Noise sensitivity (hyperacusis) (2024)

Hyperacusis is when everyday sounds seem much louder to you than they should. Treatment can help. See a GP if you think you have hyperacusis.

Check if you have hyperacusis

You may have hyperacusis if some everyday sounds seem much louder than they should. It can sometimes be painful.

You may be affected by sounds like:

  • jingling coins
  • a barking dog
  • a car engine
  • someone chewing
  • a vacuum cleaner

Your sensitivity to noise can affect relationships, school or work and your general wellbeing.

Hyperacusis can affect 1 or both ears. It can come on suddenly or develop over time.

Other types of hearing sensitivity include:

  • some sounds making you angry (misophonia)
  • some sounds making you anxious (phonophobia)
  • your ears having trouble adjusting between quiet and loud sounds (recruitment)

Non-urgent advice: See a GP if:

  • everyday noises feel too loud or painful

Your GP may refer you to a hearing specialist for further tests and treatment.

Treatmentfor hyperacusis

If hyperacusis is caused by another condition, such as migraines or Lyme disease, treating the condition may stop your hyperacusis.

If there's no clear cause, you may be offered treatment to help make you less sensitive to everyday sounds.

This could be:

  • sound therapy to get you used to everyday sounds again, and may involve wearing ear pieces that make white noise
  • cognitive behavioural therapy (CBT) to change the way you think about your hyperacusis and reduce anxiety

Things you can try to ease hyperacusis

Do

Don’t

  • do not use earplugs or muffs unless you really need to

  • do not avoid noisy situations, as this will make you become even more sensitive to noise

Causes of hyperacusis

The cause of hyperacusis is unclear.

It can appear on its own or after hearing a sudden loud noise, such as fireworks.

It can also appear alongside other conditions, like:

Children are often more sensitive to loud noises than adults. It often gets better as they get older.

But some children may become more sensitive to noise than others after having an ear infection, for example, or if they have another condition, such as autism.

Page last reviewed: 10 November 2022
Next review due: 10 November 2025

Noise sensitivity (hyperacusis) (2024)

FAQs

What is the difference between sound sensitivity and hyperacusis? ›

Hyperacusis is a hearing disorder that makes it hard to deal with everyday sounds. You might also hear it called sound or noise sensitivity. If you have it, certain sounds may seem unbearably loud even though people around you don't seem to notice them.

How to treat hyperacusis at home? ›

Treatment for hyperacusis
  1. wearing hearing protection in noisy environments, such as when working with power tools or being around loud music. ...
  2. reintroducing everyday sounds as soon as possible – this is known as desensitisation.
  3. asking people to avoid raising their voice when they speak to you.

Can hyperacusis go away on its own? ›

The reason hyperacusis does not typically “go away” on its own because of the underlying damage that is typically associated with it; however, each case is unique and a professional trained in decreased sound tolerance (i.e., an Audiologist) is best to seek advice and treatment from once any underlying medical ...

How do you desensitize hyperacusis? ›

Treatment for hyperacusis

If there's no clear cause, you may be offered treatment to help make you less sensitive to everyday sounds. This could be: sound therapy to get you used to everyday sounds again, and may involve wearing ear pieces that make white noise.

What can be mistaken for hyperacusis? ›

Hyperacusis and phonophobia are two subjective phenomena that sometimes are indistinguishable, as their descriptions very much rely on information from the patient. The definition of both can also be confusing, and in many medical publications, the terms hyperacusis and phonophobia have been used in the same context.

What vitamin helps hyperacusis? ›

While more research is needed to fully understand the link between magnesium, vitamin B6, and noise sensitivity in neurodiverse individuals, these studies suggest that increasing magnesium and vitamin B6 levels may be a potential treatment option for noise sensitivity for some people.

Can you fully recover from hyperacusis? ›

The pace and degree of recovery varies from person to person. Recovery may happen over weeks or months. It may improve with “auditory rest” or may require specific intervention. Hyperacusis may resolve completely or there may be lingering sensitivities that require modifications to lifestyle or work.

Is hyperacusis permanent? ›

There isn't a cure for hyperacusis, but depending on what's causing it, your symptoms may improve in time. For example, hyperacusis following surgery may go away once you heal from the procedure. People with Ménière's disease may notice an improvement if the disease goes into remission.

Do earplugs help hyperacusis? ›

Wearing earplugs or earmuffs may provide immediate relief from an environment that seems uncomfortably loud, but when the individual eventually removes the earplugs or muffs, that environment will seem even louder than it might have otherwise.

What are the stages of hyperacusis? ›

Signs and symptoms. Hyperacusis symptoms can include an increased perception of the loudness of sounds (loudness hyperacusis), pain (noxacusis/pain hyperacusis/sound-induced otalgia), annoyance, and/or fear in response to sounds by which most people are unaffected. It may affect one or both ears.

Can ear wax cause hyperacusis? ›

Patients with long-term obstructive earwax have reported hyperacusis after its removal.

What products are good for hyperacusis? ›

  • One of particular interest is the inexpensive Hi-Fidelity earplugs. ETY•Plugs® are the world's highest fidelity non-custom earplugs. ...
  • Earmuffs provide maximum protection from noise of all frequencies. ...
  • Noise Cancellation Headphones have been on the market for several years.

How to not let noise bother you? ›

Q. How do you cope with noise sensitivity?
  1. Don't overprotect against sound. The more you protect your hearing, the more fear you invoke about these sounds. ...
  2. Systematically expose yourself to the sounds you hate. ...
  3. Talk to a medical professional. ...
  4. Minimize your stress. ...
  5. Get support.
Dec 15, 2020

What does sound sensitivity feel like? ›

You may experience physical pain in your ear or a feeling of fullness (pressure) that is especially irritating. In addition, many people find that tinnitus (ringing in the ears) accompanies their sensitivity to sound, and some also lose their dynamic range of hearing (the ability to deal with sudden changes in volume).

What neurological conditions cause hyperacusis? ›

There are a variety of neurologic conditions that may be associated with hyperacusis, including: Post-traumatic stress disorder (PTSD) Chronic fatigue syndrome. Tay-Sach's disease (a rare, inherited disorder that destroys nerve cells in the brain and spinal cord)

What triggers hyperacusis? ›

Loud noise is a major cause of hyperacusis. Exposure can happen over time (like playing loud music for many years) or a single occurrence (like hearing a gunshot). Head injury. An injury involving the head, jaw, or ear can lead to hyperacusis.

What is the medical term for sound sensitivity? ›

Hyperacusis is a disorder in loudness perception. Patients suffering from hyperacusis may appear overly sensitive to a range of sounds, finding many noises unbearable and painfully loud.

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