Forum: Children with Vision, Hearing & Sensory Issues
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my name is nicole and i found out the other day that my dd has to go for a hearing test. my doctor thinks she has a hearing impairment, she is almost 3 years old. he thinks that because she might have a hearing impairment thats why she is not talking. you call her name and she does not even act like your talking to her but when she is facing you and you call her name she shows that you called her (if you know what i mean). i am worried about her and have been for some time. my mom is the one that told me to get her hearing checked as my bother has a hearing impairment and has hearing aids and i am boarder line def in my left ear, so out of everyone i think she know what she is talking about lol. how do they do a hearing test on a small child. i know when they did mine i was around 6-8 years of age and they put me in a sound proof room and did different pitches of sound. can someone help me and if she does have a little bit of hearing impairment what will they do ???????????????????
i am just so stressed out. i have been dealing with my sons problems and all his doctors appointment then she goes for a check up and now i have to do things for her (happy we are done with her bothers appointments ) but i thought ok now we can just enjoy things no more running around. but i am happy that they are looking into things.
so can you guys give me info about how they do a hearing test and what will happen if she does have a hearing impairment
Welcome, Nicole! My younger son, Danny, just turned 3 and is profoundly deaf in both ears. He was diagnosed at 3 months old.
There are two different hearing tests that can do at 3, a booth test and a sedated/sleep ABR (auditory brainstem response). I'm not sure which they will go with; they may try to do her in a sound booth using play, where they get her to put objects into a bin, onto a ring, stack blocks, something like that every time she hears a sound - and then they will do different pitches and levels like you remember from your test. If they go for the ABR, she will need to be asleep or sedated, and they will attach electrodes to her head in a couple different spots, then in a sound proof room, they will present different tones, pitches, and levels and measure the response of the brain stem to sound. That is what they did for Danny since he was so young.
What happens from there pretty much depends on the finding of the test. If it is a conductive loss (many young hearing losses are due to excess fluid & ear infections), they can use ear tubes to drain the fluid and potentially get her hearing again. If it's a nerve-related loss, they will probably move to a hearing aid trial, to see what kind of results she gets with hearing aids. Around here at least, they always start with a hearing aid trial to make sure the results of the testing were correct.
From there, if hearing aids don't get her access to speech sounds, they may look into a cochlear implant which can electrically stimulate the hearing nerve. Deaf children can hear, listen, and speak at or near an age-appropriate level with cochlear implants and some therapy to help them "catch up" on the language they've missed before diagnosis. Or, of course, there is the option to leave her un-aided and pursue sign language and the Deaf community - that's a personal choice your family would have to make.
Good luck, Nicole! I hope I didn't go into information overload for you... With luck, it's just fluid on her ears and some tubes can get her hearing. I have a friend whose son had a lot of hearing loss until around 3 from ear infections and fluid, and he hears perfectly now. If you have ANY questions, I'd be glad to help answer them...and please let us know how it goes with her hearing test!
well she does have a lot of ear infections we just got done treating one like 3 weeks ago or so. would the doctor be able to see fluid in her ears as he checked her ears and said they looked great ? i dont know anything about this aaarrggghhh i hate the unknown. its so stressful know that there is/might be something wrong with your child and being unable to deal with it right away and having to wait, and then she has to suffer becasue there is like a block infront of her and no matter how hard we try we can understand her and then she has mini meltdowns. she also does not understand inside voice (we were out today) and everytime we talked to her she would do her way of talking back but it was more of a yelling, she does the same at home but i just put it at she is playing and being loud (i am starting to see it more that she really cant hear us very well now that the doctor said something )
i just got done with deal with the waiting stuff with my son and his problems and just got done with the doctors appointments and the physio and now have to start all over again with emmy (but with her speech as the doctor is sending us to help her with her speech) it takes a big toll on you. i just want my babies to be fine...we are planing to learn sign language even before this came up because well it will help them both out in the long wrong if my bother loses his hearing altogether as he is getting worse (as to what i heard )
and thank you for all the info its helpful and make me feel alot better knowing more about it
LOL @ resident specialist. We all have our stuff, don't we?
As far as the doctor noticing the fluid, it depends on the doctor. I had one pedi that kept mis-diagnosing ear infections and fluid on my older son, so it's not a sure thing - you'd want a specialist to take a look. A lot of ear infections is a good sign of fluid that isn't draining, and if it's clear (aka, when it's not infected), it can be easily missed. Along with a hearing test, you might ask for a referral to an ENT to address the ear infections; they also have a chance of damaging the ear drum if she gets them often enough and they get bad enough!
It definitely sounds like a mild-moderate loss, and quite possibly fluid related. I hope you can get some answers soon! I remember the wait between being referred as "he may have some hearing loss" and his actual test being just dreadful! Try as best as you can to set this aside and just keep being mom and loving on your daughter (and that adorable baby of yours!) until you can figure it out. Having to go through this stuff non-stop definitely gets trying... Danny's been through so many therapies my head spun some weeks!
Just remember - even if she DOES have a hearing loss, you're catching it, treating it, and it WILL be fine. It may take a little bit to get there is all. Hugs to you!
we got our appointment for the hearing test for the 28th of this month..it could have been next monday but we have to go out of town. but still so close...they told me they are going to the one with the toy 1st before the sleep one...awww feel better oh and my sisters little girl has to also have a hearing test and its a 2 year wait for just an appointment :O
A 2 year wait?? OMG! I would keel over and die if someone told me I had to wait 2 years for ANYTHING.
I'm glad they're going with the play-based test first. I figured that's what they probably would do, but I wasn't sure. We didn't have options at 3 months old - I was just told to bring him in and make sure he had plenty of food (aka, boobs, haha).
2 years is insane!!! My friends son just had to go through hearing tests (he is autistic in my non doctor opinion) but they had to rule out everything. They did the toy one first he failed, did it again failed... did hte sleep one and passed
no need to understand anything. What they do is put them in a little room and each side has little doors that open with toys in the. Puppets and such. Then it opens and makes a noise. If they tunr there head to it, they pass
Even if she doesn't behave well for the test, they are good at getting information out of young kids - they do it all the time! Heck, after his initial ABR test, they always did booth testing with Danny, and they got consistent reads from him when he was like 4 and 5 months old. They try to use the play testing, but there are also a number of physical "reads" they can do on a child to help reinforce the testing. Some audiology labs also have what's called VRA, visual reinforcement audiometry. Basically, they've got these 2 boxes that, when they push a button, light up and have characters dancing or something fun in it. They place them to the left and the right of the child, and distract the child right in front with a toy. When they play a sound, they gesture to one of the boxes and make it light up. After a few times, the child comes to associate the sound with the fun stuff in the box, and if they hear something they'll look for the cool dancing bear or whatever it is. It's sort of an "in between" for the kids that don't do well with the directed play testing.
Just wanted to say ditto to everything that has been said. Don't worry at all about her during the test. They are fairly stress free and laid back. We have dealt with excessive ear infections that brought hearing loss that tubes fixed for us. Keep your head up, it might not slow down but you learn to cope.