Hearing Help: When to See an Audiologist?

By Dr. Priya Sammani ( MBBS, DFM )

It’s a familiar scene in many homes, I think. The TV volume creeps up a little louder each year. Or maybe you find yourself constantly asking, “What did you say?” during family dinners. That feeling of missing out, of conversations becoming a strain… it’s tough. And it’s often a sign that it might be time to chat with a specialist who can help – an audiologist.

So, what exactly is an audiologist? Think of them as your dedicated hearing and balance expert. They’re healthcare professionals who’ve spent years studying how we hear and keep our balance. Their main job is to figure out what’s going on when your ears or your sense of stability aren’t quite right, and then help you manage it. They don’t just treat problems; they also teach us about hearing, how to protect it, and how to prevent issues down the line. Honestly, they can make a world of difference in helping you reconnect with the sounds and sensations of life.

You’ll find audiologists in lots of different places – from my colleagues in doctor’s offices and hospitals to schools, universities, and even military settings. They work with everyone, from tiny babies to our cherished older adults.

What an Audiologist Can Do For You

These hearing specialists are all about protecting and improving your hearing. But they also tackle those tricky issues that come from problems with your body’s balance system, which we call the vestibular system (it’s tucked away in your inner ear).

Here are some common things an audiologist helps with:

  • Hearing loss: This is a big one. Whether it’s due to getting older (we call this presbycusis), long-term noise exposure (sensorineural hearing loss), or even a side effect of certain medications (ototoxicity), they can help.
  • Tinnitus: That persistent ringing, buzzing, or humming in your ears? An audiologist can offer strategies to manage it.
  • Auditory processing disorders (APD): Sometimes, hearing tests are normal, but you still struggle to understand certain sounds or follow conversations in noisy places. An audiologist can diagnose this.
  • Vestibular disorders: If you’re feeling dizzy or unsteady, they can evaluate and treat balance problems. A common one I see is benign paroxysmal positional vertigo (BPPV) – that sudden spinning feeling when you change head position.

To help you, an audiologist might:

  • Perform hearing tests (these are usually quite straightforward!).
  • Fit you for hearing aids, cochlear implants, or other hearing assistive devices if needed.
  • Conduct vestibular testing to see how well your inner ear’s balance system is working.
  • Guide you through vestibular rehabilitation therapy if dizziness or vertigo is an issue.
  • Work alongside other healthcare professionals, like physical therapists or speech-language pathologists, to create the best plan for you.
  • Some are even involved in research, always looking for better ways to understand and treat hearing and balance disorders.

Audiologist vs. ENT: What’s the Difference?

This is a question I get a lot. An ENT doctor, or otolaryngologist, is a medical doctor who can diagnose and treat a wide range of conditions affecting the ears, nose, and throat. They can prescribe medications and perform surgery if necessary.

An audiologist, on the other hand, focuses specifically on evaluating and managing hearing loss and balance disorders, often related to the inner ear. An ENT might send you to an audiologist for specialized hearing or balance tests. Think of it this way: an ENT can investigate if there’s an underlying medical reason for your ear issue, while an audiologist is the expert in testing your hearing and balance functions and helping you manage any long-term challenges. Both are incredibly important!

When Should You Think About Seeing an Audiologist?

It’s a good idea to consider a visit if you notice:

  • You’re finding it hard to hear or understand what people are saying, especially in groups or noisy places.
  • You need to turn the volume up on the TV, radio, or your phone much higher than others do.
  • There’s a constant ringing, buzzing, or other unexplained noise in your ears or head.
  • You have frequent episodes of dizziness, lightheadedness, or a feeling like the room is spinning.

If you’re not sure, your first step can always be a chat with your family doctor (like me!). We can do an initial check and help guide you to the right specialist if needed.

What to Expect at Your Audiologist Appointment

Your first visit is mostly about getting to know you and your concerns. Here’s what typically happens:

  1. Medical History Review: They’ll ask about your overall health, any past conditions or treatments, and sometimes about your family’s health history too.
  2. Symptom Discussion: Be ready to talk about what you’ve been experiencing – how long it’s been going on, if it’s constant or comes and goes, and anything that makes it better or worse.
  3. Ear Examination: They’ll take a look in your ears, often with a special lighted instrument called an otoscope. They’re checking for things like earwax buildup or other physical signs of a problem.
  4. Testing (if needed): Depending on your symptoms, you might have some hearing tests or vestibular (balance) testing. These tests are painless and help pinpoint what’s happening.
  5. Explanation of Results: The audiologist will go over any test results with you, explaining what they mean in plain language.
  6. Next Steps: Based on everything, they might recommend further tests or discuss management options. This could involve hearing aids, therapy, or other strategies.

They’ll work with you, and sometimes your family or caregivers, to find the best way forward.

Questions to Ask Your Audiologist

Don’t be shy about asking questions! It’s your health, and you deserve to understand. Here are a few to get you started:

  • What do you think is causing my symptoms?
  • What is my diagnosis?
  • How severe is my condition?
  • What kinds of tests will I need?
  • What treatment or management options do you recommend for me?
  • Are there things I can do at home to help manage my symptoms?

We’ll discuss all the options for you, and make a plan together.

Take-Home Message: Your Hearing Matters

Here are a few key things I hope you’ll remember about consulting an audiologist:

  • An audiologist is your go-to expert for hearing and balance issues.
  • They diagnose and manage conditions like hearing loss, tinnitus, and vertigo.
  • If you’re struggling to hear, understand speech, or feel dizzy often, it’s worth getting checked.
  • An audiologist can provide solutions from hearing aids to balance therapy.
  • Don’t hesitate to ask questions during your appointment.

It’s all about improving your quality of life. Hearing well and feeling steady on your feet allows you to engage more fully with the world and the people you love.

You’re not alone in this. Many people experience these changes, and there’s good help available. Taking that first step to see an audiologist can make a real positive change.

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