What You Need To Know About Central Auditory Processing Disorders

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Central Auditory Processing Disorders (CAPD) is supposed to be a type of physical hearing impairment but it does not demonstrate any hearing loss during routine screenings and on an audiogram. It actually impacts the hearing system way beyond your ear. This adversely affects the job of differentiating a meaningful or decipherable message from unnecessary background noise and delivering that information with proper clarity to the brain’s intellectual centres or our Central Nervous System. When you get incomplete or even distorted auditory messages, you tend to lose a key connection with other people and the world in general.

Specialized Testing for Identifying CAPD

Specialized testing would be necessary for identifying the CAPD issue. Some tests used by educational psychologists, educational therapists, andneuropsychologists could help in indicating that Central Auditory Processing Disorders could be present. These would be including auditory memory tests, tonal pattern recognition, sequencing, or even sound blending and information storage, in general, that is mostly assimilated through listening. The most precise way of sorting CAPD from any other issues is by opting for the clinical audio logic tests relating to your Central Nervous System. These tests prove to be effective in locating the problem site, managing and effectively reducing the effects.

Some CAPD Signs You Must Not Ignore

When you see the following signs in your child, it is best to take him/her to the hearing clinic and consult with a qualified audiologist.

•           Incredibly sensitive to sounds.

 •          Likes to listen to T. V. or even talk louder than usual.

•           Speech delays or speech developed unclearly.

•           Issues with rapid speech.

•           Not good at “communication.”

•           Often requires remarks repeated.

•           Memorizes poorly.

•           Interprets every word too literally.

•           Hears better while facing or watching the speaker.

•           Difficulty in sounding out words.

•           Difficulty in following a series of directions.

•           Often confused with similar-sounding words.

•           Asks excessive extra informational questions.

•           Ignores people around him or her, particularly when engrossed.

Characteristics of Central Auditory Processing Disorders

Poor Listening Abilities

A child suffering from CAPDs may demonstrate difficulties in paying attention and this is actually, referred to as the auditory memory deficit. The child may make requests for repetition frequently. He would be having issues with memorizing or remembering verbal information. He would possess poor communication skills like he could be abrupt while speaking or be explicitly terse while talking to someone.

Problems in Following a Series of Directions

A child suffering from CAPDs may have major issues in following multi-step or a series of instructions, particularly, if they are verbal directives. For children afflicted with Central Auditory Processing Disorders, every step must be clearly understood before going on to the following step.

Poor Organizational Abilities

Poor organizational and planning skills are some of the key characteristics of Central Auditory Processing Disorders. Any patient with CAPD may not have the necessary attention span for planning and following through any long-term assignment. He would be hugely benefitted in a perfectly structured environment. In this context, you must appreciate that the cutting-edge assistive learning technologies could be immensely helpful.

Difficulty in Reading & Comprehension

Children with CAPD actually, prefer written instructions; demonstrate poor spelling and reading skills. As such, they are characterized by poor note-taking abilities.

Distracted Easily by Sounds

A person having Central Auditory Processing Disorders would be incredibly sensitive to sounds and would be having a lot of problems in hearing, as well as, comprehending in a really loud environment. He or she would be distracted quite easily by noise and demonstrate tremendous trouble in paying attention or concentrating if there is some background noise.


CAPD would adversely affect the academic, communication, and social skills of a child. Children with Central Auditory Processing Disorders would not usually be speaking clearly. They would have problems in developing spelling, reading, and writing abilities. Children with CAPDs generally have problems in telling jokes and stories and they would be consciously avoiding conversations with peers as it becomes increasingly difficult for them to understand what is being discussed and to come up with some appropriate response. Do not forget that CAPD could present lifelong issues if it is not diagnosed correctly and effectively managed. So get in touch with your audiologist at once. If you still have doubt, contact our audiologist in Southern River Family Practice and make a appointment today.

What You Need To Know About Hearing Loss And Memory Problems?

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Hearing loss is a common phenomenon and it could affect individuals across all age groups. The main causes for hearing impairment could be hereditary factors, trauma, ear disease, noise exposure, and most importantly, age. Hearing loss is known to trigger cognitive decline and memory loss in older adults. Audiologists have been seeing a boost in demand for their services by aged clients whose communication issues are triggered by hearing impairment and cognitive decline. For all these aged people, early detection or diagnosis of cognitive decline is crucial as it is mandatory to provide prompt medical intervention and also assure social support.

Hearing Loss & Cognitive Decline

According to researchers and experts in the field of audiology, hearing loss is certainly a factor in deteriorating mental acuity in aged individuals. Persons with severe hearing loss would be having greater chances of developing some sort of a cognitive disorder and a definite boost in mental function decline while individuals with even mild hearing would be experiencing cognitive issues such as dementia, memory changes, and even increased falls.

The exact connection between hearing impairment and cognitive decline is yet not completely understood. It could possibly be because of a surge in cognitive load. The brain is overwhelmed because of increasing demands on its already limited resources. Hearing impairment could result in increased social isolation to which aged adults seem to be already prone to. Social isolation is certainly a risk factor for dementia and cognitive impairment according to audiologists.

Diminished hearing abilities could result in reduced brain stimulation, which again is a great risk factor for declining thinking abilities. It could also be plausible that by compelling the brain to work overtime for effectively processing the signals coming from the ears, it is obvious that the hearing impairment would be taking away all the energy and vitality from the brain’s thinking parts.

