Temporary Hearing Loss After Loud Concerts: Recovery Tips - Otolaryngology

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Hearing problems


Hello Dr.
Zheng,
On Saturday (12/24), I attended a music performance and stood close to the speakers.
Afterward, I felt discomfort in my ears.
For the past few days, my right ear (the speaker was in front of my right side) has felt stuffy and dull, similar to the sensation of pressure adjustment during an airplane takeoff.
Additionally, sounds in my right ear seem quieter and somewhat muffled.
The sensation fluctuates, and it is more noticeable in quiet environments.
I am quite worried about potential hearing damage, so I went to the hospital today for an examination.
The hearing test showed a decrease in hearing at 8000 Hz (20 dB, but still within the normal range), while other frequencies were normal.
The doctor mentioned that there is a chance of recovery and prescribed the following medications:
1.
Beesix 50 mg (once daily)
2.
Euclidan tab 50 mg (once daily)
3.
Folic acid 5 mg (once daily)
4.
Depyretin tab 500 mg (twice daily, morning and evening)
5.
Suzin 5 mg (once daily)
After thinking about it at home, I am still quite concerned.
Can you please advise if this condition can truly improve over time, and if there are any additional measures I can take to help? Thank you!

K, 30~39 year old female. Ask Date: 2022/12/27

Dr. Zheng Jueyi reply Otolaryngology


Hello, hearing damage caused by loud noise often has the potential to gradually recover.
It is recommended to continue follow-up visits for monitoring and treatment, maintain a regular schedule, and avoid further exposure to noise.

Reply Date: 2022/12/27

More Info


Experiencing temporary hearing loss or discomfort after attending a loud concert is a common issue, often referred to as temporary threshold shift (TTS). This phenomenon occurs when exposure to high sound levels, such as those found at concerts, causes a temporary reduction in hearing sensitivity. In your case, it seems that you are experiencing symptoms consistent with TTS, particularly since you reported a sensation of fullness in your ear and a slight decrease in hearing at 8000 Hz.

Firstly, it's important to understand that the auditory system can often recover from temporary hearing loss, especially if the exposure to loud sounds was brief and not repeated frequently. The fact that your hearing loss is within the normal range (20 dB drop at 8000 Hz) suggests that while there is some temporary change, it is not severe. Many individuals experience similar symptoms after exposure to loud music, and in most cases, the hearing returns to baseline levels within a few hours to a few days.

To aid in your recovery, here are some recommendations:
1. Avoid Further Loud Noises: It’s crucial to give your ears a break from loud environments. Avoid concerts, loud music, and other high-decibel situations until your symptoms fully resolve.

2. Medication Compliance: Continue taking the medications prescribed by your doctor. The medications you mentioned, such as Beesix, Euclidan, Folic acid, Depyretin, and Suzin, may help support your auditory health and promote recovery. These medications can assist in reducing inflammation and improving blood flow to the inner ear, which is essential for healing.

3. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet rich in vitamins and minerals can support overall health, including auditory health. Foods rich in antioxidants, omega-3 fatty acids, and vitamins A, C, and E are particularly beneficial.

4. Rest and Sleep: Adequate rest is vital for recovery. Ensure you are getting enough sleep, as this is when your body repairs itself.

5. Follow-Up Appointments: Keep your follow-up appointments with your healthcare provider. Regular monitoring of your hearing can help assess whether your condition is improving or if further intervention is needed.

6. Hearing Protection: In the future, consider using earplugs designed for concerts. These can help reduce the intensity of sound without distorting the music, protecting your ears from potential damage.

7. Stress Management: Stress can exacerbate symptoms of ear discomfort and tinnitus. Engage in relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage stress levels.

8. Cognitive Behavioral Therapy (CBT): If you find that anxiety about your hearing is affecting your quality of life, consider speaking with a mental health professional. CBT can help you develop coping strategies for dealing with the stress of hearing issues.

In summary, while your symptoms are concerning, they are often reversible with proper care and attention. By following the above recommendations and maintaining open communication with your healthcare provider, you can support your recovery and minimize the risk of future hearing issues. If your symptoms persist or worsen, do not hesitate to seek further medical evaluation. Your hearing health is important, and proactive management can lead to better outcomes.

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