Hearing Hope

Sudden Hearing Loss

Sudden Hearing Loss: What It Means and What to Do

Sudden hearing loss can be scary and confusing. It was possible to suddenly find out in the morning that your ear on one side is no longer hearing as good as before. Many people won’t even notice these symptoms and expect them to disappear alone, but that’s a very risky idea.

Sudden Sensorineural Hearing Loss (SSNHL) or Sudden Hearing Loss (SSNL) is considered a medical emergency. Timely treatment brings a greater chance of regaining most or all of your hearing. 

What is Sudden Hearing Loss?

Sudden hearing loss happens very quickly. It usually only affects one ear, and you might notice it when you wake up or notice when you wake up or suddenly feel a change during daily activities.

Common signs:

  • One ear’s hearing abruptly becomes muffled or weak.
  • Before hearing fades, there is a “pop” sound.
  • Tinnitus, or ear ringing
  • An ear sensation of fullness or pressure
  • Lightheadedness or unsteadiness

Also read: Types of Hearing Loss, this guide explains the different kinds of hearing problems and how they can affect your hearing health.

Top Causes of Sudden Hearing Loss

Doctors may not find the exact cause, but some common causes are:

  • Viral infections (such as flu or measles)
  • Trauma to the head or the ear
  • Autoimmune diseases
  • Poor blood flow to the inner ear
  • Certain medications can impair hearing
  • Tumours, such as acoustic neuromas (very rare)

Also read: What Causes Headache and Earache at the Same Time?– find out these two problems often happen together, and what you can do about them.

When to Seek Emergency Care

See a doctor or hearing specialist right away—ideally within 72 hours—if you suddenly lose hearing in one ear.

Why is it an emergency?

  • Early treatment will enhance your chances of recovery.
  • Delayed treatment can cause permanent hearing loss.
  • Physicians can perform tests to determine the cause and begin treatment promptly.

How It Differs from Conductive Hearing Loss

It’s important to know the difference between sensorineural hearing loss (like sudden loss) and Conductive Hearing Loss.

Feature

Conductive Hearing Loss

Sudden Sensorineural Hearing Loss

Affects

Outer or middle ear

Inner ear or hearing nerve

Common Causes

Wax, fluid, and ear infections

Viruses, injury, or blood flow issues

Sudden Onset?

Rarely

Yes, often within hours or days

Is it Treatable?

Often with medicine or surgery

May need steroids; fast treatment is needed.

Understanding High-Frequency Hearing Loss and Sudden Loss

Only high-frequency sounds, like birds chirping or soft speech sounds like “s” and “th,” can occasionally be affected by sudden hearing loss. This is called high-frequency hearing loss.

What impact does it have on you?

  • Conversations that are difficult to follow
  • Words seem confused or jumbled.
  • Group conversations and phone calls become challenging.

Even though a sudden loss in these higher pitches may not be immediately apparent, urgent care is still necessary.

Diagnosis and Tests for Sudden Hearing Loss

If you see a doctor for sudden hearing loss, they will run tests to see what is wrong.

Regular Tests:

  • Hearing test (audiometry) to see which sounds you can or cannot hear
  • Tuning fork test to see if the loss is nerve or bone-related
  • MRI scan to exclude uncommon causes such as tumours
  • Blood tests to look for infections or immune disorders

Treatment Options for Sudden Hearing Loss

The faster you start treatment, the more successful your recovery. Treatments vary and usually concentrate on decreasing swelling and bringing blood to the inner ear.

Common Treatments

  • Steroids (Prednisone): Decrease swelling and assist with nerve recovery
  • Antiviral drugs: If a virus is involved
  • Hyperbaric oxygen: At times used to bring more oxygen to the inner ear
  • Rest and hydration: Aids in recovery

Note: Not every patient recovers in the same manner—some recover fully, some recover with partial hearing.

Long-Term Outlook and Recovery Chances

How well you recover depends on:

  • How quickly did treatment begin
  • How severe the hearing loss was
  • Your age and overall health

Here’s a simple view:

Condition

Likely Recovery

Treated within 48 hours

High chance of full recovery

Treated after 7 days

Lower chance of full recovery

No treatment received

Risk of permanent loss

Also read: What Level of Hearing Loss Requires a Hearing Aid?- learn when hearing loss becomes serious enough to require a hearing aid.

When to Consider Hearing Aids or Assistive Devices

If your hearing does not fully come back, you might need extra help to hear better.

Benefits of hearing aids:

  • Increasing sound volume
  • Clarity for better communication
  • Decrease in mental fatigue and isolation

The modern hearing aid is quite small, smart, and intuitively designed. They can bring joy again to one who has lost their hearing personally. 

Conclusion

Sudden hearing loss should never be ignored. It may look like a minimal problem at first, but if left alone, it becomes long-term damage.

Another thing to remember: act fast when the very first symptoms appear; see your hearing specialist. In many cases, it can be treated well and supported, so the patient resumes hearing or manages it better. 

Frequently Asked Questions

What should be do if I suddenly lose hearing in one ear?

See a doctor immediately. Do not wait. The best chances of recovery are associated with early treatment.

Is sudden hearing loss permanent?

Not necessarily. With treatment started immediately, many people could get all or most of their hearing back.

What causes sudden hearing loss?

They could be infections, blood flow issues, injuries, or even things that we are not able to specify yet. The doctor should try to find out. 

Can hearing loss be due to stress?

Although stress may not be the direct cause of hearing loss, it can worsen the symptoms. Always consult a medical expert.

Can hearing aids be helpful if partial hearing loss remains?

Yes. They amplify sound and decrease mental effort, as well as allow you to socialise with others.

Dr. Harshi, is an accomplished Audiologist with extensive expertise in treating individuals with hearing impairments.

Dr. Harshi, MBBS, Audiologist

Dr. Harshi

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