Ways Hearing Loss Could Cause Memory Problems & Dementia

Physiological Pathway: Perhaps the most obvious cause is a physiological pathway that plays a role in cognitive decline, as well as, hearing loss, like blood pressure.

Cognitive Overload: The most common cause of memory loss issues is the cognitive overload which is actually, the constant endeavour you are putting in, for understanding what you are apparently hearing. You are constantly straining and this could prove to be stressful to your brain. Moreover, an older adult has been drawing away resources from brain functions like working memory would eventually bring down the resilience of the brain.

Changes in Brain Structure: Experts believe that hearing impairment could affect the brain structure in such a manner that cognitive issues or memory problems would arise. Images of the brain demonstrate that aged individuals with hearing impairment have relatively less grey matter in that portion of the brain that is known to receive and process sounds coming in through the ears. This does not imply that they are losing brain cells.

You could say certain brain cell structures are shrinking due to lack of stimulation. Many experts believe that when the brain is again able to receive clearer speech signals with the use of cutting-edge hearing aids, these brain structures could be recovering and going back to their previous function and size. This may lead to the restoration of hearing.

Social Isolation: Social isolation seems to play a pivotal role in cognitive decline or memory problems. When you are having hearing issues, you tend to avoid friends and social gatherings as it becomes difficult to carry on a conversation. When you become socially isolated there would be a definite increase in the risk of cognitive decline leading to dementia.


It would possibly take a lot more research for accurately determining what factors lead to memory issues triggered by hearing loss. The important thing is to understand that an advanced hearing loss treatment including state-of-the-art hearing aids could be successful in delaying or preventing cognitive decline and even dementia.

Our audiology clinic in Southern River Family Practice offers varies hearing solutions for all your hearing problems. Feel free to make appointment today with our audiologist to understand further on preventing hearing loss.

What Is Middle Ear Infection Management?

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Middle ear infection is also referred to as the otitis media and is triggered by some virus or bacteria. Middle ear infections are often known to occur simultaneously with allergies, cold, enlarged adenoids, throat, and nose infection. Generally, middle ear infections would be clearing up without any long-term effects or serious issues.

Middle Ear Infection Management

Most of the times middle ear infections would become better and clear up on their own but sometimes they need to be treated with effective antibiotics. Your child’s audiologist would be determining if antibiotic treatment should be initiated. Otitis media does not usually involve permanent damage to your ears and even hearing issues are known to be temporary. Treatments may include any or all of the following depending on case specifications.

Observation without Antibiotics

The doctor would be deciding that your kid need not be treated with antibiotics for the middle ear infection for the time being depending on your child’s age and the severity of the infection. Many ear infections clear up by themselves without any kind of antibiotics. The audiologist would inform you about the symptoms and how long they would normally be lasting for.

If an earache subsides after some days, and if the symptoms are clearing up, your child may not be prescribed any antibiotics. If even after 48 hours, there is no sign of any improvement, antibiotics would be started and you would need to wait for minimum another 48 hours to see the effects of the antibacterial medication.

Treatment with Antibiotics

Some middle ear infection cases would necessitate immediate antibiotic treatment. The symptoms that necessitate prompt antibiotic treatment are:

  • Moderate to Severe Earache
  • Dehydration
  • High Fever over 38.8°C or102°F
  • Chronic clinical conditions such as cystic fibrosis or heart disease that could put a patient at a risk of further complications from any kind of ear infections
  • Children who are not even 2 years old as risk of complications seem to be much higher in case of very young kids.
  • If there is no improvement in condition or if the condition takes a turn for the worse within 48 to almost 72 hours from the commencement of the illness.

Antibiotics are prescribed by the doctor only when he thinks that the symptoms demand it and these are necessary to effectively kill the bacteria responsible for an earache and infection. You must remember to administer the regular doses and continue doing so till the antibiotic course is finished. You must complete the course even if the pain subsides and the fever goes away. It is important to complete the antibiotic course to avoid any further risks of the infection flaring up again. Antibiotics may trigger side effects like diarrhoea, nausea, yeast infections or rashes and they may interact with some other medications. Very rarely allergic reactions would be occurring after administration of antibiotics.

Pain Relief Medications

Ibuprofen or Acetaminophen could be effective in relieving an earache or even keep the temperature down until antibiotics prove their efficacy. These medicines are effective in controlling the pain within just a couple of hours of consuming them. An earache is usually, more painful during bedtime. You could use a warm compress that is applied outside the ear for effective pain relief. This is generally, not recommended in case of an infant.


If your doctor examines and discovers that there is fluid in your ear for over 3 months, he would be suggesting Myringotomy. This procedure involves insertion of the small plastic or metal tubes through your eardrum for equalizing pressure between your outer and middle ear. This is basically an outpatient procedure meant for children. This procedure is mostly done with anaesthesia. The tubes would be left alone for six months to about a year. They would be falling out by themselves. You need to keep your outer ear free from water and completely dry till the holes are closed completely.


Middle ear infection is not supposed to be contagious and kids could go back to school or return to day-care once the fever goes away and the pain subsides. Air travel is allowed. Chewing on gums, swallowing fluids or sucking a pacifier could be helpful in relieving discomfort and uneasiness during air travel. If you still unclear about middle ear infection, feel free to contact us today for a appointment.

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