Hearing Loss Archive

Articles

Now hear this: You may need hearing aids

These tiny devices can improve your communication, your relationships, and even your brain function, but only if you use them. 


 Image: Huntstock/Thinkstock

Age-related hearing loss affects about a quarter of people ages 65 to 74 and half of those ages 75 and older, according to the National Institute on Deafness and Other Communication Disorders. Over all, though, it tends to be more male-oriented.

“By middle age, many men also have hearing nerve damage from long exposure to noises like power tools, music, and guns,” says Dr. Steven Rauch, an otologist with Harvard-affiliated Massachusetts Eye and Ear. Some career choices—like construction, manufacturing, or military service—also contribute.

Choking alert: Strategies for safe swallowing

Therapy, exercises, and changes in eating habits will help keep you safe.


 Image: nyul/ iStock

It used to be so easy to munch a handful of nuts: chew, swallow, enjoy. Now, you avoid them or make sure there's a glass of water nearby when you eat nuts or any other foods that seem to get stuck in your throat. "It's normal to have some age-related changes with swallowing or occasional difficulty swallowing. What's not normal is when food or liquids get into the lungs regularly," says Semra Koymen, a speech-language pathologist at Harvard-affiliated Brigham and Women's Hospital.

Causes and symptoms

Diagnosis

A speech pathologist's evaluation of dysphagia includes an exam of your mouth and tongue, consideration of your medical history and symptoms, and most likely a test in the radiology department called a video swallow study. It's done using a fluoroscopean x-ray machine that takes moving pictures. You swallow a variety of liquids and foods mixed with barium, a substance that shows up on x-rays. "As you swallow, we can see the material move through the mouth and throat and into the esophagus," says Koymen.

Treatment

 

Irrigation better than steam in relieving nasal symptoms

Nasal irrigation using a neti pot was more effective than inhaling steam in relieving chronic sinus symptoms in a large randomized study.

Trouble swallowing your medication? These tricks might help

Some simple techniques can make big pills go down more easily.


 Image: Thinkstock

If you have trouble swallowing a pill, you're in the majority. In a Harris survey conducted a few years ago, 51% of women said they had experienced difficulty swallowing tablets or capsules. "We often see people who can swallow food and liquid just fine, but have difficulty with pills," says Denise Ambrosi, director of the Speech-Language Pathology Department at Harvard-affiliated Spaulding Rehabilitation Hospital. Ambrosi notes that some people have physical issues that affect their ability to swallow, while others have an aversion to taking pills.

How swallowing can go awry

Helping the medicine go down

If pills present your only swallowing issues, there are a few things you can do to make swallowing medicine a little easier:

  • Tuck your head. The following may help even a large pill go down: Put the pill on your tongue. Take a sip of water and hold it in your mouth. Lower your chin to your chest. Swallow.

  • Disguise the pill. Put it in a food that can be swallowed without chewing, such as applesauce, yogurt, or a fruit or vegetable puree.

  • Modify the pill. Check with your pharmacist to see if the pill can be ground or broken into smaller pieces that can be mixed into food or more easily swallowed. If a pill is scored, it can probably be divided. However, coated, time-release, and combination medications are meant to be taken whole. So are capsules.

  • Try a different form. Talk to your doctor to see if you can take the medication (or a related one) in another form, such as a syrup, cream, injection, or infusion. For example, for women who have difficulty swallowing bisphosphonates like alendronate (Fosamax) and ibandronate (Boniva), zoledronate (Reclast, Zometa), is available as intravenous infusion.

 

Are you missing early warning signs of hearing loss?

Ask your spouse or partner if it might be time for a check-up.


If it soundes like everyone around you is always mumbling, it may be a sign that you need a hearing test. 
Image: Canstock

Most people tend to ignore clues that their hearing isn't what it used to be. But your spouse or partner may be fully aware of the change. "I see this all the time. Often the person with hearing loss is not the first to realize the problem. It's a family member or friend who'll bring the issue to the person's attention," says Dr. Felipe Santos, a hearing specialist at Harvard-affiliated Massachusetts Eye and Ear Infirmary.

How to work around a minor hearing loss

If you're missing a few words but not ready for a hearing aid, a few simple strategies and smartphone apps may help.


 Image: iStock

Are you avoiding certain restaurants because they're too noisy? Do you catch yourself wondering what you just heard the radio announcer say? Are you wearing out the volume control on your remote? Chances are you have a bit of hearing loss.

It's easy to ignore a hearing loss because it can be subtle and gradual. And you may be in denial because you don't like the idea of wearing hearing aids. Yet struggling to hear can erode your quality of life.

Does hearing loss boost death risk?

News briefs

A recent study suggests that the more hearing impairment you have, the more your health may be at risk. A study published online Sept. 24, 2015, by JAMA Otolaryngology–Head & Neck Surgery found that mild hearing impairment was linked with a 21% increased risk of death, and moderate-to-severe hearing impairment was linked with a 39% increased risk of death, compared with people who did not have hearing loss. Researchers combed through large surveys of about 1,700 adults ages 70 or older who had undergone hearing tests and adjusted the results for heart disease and other risk factors. "The findings do not indicate that hearing loss causes an increase in mortality, or that hearing aids might reduce that risk. Instead, age-related hearing loss reflects accumulated stresses and damage of a lifetime, so perhaps we should not be surprised that hearing loss is not the only health impact of those stresses," says Dr. Steven Rauch, an ear, nose and throat specialist and the medical director of the Harvard-affiliated Massachusetts Eye and Ear Balance and Vestibular Center.

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