Hyperacusis

Also called Sound sensitivity or Noise sensitivity

Hyperacusis is when everyday sounds, such as running water, cutlery or traffic, seem much louder than they really are, or cause discomfort or pain. It can affect one or both ears and may come on suddenly or slowly. It is often linked to tinnitus, ear damage, head injury, migraines or some other conditions.

Last updated Nov 9, 2026

What it is

For some people it gets better by itself. Treating any underlying cause can also help.

Sound therapy, counselling such as cognitive behavioural therapy (CBT), and gradually getting used to everyday sounds again can help. Wearing earplugs all the time can make it worse.

Common signs

  • Everyday sounds seeming too loud
  • Discomfort or pain in the ears from noise
  • Feeling anxious about noise
  • Avoiding busy or noisy places
  • Ringing or buzzing in the ears

How it is usually diagnosed

  • Questions about symptoms and how sound affects you
  • Ear examination
  • Hearing tests, including tests of how loud sounds feel

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Hearing test results
  • Ear, nose and throat (ENT) or audiology letters
  • Sound therapy plans

Questions to ask your doctor

  • What might be causing this?
  • Should I use earplugs or not?
  • Can I be referred for sound therapy?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Sudden hearing loss, or sound sensitivity after a head injury: see a doctor the same day

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources