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  Endoscopic Transcanal Cholesterol Granuloma Surgery: Advanced Minimally Invasive Ear Care A persistent feeling of fullness in one ear, fluctuating hearing loss, or a deep, dull earache can easily be mistaken for a standard Eustachian tube dysfunction or stubborn middle ear fluid. However, when these symptoms persist despite routine medical treatment, a closer clinical examination may reveal a dark, bluish discolouration glowing behind the eardrum. In many cases, this distinct visual sign points to a Cholesterol Granuloma —an inflammatory, fluid-filled cystic lesion packed with cholesterol crystals. While hearing the term "granuloma" can cause immediate anxiety, these lesions are non-cancerous, benign formations. Historically, accessing and draining a cholesterol granuloma required large incisions behind the ear and extensive bone removal (a mastoidectomy). Today, modern surgical advancements allow skilled otologists to access and drain these lesions using minimally invasive...

Child Keeps Turning TV Up? Hearing Advice London & Essex


 

Why Does My Child Keep Asking for the Volume Louder? A Parent’s Guide to Hearing Concerns

Many parents first notice a possible hearing problem in a very ordinary way: the television is too loud.

Your child may keep turning up the TV, tablet or music. They may ask for films to be louder, hold devices close, say “what?” repeatedly, or seem not to hear when called from another room.

It is easy to assume this is behaviour, a preference, or a habit. Sometimes it is. But in some children, asking for louder volume can be an early sign that they are not hearing clearly.

Mr Gaurav Kumar, Consultant ENT Surgeon, assesses children with ear, hearing, and paediatric ENT concerns from London, East London, Brentwood, Romford, Ilford, Redbridge, Chelmsford, and the wider Essex area.

This guide explains why children may keep asking for the volume to be louder, when a hearing assessment is sensible, and what parents can do at home and at school.

Is Loud Volume Always a Sign of Hearing Loss?

No. Some children simply like loud sound, especially during exciting films, games or music. Others turn devices up because of background noise, poor speaker quality or habit.

However, repeated loud-volume behaviour is worth noticing if it comes with other signs such as:

  • saying “what?” often
  • asking people to repeat themselves
  • seeming not to hear instructions
  • misunderstanding words
  • turning one ear towards sound
  • speaking more loudly than usual
  • struggling in noisy places
  • delayed or unclear speech
  • school listening concerns
  • recent ear infections
  • blocked ears or wax

The pattern matters. A child who occasionally turns up music may be different from a child who consistently needs higher volume and misses speech.

Could It Be Glue Ear?

Yes. Glue ear is one of the commonest causes of temporary hearing loss in children.

It happens when fluid builds up behind the eardrum. This fluid makes sound less clear, rather like listening underwater or through a wall.

Parents may notice that their child:

  • turns the television or tablet up
  • seems not to hear from another room
  • says “what?” repeatedly
  • has unclear speech
  • becomes tired or frustrated
  • struggles more at nursery or school
  • hears better on some days than others

Glue ear often follows colds and can fluctuate. Some children improve naturally, while others need hearing tests, monitoring or specialist advice.

Could Wax Be the Cause?

Earwax is normal and usually protective. However, if wax builds up and blocks the ear canal, it can reduce hearing.

Wax may be more likely if your child has:

  • blocked ear sensation
  • reduced hearing
  • ear fullness
  • itchy ears
  • recurrent wax problems
  • hearing that improves after wax treatment

Parents should avoid cotton buds, hair grips or ear-cleaning tools. These can push wax deeper and irritate or injure the ear canal.

If wax is suspected, seek advice from a pharmacist, GP, audiologist or ENT clinician.

Could It Be an Ear Infection?

A child may hear less clearly during or after an ear infection.

Signs that infection may be involved include:

  • ear pain
  • fever
  • recent cold
  • irritability
  • discharge from the ear
  • reduced hearing
  • disturbed sleep

Hearing may remain muffled for a while after an infection because fluid can persist behind the eardrum.

If symptoms are persistent, recurrent or associated with hearing concerns, further assessment may be needed.

Why Does My Child Hear at Home but Struggle at School?

This is common.

A child with mild or fluctuating hearing loss may manage well in a quiet room but struggle in a noisy classroom.

Classrooms are challenging because there may be:

  • background talking
  • chairs scraping
  • distance from the teacher
  • echo
  • group work noise
  • instructions given quickly
  • the teacher facing away

A child may appear distracted, inattentive or slow to respond, when the real problem is that speech is not clear enough.

If teachers report poor listening, difficulty following instructions or reduced concentration, hearing should be considered.

Could It Be Attention Rather Than Hearing?

Sometimes, yes. Children may not respond because they are absorbed in play, tired, distracted or choosing not to listen.

But it is important not to assume behaviour until hearing has been considered.

A helpful question is:

Does the child respond better when they can see your face and the room is quiet?

If yes, hearing clarity may be part of the problem.

When Should My Child Have a Hearing Test?

A hearing test is sensible if your child:

  • keeps asking for volume louder
  • frequently says “what?”
  • seems not to hear
  • has speech or language concerns
  • has school listening difficulties
  • has recurrent ear infections
  • has suspected glue ear
  • has wax or blocked-ear symptoms
  • hears better on one side
  • has tinnitus or balance symptoms

A hearing test can help identify whether hearing is normal, temporarily reduced or needs further assessment.

What Can Parents Do While Waiting?

Helpful steps include:

  • face your child before speaking
  • gain attention first
  • reduce background noise
  • avoid shouting from another room
  • speak clearly and calmly
  • ask school to seat your child nearer the teacher
  • share concerns with nursery or school
  • keep device volumes at safe levels
  • avoid cotton buds in the ears
  • attend planned hearing follow-up

These steps do not replace assessment, but they can make communication easier.

Red Flags: When Is It Urgent?

Seek urgent medical advice if your child has:

  • sudden hearing loss
  • hearing that worsens quickly over days
  • ear discharge with significant pain or fever
  • severe dizziness or balance problems
  • facial weakness
  • significant ear injury
  • severe headache or neck stiffness
  • a very unwell appearance

Sudden hearing loss should not be assumed to be wax or glue ear.

When Should a Child See an ENT Specialist?

Paediatric ENT assessment may be helpful when:

  • hearing loss persists
  • glue ear is suspected or confirmed
  • ear infections keep recurring
  • wax problems are recurrent or difficult to manage
  • the eardrum looks abnormal
  • hearing loss affects speech or school
  • there is tinnitus, dizziness or ear discharge
  • symptoms continue despite initial advice

The aim is to understand the cause and agree an individual plan.

Paediatric ENT Care in London and Essex

For families in London and Essex, hearing concerns can be stressful because they affect communication, school confidence and family life.

Mr Gaurav Kumar provides paediatric ENT assessment for children with hearing concerns, glue ear, recurrent ear infections, wax problems, tinnitus and related symptoms across London, East London, Brentwood, Romford, Ilford, Redbridge and Essex.

A careful assessment can help distinguish habit, wax, glue ear, infection and other causes of reduced hearing.

Conclusion

A child who keeps asking for the volume louder is not necessarily being difficult.

It may be habit, background noise or preference — but it can also be a sign of hearing difficulty, especially if the child also asks for repetition, struggles at school or has recurrent ear symptoms.

Parents should consider a hearing test when loud volume becomes a repeated pattern or is associated with communication concerns.

The sooner hearing difficulties are recognised, the easier it is to support the child at home, nursery and school.


Frequently Asked Questions

Does loud TV mean my child has hearing loss?
Not always, but repeated loud volume with poor listening, asking “what?” or school concerns should prompt hearing assessment.

Can glue ear make children turn the volume up?
Yes. Glue ear can cause temporary hearing loss and may make speech and television sound muffled.

Can earwax reduce hearing in children?
Yes. Wax can block the ear canal and reduce hearing. Avoid cotton buds and seek appropriate advice.

Could my child just be ignoring me?
Possibly, but hearing should be considered if the pattern is frequent or associated with other signs.

When should my child have a hearing test?
If they repeatedly need loud volume, ask for repetition, have speech concerns, school listening issues or recurrent ear problems.

Can school problems be linked to hearing?
Yes. Children may struggle more in noisy classrooms than in quiet rooms at home.

When is hearing loss urgent?
Sudden hearing loss, rapid worsening of hearing, severe dizziness, facial weakness, significant injury or a very unwell child needs urgent assessment.


Disclaimer: This information is intended for general educational and regional SEO purposes only and does not replace personalised clinical advice. For a definitive structural evaluation, a face-to-face consultation with a registered specialist is required.

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