Deafness in the elderly is mostly the result of physiological function degradation. Because the degeneration is multi-faceted, including the degeneration of central function, it leads to senile deafness and the diversity of symptoms.

Most of the elderly patients with deafness have tinnitus, mainly cicada (cicada) chirp, which is sharp and harsh. Some people also describe the tinnitus as a low rumbling sound, which can never be heard. Some people are used to tinnitus all the year round and don’t care much about it. Others feel impatient and can’t even sleep well. The tinnitus symptoms are most prominent in the quiet of night. Some people have tinnitus first and then hearing loss; some people have tinnitus and deafness at the same time, when tinnitus aggravates deafness, it will aggravate. Tinnitus and deafness are closely related, often accompanied.

Compared with tinnitus, the elderly complain more about not being able to hear a little louder. According to ordinary people’s understanding, since the voice can’t be heard, if you want to speak clearly with the old man, you must increase the volume, even lie down to the old man’s ear and shout loudly. But at this time, the old man’s response was mostly angry and said, “don’t shout, I can hear you.” they felt that the voice was too loud to bear. People with normal hearing often can’t understand. How can people who can’t hear in a low voice be afraid of quarreling? But it’s true. Medicine calls this phenomenon “rejuvenation”. Revitalization is a pathological change accompanied by hearing loss. The problem lies in the maladjustment of the inner and outer hair cells of the inner ear, which can be regarded as the “allergy” of hearing under certain conditions. Simply put: when the voice is doubled, the normal people’s sense of hearing is doubled; when the voice is multiplied by ten or one hundred times, the normal hearing will be correspondingly multiplied by ten or one hundred times. This is not the case for the deaf who have been revived. When their voices are doubled, their feelings are often ten times, twenty times or even fifty times or one hundred times larger. The overgrowth of auditory sensation (loudness) leads to the phenomenon of rejuvenation. Because of this, the deaf patients with revitalization problems, especially the elderly deaf patients are very afraid of noise.

There are also a lot of elderly deafness patients who can not hear themselves clearly, which is also a part of hearing problems. The old people who “can’t hear clearly” often feel that they are not deaf or not too deaf, and they don’t think the problem is serious. They don’t know that in the eyes of audiologists, it is much more difficult to hear clearly than to hear “trouble”.

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Link:What's the matter with senile deafness


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