How Do You Know If Your Child Has A Hearing Problem?
Quick Answer: Should I Be Worried?
Hearing problems in children can range from mild to severe, and early detection is crucial. If your bachcha doesn't respond when you call their name, asks "kya?" repeatedly, or speaks louder than normal, it's worth getting their hearing checked. Don't panic - many causes are treatable! The sooner you identify and address hearing issues, the better your child's speech and learning development will be.
What Causes Hearing Problems in Children?
Watch: Summer Baby Care Tips | How to Protect Your Baby from Heat, Dehydration, Rashes & Infections
Hearing loss in children can happen for various reasons:
Types of Hearing Loss
Type
What Happens
Common Causes
**Conductive**
Sound is blocked from reaching inner ear
Ear infections, fluid buildup, earwax, ear injury
**Sensorineural**
Inner ear or nerve damage
Genetic factors, infections during pregnancy, loud noise exposure
**Mixed**
Combination of both types
Multiple factors
Common Causes in Indian Children:
Ear infections (Kaan mein infection) - Very common, especially after colds
Fluid in middle ear - Often after upper respiratory infections
Excessive earwax (Kaan ka mail) - Can temporarily block hearing
Genetic/birth-related factors
Infections during pregnancy - Rubella, CMV
Very loud noises - Firecrackers during Diwali, loud music
Certain medications - Some antibiotics can affect hearing
Age-Wise Signs of Hearing Problems
Newborn to 3 Months
Normal: Startles at loud sounds, calms at parent's voice
Warning Signs:
No startle response to sudden loud noises
Doesn't calm down when hearing your voice
Doesn't wake up to loud sounds
4 to 6 Months
Normal: Turns head toward sounds, babbles
Warning Signs:
Doesn't turn toward sounds
No babbling or cooing sounds
Doesn't respond to your voice
7 to 12 Months
Normal: Responds to name, understands simple words like "no"
Can't follow simple instructions (like "give me the ball")
Speaks less than 10-15 words by 18 months
2 to 3 Years
Normal: Uses 2-3 word sentences, vocabulary growing rapidly
Warning Signs:
Not combining words into phrases
Speech is unclear even to family members
Frequently says "hain?" or "kya?"
School-Age Children (3+ years)
Warning Signs:
Difficulty following directions in class
Asking for repetition constantly
Speaking much louder than others
Watching TV at very high volume
Poor performance in school
Seeming inattentive or "in their own world"
Ear pain or tugging at ears
Delayed speech compared to peers
When to Worry (Red Flags)
Seek evaluation immediately if your child:
Failed newborn hearing screening
Has no speech by 12-15 months
Shows sudden hearing loss
Has ear discharge (pus) or blood
Complains of ear pain with fever
Had meningitis or severe jaundice as a newborn
Schedule an appointment if you notice:
Your child frequently misunderstands what you say
Teachers report attention problems in class
Speech development seems behind other children their age
Child prefers one ear over the other
Balance problems or frequent falls
What to Do: Getting Your Child Tested
Types of Hearing Tests
For Babies:
OAE (Otoacoustic Emissions) - Quick, painless test done at birth
ABR (Auditory Brainstem Response) - Done while baby sleeps
For Toddlers and Older Children:
Behavioral Audiometry - Child responds to sounds through play
Pure Tone Audiometry - Child wears headphones and responds to beeps
Tympanometry - Checks middle ear function
Where to Get Tested in India:
Government hospitals have audiology departments
ENT specialists (kaan, naak, gala specialist)
Private audiology centers
Speech and hearing institutes
Treatment Options
Treatment depends on the type and cause of hearing loss:
For Conductive Hearing Loss:
Ear infection treatment - Antibiotics, ear drops
Fluid removal - Minor procedure by ENT doctor
Earwax removal - Professional cleaning (never use earbuds!)
Surgery - For structural problems or chronic issues
For Sensorineural Hearing Loss:
Hearing aids - Various types available for children
Cochlear implants - For severe hearing loss
Speech therapy - Essential for language development
Sign language - As needed for communication support
Early Intervention Programs:
Many government programs and NGOs in India provide:
Free or subsidized hearing aids
Speech therapy services
Special education support
Home Strategies to Support Your Child
Communication Tips:
Face your child when speaking (they may lip-read naturally)
Get their attention before speaking
Reduce background noise during conversations
Speak clearly, not louder
Use gestures and expressions
At School:
Inform teachers about your child's hearing status
Request front-row seating
Ask for written instructions
Explore special accommodations if needed
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FAQs
Q: My newborn failed the hearing test at the hospital. Does this mean they're deaf?
A: Not necessarily! Many babies fail the first screening due to fluid in the ear canal from birth. A repeat test is usually done, and many pass. Even if there is some hearing loss, early intervention helps tremendously.
Q: Can ear infections cause permanent hearing loss?
A: Usually, no. Most ear infections cause temporary hearing reduction that resolves with treatment. However, repeated untreated infections can potentially cause permanent damage. That's why treating ear infections properly is important.
Q: Should I clean my child's ears with earbuds (cotton buds)?
A: No! Earbuds can push wax deeper and damage the eardrum. Ears are self-cleaning. If you see excessive wax, have it removed by a doctor.
Q: How loud is too loud for children's ears?
A: Sounds above 85 decibels can damage hearing. Firecrackers, very loud music, and some toys exceed this. Use ear protection during Diwali and limit headphone volume.
Q: At what age can a child wear hearing aids?
A: Hearing aids can be fitted as early as a few months of age! The earlier, the better for speech and language development.
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This article was reviewed by a pediatrician and ENT specialist. Last updated: January 2025
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