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Recognising Hearing Problems in Children and Understanding Key Signs and Symptoms

by Raegan

Hearing is one of the key senses children rely on to learn, interact, and develop language and social skills. Early detection of hearing problems is crucial because untreated hearing loss can hinder speech, language, social, and cognitive development. Understanding the signs and symptoms of hearing problems in children empowers parents, caregivers, and educators to seek timely intervention and offer the best support.

Understanding Hearing Problems in Children

Hearing problems in children can present as either temporary or permanent. Causes range from congenital issues present at birth, to infections and injuries acquired during childhood. Some children may experience mild difficulties that are hard to notice, while others may have more profound hearing challenges.

Common Causes:

  • Congenital factors: Genetic conditions or complications during pregnancy and birth can result in hearing loss.
  • Infections: Recurrent ear infections (otitis media), measles, and meningitis are known contributors.
  • Injuries and noise exposure: Trauma to the head or exposure to loud noises can affect hearing.
  • Other medical conditions: Issues such as glue ear and certain medications can also be involved.

Key Signs and Symptoms to Watch For

Identifying hearing loss early can be challenging, especially in infants or toddlers who may not communicate well verbally. However, there are indicators at different developmental stages that can help signal potential concerns.

In Infants (0–12 months)

  • Does not startle or react to loud sounds.
  • Fails to turn towards the source of a sound after 6 months of age.
  • Responds inconsistently to voices or noises.
  • Does not babble, or babbling decreases after a few months.

In Toddlers (1–3 years)

  • Limited, unclear, or delayed speech.
  • Does not respond when called by name, especially from another room.
  • Frequently increases the volume on electronic devices.
  • Appears inattentive or daydreams often.
  • Relies heavily on visual cues or gestures to communicate.

In Preschool and School-aged Children

  • Difficulty following verbal instructions, especially in noisy environments.
  • Regularly asks for repetition or clarification (“What?” or “Huh?”).
  • Problems with academic performance, particularly in language-related subjects.
  • Complains of ear discomfort or noises such as ringing.
  • Social withdrawal or frustration during group activities.

Why Early Detection Matters

Prompt identification and intervention can significantly improve outcomes for children with hearing problems. Early support can aid in:

  • Developing age-appropriate speech and language skills.
  • Enhancing social and emotional well-being.
  • Improving academic readiness and success.

New Zealand’s early childhood curriculum, Te Whāriki, places importance on each child’s holistic development, including their ability to communicate, participate, and belong within their learning environment. Recognising hearing problems is therefore vital for educators and caregivers in fostering inclusive and supportive spaces.

What To Do If You’re Concerned

If you suspect your child may have a hearing problem:

  • Discuss your observations with your child’s health provider.
  • Request a hearing assessment from an audiologist.
  • Share concerns with early childhood educators, as they often notice signs in group settings.

In early childhood centres, teachers are trained to observe children’s engagement, social interactions, and communication, and can support families in recognising and responding to early signs of hearing difficulties. Collaborative approaches between families, educators, and specialists lead to the best outcomes for children with hearing challenges.

Conclusion

Hearing problems in children can often be subtle, but staying attentive to developmental milestones and trusting your instincts as a parent or caregiver can make a significant difference. Early detection and appropriate intervention provide children with the best opportunity to succeed socially, emotionally, and academically.

For further information on child development and creating supportive early learning environments, there are numerous resources available that focus on nurturing each child’s unique needs during their formative years.

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