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Troubleshooting Your Hearing Aid - Part 2

by Mark Ross, Ph.D.

Protection and Storage

Hearing Aid Batteries

Earmolds and Tubing (for behind the ear aids)

In-The-Ear Hearing Aids (of all types)

Hearing Aid Problems

Insuring Your Hearing Aid

One Final Thought

Earmolds and Tubing (for behind the ear aids)

Keep earmolds clean. If the sound bore seems clogged with wax, clean it gently with a pin, wire-loop, or toothpick. At regular intervals, remove the earmold from hearing aid and wash it with gentle soap and water. Be sure the mold is dry before reconnecting to the hearing aid, as even a bit of liquid can interfere with the sound transmission. A forced-air earmold cleaner (squeezable rubber) is useful for cleaning both earmold and tubing. This can be obtained from a hearing aid dispenser. Also obtainable from hearing aid dispensers are non-alcoholic "audio-wipes" with which the surface of the earmold can be cleaned frequently (every day is not too much!).

The clear plastic tubing connecting the earmold with behind-the-ear types of hearing aids will need to be replaced periodically. Make regular checks to be sure it is not cracked, dried out, or bent. Also, watch out for possible droplets of moisture caused by humidity or perspiration. These should be removed by gently blowing through the tube until it is dry, or using the forced-air earmold cleaner mentioned above. If this is a frequent problem for you, ask your hearing aid dispenser or audiologist about the new moisture-resistant tubing.

In-The-Ear Hearing Aids (of all types)

Dried cerumen (earwax) on the hearing aid surface can irritate the ear canal as well as cause infections. It is a good idea to wipe if off with a dry cloth, tissue, or "audio-wipes" whenever you remove it from your ear or before you reinsert it in the morning. Do not use any type of liquid solution to clean an in-the-ear hearing aid.

Cerumen infiltrating into the hearing aid sound bore is one of the most frequent reasons for hearing aid malfunction. What happens is that the earwax gets lodged in the sound bore and either blocks the sound or interferes with the function of the hearing aid receiver (the hearing aid "loudspeaker"). Many hearing aids come with a "wax loop" or other means to keep wax out of the hearing aid. If a hearing aid does not include this feature, then a replaceable, acoustically transparent band-aid (ad-hear) will protect the sound bore from wax. These can be obtained from your hearing aid dispenser. Or if none of the above is available, then you can use a wire loop to remove the wax (but be careful not to insert the wire loop very far into the sound bore).

Hearing Aid Problems

If the Aid Does Not Work At All

Make sure the aid is turned on (don't laugh; this happens!). Make sure that that the T-switch is correctly positioned (not in the "T" position). Check if the battery is inserted correctly (+ and - in the right place). If you have to force the battery, you probably have it wrong. Check to see that the battery is not dead. If in doubt, try a new one (where you have to remove the sticky paper flap off the battery surface). A dead battery is the most common reason for "dead aids". Check battery contacts to be sure they are not corroded. Check tubing to be sure it is not clogged with moisture (shown by water or condensation in the tube). Check earmold to be sure that sound bore is not clogged with wax.

If Sound is Weaker Than Usual

Check battery. Replace if necessary.

Check tubing for cracks, fraying, moisture, etc. Replace if necessary.

Check that the earmold is not clogged with wax.

Reposition the earmold for a tighter fit; it may have been whistling (feedback) at a pitch you cannot hear.

If Aid Goes On/Off or Has Scratchy Sound

Flick on/off switch back and forth, in case dust or lint has collected in the controls.

Check battery contacts.

Think where you have been. If in a very humid environment or have experienced excessive perspiration from vigorous activities, moisture may clog the aid and distort sounds. Use a hearing aid dehumidifier overnight and try again (see discussion above under "Moisture").

Check the tubing from earmold to the hearing aid and replace it if bent, cracked, frayed.

If the Aid Whistles ("Feedback")

Probably an earmold problem. Remove the aid, put a finger over the earmold hole. If the whistling stops, the earmold was not properly inserted in the ear, or is not a good fit. Try it again in the ear; if the whistle continues, consult your hearing aid dispenser.

Sometimes feedback may occur when you have a blockage of wax in the ear canal, a stiff eardrum (from a cold, for example) or any condition that causes sound to be reflected from the ear canal. In these cases, the earmold may be fine, and the feedback will disappear when the condition is corrected.

Check volume control; it may have been turned too high.

Insuring Your Hearing Aid

When purchasing a new aid, you may wish to consider insuring it against damages from such as fire or water, accidental breakage or automobile accidents, theft or other disappearance. A policy may be obtained within 90 days of the purchase of an aid. For information about such insurance policies, ask your hearing aid dispenser. We hope the above tips will help you add years to the life of your hearing aids. Remember, if you have consistent problems, you may need a new hearing aid with a different power range, or new earmold. Hearing levels and even the shape of ear canals DO change, particularly as we move into the later years of life.

One Final Thought

For people who need them, hearing aids can markedly improve the quality of life. However, a hearing aid is often not enough. Consider the use of other types of hearing assistive technologies (such as TV listening, telephone, and signaling and warning devices). Check these out with SHHH members and with your hearing aid dispenser.

Here's Part One