Hyperacusis

Hyperacusis is a rare auditory condition characterized by an increased sensitivity to normal environmental sounds. Individuals with hyperacusis perceive ordinary sounds as unbearably loud or even painful, which significantly impacts their quality of life.

Hyperacusis affects approximately 1 in 50,000 people but may vary based on underlying conditions like tinnitus or neurological disorders.

It can occur in people of all ages but is more commonly reported in adults.

Probable Causes of Hyperacusis:

Hyperacusis is typically linked to abnormal functioning of the auditory system, though its exact causes are not always clear. Some probable causes include:

1. Auditory Damage:

Noise-induced hearing loss.
Acoustic trauma from loud sounds.

2. Neurological Disorders:

Bell's palsy.
Migraine
Autism spectrum disorder.

3. Medical Conditions:

Meniere’s disease: chronic disorder of the inner ear that affects hearing and balance.
Lyme disease: a bacterial infection that primarily affects the skin, joints, nervous system, and heart.

4. Mental Health Factors:

Anxiety or depression may amplify perception of sound

5. Drug-induced Sensitivity:

Certain medications, like benzodiazepines, may disrupt auditory processing.

6. Idiopathic Causes:

In some cases, no specific cause is identifiable.

Symptoms of Hyperacusis

Increased sensitivity to everyday sounds (e.g., running water, clinking dishes).
Pain or discomfort in response to specific noises.
Ear fullness or pressure.
Difficulty tolerating social environments due to noise.
Emotional distress, anxiety, or irritability caused by sound exposure.

Risks and Complications

Social Isolation: Avoidance of noisy environments may lead to loneliness.
Mental Health Issues: Anxiety, depression, and emotional distress are common.
Sleep Disruptions: Sensitivity to ambient noise may interfere with sleep.
Physical Symptoms: Chronic exposure to perceived loud noises can lead to headaches, nausea, and increased stress.

Ayurvedic view point

In Ayurveda, hyperacusis can be understood as a disturbance in the Vata Dosha, particularly in the auditory channel. ShrotrendriyqA Imbalance in Vata affects the nervous system and auditory perception, resulting in hypersensitivity to sounds.

Aggravating Factors: Excessive noise, poor diet, chronic stress, and weakened nervous tissue.

Ayurvedic Treatment for Hyperacusis

Ayurvedic treatment aims to balance the doshas, strengthen auditory pathways, and calm the nervous system.

Ayurvedic procedures

Karna Purana: Medicated oils like Bilva Taila or Kshirabala Taila are poured into the ears to calm Vata.
Shirodhara: Continuous pouring of warm medicated oils over the forehead to soothe the nervous system.
Abhyanga: Full-body oil massage to stabilize Vata.
Sound Therapy: Exposure to soft, natural sounds (e.g., birdsong, gentle water flow) may gradually desensitize the auditory system.

Herbal Remedies

Ashwagandha (Withania somnifera):

Reduces stress and strengthens nerves.

Brahmi (Bacopa monnieri):

Enhances brain function and reduces auditory sensitivity.

Shankhpushpi (Convolvulus pluricaulis):

Calms the mind and reduces hypersensitivity.

Dashamoola:

Helps alleviate Vata imbalance.

Rasayana (Rejuvenation)

Chyawanprash: For systemic rejuvenation and immunity enhancement.
Medhya Rasayanas: Specific herbs like Brahmi and Shankhpushpi to improve cognitive and auditory function.

Diet and Lifestyle Modifications:

Favour warm, moist, and easily digestible foods.
Include ghee, almonds, sesame seeds, and milk to nourish the nervous system.
Avoid cold, dry, and overly processed foods.
Maintain a regular daily routine (Dinacharya).
Practice relaxation techniques like Yoga and Pranayama.

While hyperacusis may not always have a definitive cure, Ayurvedic treatment, combined with sound desensitization therapy and psychological support, can offer significant relief. Early diagnosis and holistic management improve outcomes and quality of life.