If you or a family member wears a hearing aid that has a feedback (whistling or chirping noise) problem, it can not only impair the users ability to hear, but also for those around them. It can soon develop into an emotional distress that if not taken care of, may lead to isolation.
There are different causes for feedback; the most common is the mold, or shell, not fitting properly. Let’s talk about some of the ways you can check for fit problems and possibly fix them too.
Solving Acoustic Feedback
Acoustic feedback occurs when the sound coming out of the ear mold or speaker manages to get back to the microphone, and sets up a “loop” that causes it to whistle. Here are some common causes and suggestions for this:
1) Ear wax
A wall of ear wax blocking the ear canal is a very common cause of feedback. Sound waves have pressure as they leave the ear mold. Imagine placing the end of a garden hose against a house with the water turned on. The water would spray out in all directions.
When the sound pressure leaving an ear mold hits a solid wall of earwax, it also sprays in all directions, including out through the vent or any gaps between the ear mold or shell and the ear canal.
If you have a problem with feedback, have someone check your ear canals for ear wax and get it removed. This is the most common cause of feedback
2) Loose fit
Another common cause of feedback is poor and loose fitting ear molds and hearing aids. Many people don’t realize that losing ten or twenty pounds of weight can affect the fit of their hearing aid, causing it to fit loosely.
If feedback begins right after an illness or a hospital stay, it is very likely caused by a loss of weight. A new ear mold or shell remake may be required.
Loose Fit Feedback Home Remedies
a) Test for a fit problem by pressing the hearing aid tighter into your ear with your finger or the eraser end of a pencil (make sure you don’t cover the microphone. If pressing it in or adjusting the angle stops the feedback, this indicates a fit problem. Although, if the feedback does not stop, that doesn’t necessarily mean that it is not a fit problem.
b) Also try plugging the vent temporarily with putty or tape. If this helps, the fit may be a problem.
c) Try putting Keri lotion or Vaseline around the canal of the mold before inserting it. If it is a small gap, this sometimes helps.
d) Old time hearing aid dispensers used to put a coating of clear finger nail polish on the canal portion of hearing aids to make them fit slightly snugger.
e) An ugly, but effective solution for very loose hearing aids is “Poligrip-comfort seal strips”. If it doesn’t work, they can be removed.
f) Try Comply Soft Wraps. The Comply Soft Wrap is a strip of foam with an adhesive backing to stick onto hearing aids or ear molds. It reduces feedback and improves retention for hearing aids that are too loose. Do a web search on Comply Soft Wraps to find a distributor
g) Sometimes the best solution is getting a new ear mold or shell made. Check availability and prices locally for this, or find a hearing aid repair lab online. If you do go the online route, you might save money by getting an impression kit online at a site such as the ear plug super store, rather than going local. HOWEVER, it is always the safest option to have your local professional take the impression and there are risks involved with taking your own. Plus, you will probably get a higher quality impression from an audiologist.
Back To Causes Of Feedback…
One often overlooked problem that sometimes causes feedback is when the end of the hearing aid shell or mold is pointed incorrectly. If the original impression was not made long enough, or the shell technician cut it too short, the mold/shell sometimes points into the wall of the ear canal instead of at the eardrum. The ear canal normally has two bends, kind of like an S curve. The ideal situation is for the end of the mold/shell to extend slightly beyond the second bend, allowing the sound to be “aimed” at the eardrum. If the end of the mold/shell terminates by pointing at the wall of the ear canal before the second bend, the sound is forced back out of the ear just as in the case of pointing towards ear wax. This is best solved by a longer canal, but even shortening, re-pointing, or “belling” the end of the canal may help.
4) Other Causes of Acoustic Leakage
With custom in-the-ear hearing aids, the sound tube at the end of the hearing aid may be pushed in or have a hole in it from “aggressive” cleaning, the microphone may be pushed in; or there may be a hole in the wall of the vent that goes through the hearing aid.
With behind-the-ear aids, there may be a crack or hole in the tubing, especially where it enters the ear mold, or a high power BTE may require a tubing with a thicker wall to prevent leakage.
Beware the Digital Conundrum!
Frequency response adjustments – They may solve your feedback, but can be disastrous for your speech understanding!
There are times that feedback can be solved in other ways than getting a better acoustic seal, but these are sometimes at the expense of hearing well. With digital hearing aids, there are automatic feedback controls, and also adjustments that the hearing aid fitter can make to reduce feedback, but these are not always in the best interest of clear hearing. In some (but not all) digital hearing aids, the feedback control methods involve some manner of cutting high frequency amplification.
The most common adjustment to control feedback involves decreasing the high frequencies of a hearing aid. This is the easiest way to stop feedback, but it could be at the expense of your hearing ability!
If the cause of your feedback is poor fit or ear wax, and your hearing aid fitter does not consider that cause, they may say “no problem”, and reduce the high frequencies in the programming. This can solve the immediate problem, but it can be detrimental to your ability to understand speech.
If your hearing aid professional adjusts the hearing aid for feedback and you still hear as well as before the adjustment, that is good. But if you find yourself straining for clarity after the adjustment, discuss the possibility with them that you may have a fit problem.
Before you have your hearing aids reprogrammed to control the feedback, try some of the temporary solutions above for loose fit, such as pressing the hearing aid into your ear to see if the feedback stops.
There are many possible causes for feedback. It may require a visit to your local audiologist or dispenser to solve this, but the information above may give you the edge in knowledge that it takes to understand and help solve your problem.