity. Although hyperacusis is associated with a loss of hearing, it can also occur in people with no other existing hearing problems.

It will also help in reducing the anxiety and oversensitivity to sounds, which people are likely to experience in hyperacusis.
In the same way, a person with hyperacusis may or may not have a hearing loss.Most professionals focus on two ways of reducing the experience of hyperacusis.
For example, hyperacusis in migraine is generally called phonophobia by neurologists, but in reality they really mean hyperacusis. Thus hyperacusis seems to be a disorder split roughly equally among genders and being first noticed, roughly at the age of 50. This would support the conjecture that hyperacusis does not correlate with significant hearing loss.
Hyperacusis also sometimes appears after 7th nerve (Bells palsy) injuries, which paralyze one of the two small ear muscles that protect the ear from loud noise.
The treatment approach for migraine is completely different than that for other types of hyperacusis.
Pawel Jastreboff, Director of the University of Maryland Tinnitus & Hyperacusis Clinic. This treatment has a high success rate, although its only disadvantage is that it might take two to three years for the patient of hyperacusis to get total relief from the condition. Obviously, deaf people can't have hyperacusis (just as people without inner ear function don't experience motion sickness).
There is also evidence that serotonin pathways are implicated in hyperacusis as well as migraine.
Anti-seizure drugs may be effective in persons with hyperacusis due to irritable neural pathways. Baclofen has been suggested to be useful in reducing responses in brainstem hyperacusis (Szczepaniak, W.

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