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Noise sensitivity (hyperacusis)
Symptoms of hyperacusis

You may have hyperacusis if some everyday sounds seem much louder than they should. It can sometimes be painful.

You may be affected by sounds like:

  • jingling coins
  • a barking dog
  • a car engine
  • someone chewing
  • a vacuum cleaner

Hyperacusis can affect 1 or both ears. It can come on suddenly or develop over time.

Other types of hearing sensitivity include:

  • some sounds triggering an upsetting emotional response like anger or disgust (misophonia)
  • some sounds making you anxious (phonophobia)
  • your ears having trouble adjusting between quiet and loud sounds (recruitment)

See a GP if:

  • everyday noises feel too loud or painful

Your GP may refer you to a hearing specialist for further tests and treatment.

Treatment for hyperacusis

If hyperacusis is caused by another condition, such as migraines or Lyme disease, treating the condition may help with your hyperacusis.

You can also be offered treatment to help make you less sensitive to everyday sounds.

This could be:

  • sound therapy to get you used to everyday sounds again, which may involve wearing ear pieces or using a portable speaker that makes white noise
  • cognitive behavioural therapy (CBT) to change the way you think about your hyperacusis and reduce anxiety

If you find any sounds made during sound therapy uncomfortably loud or they cause you pain, then you should stop and contact your doctor for advice.

Things you can try to ease hyperacusis

Do

Don't

  • do not wear earplugs or muffs all the time because this could make you more sensitive to noise – short-term use may help in very noisy environments

  • do not avoid noise completely – this can mean you miss out on regular activities and make you more sensitive to noise

Causes of hyperacusis

The cause of hyperacusis is unclear.

It can appear on its own or after hearing a sudden loud noise, such as fireworks.

It can also appear alongside other conditions, like:

Children are often more sensitive to loud noises than adults. It often gets better as they get older.

But some children may become more sensitive to noise than others after having glue ear (where the ear fills up with fluid), for example, or if they have another condition, such as autism.

Last Reviewed
12 May 2026
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We are an nhs community pharmacy in Stivichall, South Coventry, convenient for customers in Cheylesmore, Whitely, Earlsdon, JLR and Warwick University. We offer a Weight Loss Clinic, Travel Clinic, Ear Wax Removal Clinic, Wart and Varucca removal, early baby gender DNA test, Vitamin B12 injections, private and NHS Covid and Flu vaccinations, Monitored Dosage tray service, Medical Cannabis and all the usual NHS pharmacy services including the NHS Blood Pressure check and NHS contraception service.
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