One day, you’re following conversations just fine, and the next, you’re piecing together what people said based on context clues and educated guesses.
Maybe you’ve started favoring one ear during phone calls, or you’ve noticed that certain voices are harder to understand than others. These changes can feel isolating, but here’s the thing: most hearing loss is treatable or manageable, and figuring out what’s causing it is the first step.
At South Bend Clinic, our ENT and audiology specialists work together to pinpoint the cause of your hearing changes and help you hear clearly again.
When to See an ENT for Hearing Loss
ENTs (ear, nose, and throat specialists) are doctors trained to diagnose and treat the medical and structural causes of hearing loss. While audiologists focus on testing your hearing and fitting devices like hearing aids, ENTs look at the bigger picture, why your hearing changed in the first place.
You should consider seeing an ENT if you’re experiencing persistent hearing changes that don’t go away on their own. This includes sudden hearing loss, which can happen in one or both ears and needs prompt attention. Other signs that warrant an ENT visit include frequent ear infections, a feeling of fullness or fluid in your ears, ringing in your ears (called tinnitus), or dizziness alongside hearing problems.
Also Read: When to See an ENT Specialist: Signs You Shouldn’t Ignore
What to Expect During Your Visit
Review and Discussion
Your visit starts with a conversation. Your ENT will ask about your symptoms, when you first noticed hearing changes, whether they affect one or both ears, and if certain situations make them worse.
They’ll review your health history, including past ear infections, exposure to noise, medications taken, and any family history of hearing loss. You’ll also discuss lifestyle factors, like whether you work in noisy environments or use earbuds frequently.
Diagnostic Testing
The next step is testing to measure your hearing and identify potential causes. One of the most common tests is an audiogram, where you’ll wear headphones and respond to sounds at different pitches and volumes. This hearing test shows which frequencies you can and can’t hear clearly.
Your ENT might also perform tympanometry, which checks how well your eardrum moves. This test helps detect fluid behind the eardrum, eardrum perforations, or problems with the tiny bones in the middle of your ear. The test is quick and painless; a small probe sits in your ear canal for just a few seconds.
Depending on what your ENT sees, you may need additional testing. This could include imaging like a CT scan or MRI if there’s concern about structural issues or nerve problems. South Bend Clinic’s audiology team can also conduct more detailed hearing evaluations to pinpoint exactly which sounds and frequencies are affected.
Results and Next Steps
After testing, your ENT explains what’s causing your hearing loss and what treatment options fit your situation. You’ll leave with either a treatment plan or next steps, such as follow-up testing or a hearing aid evaluation with an audiologist.
Common Hearing Loss Treatments
Treatment for hearing loss isn’t one-size-fits-all. The right approach depends on what’s causing your hearing changes.
Medical or Surgical Treatment
When your hearing loss is tied to a medical condition or structural issue, treating what’s causing it can actually bring your hearing back. If you have an ear infection, antibiotics usually do the trick. For ongoing fluid buildup, which is common for kids, ear tubes can make a real difference. These small tubes help fluid drain out and balance the pressure in your ear, and the improvement in hearing can be pretty dramatic.
Some structural problems require surgical repair. A perforated eardrum can be patched, and issues with the bones in your middle ear (called ossicles) can sometimes be corrected. Your ENT will discuss whether these procedures make sense for your situation.
Hearing Aids and Assistive Devices
For many people with hearing loss, hearing aids are the most effective solution. Today’s hearing aids are far more advanced than older models; they’re smaller, more comfortable, and packed with technology that adjusts to different listening environments.
This is where South Bend Clinic’s audiology team really shines. Audiologists don’t just fit you with a device and send you on your way. They take time to understand your lifestyle, test different options, and make precise adjustments so the hearing aids work well for you.
Modern hearing aids can connect via Bluetooth to your phone, TV, or other devices, allowing for clearer calls and entertainment. Your audiologist will also provide ongoing support, fine-tuning settings as you adjust and your needs change.
Cochlear Implants and Specialized Procedures
When hearing loss is severe or caused by nerve damage, cochlear implants might be worth exploring. Unlike hearing aids that make sounds louder, cochlear implants take a different approach; they bypass the damaged parts of your ear and send signals straight to your auditory nerve.
Your ENT surgeon will evaluate whether you’re a good candidate and walk you through the process, including the surgical placement. These options aren’t right for everyone, but for those who qualify, they can be genuinely life-changing.
A Word From Our Doctor
“For patients with nerve related hearing loss, intervening earlier helps preserve hearing comprehension in the long term. We have the team that can help you feel comfortable along each step of the process.”
– Dr. Michael Pfeiffer, DO, Board Certified Otolaryngologist (ENT) at The South Bend Clinic
If hearing changes feel significant or progressive, an ENT evaluation can help clarify the cause and next steps. Call 574−232−4800 to schedule an evaluation with an Otolaryngology provider in South Bend or Elkhart.
Addressing Underlying Conditions
Hearing problems sometimes stem from other health issues. Chronic sinus infections or allergies can cause ear pressure and fluid buildup that affects hearing. Treating the root cause, whether it’s allergies, sinus inflammation, or recurring infections, can restore your hearing without hearing aids or surgery.
The Benefit of Early Evaluation
Hearing loss often develops gradually, so you might not realize how much you’ve been missing until someone points it out. That’s one reason early testing matters. The sooner you understand what’s causing your hearing changes, the more options you have.
Early evaluation helps preserve the hearing you still have. Untreated hearing loss can worsen over time, and in some cases, delaying treatment can make it more difficult to restore clear hearing later. Early care can also prevent complications. For example, catching an infection or fluid buildup early might mean simple treatment now instead of surgery later.
At South Bend Clinic, scheduling is designed to work with your life. Same-week appointments are often available, and if you need both an ENT evaluation and audiology testing, the teams can coordinate scheduling so you’re not making multiple trips.
Collaborative Hearing Care at South Bend Clinic
Our ENTs and audiologists work together on your care. No outside referrals, both specialists collaborate to create your treatment plan.
Your ENT specialist focuses on diagnosing and treating medical conditions that cause hearing loss, infections, structural problems, nerve issues, and other ear conditions that require clinical intervention. Meanwhile, the audiology team provides detailed hearing assessments and supports device-based treatments like hearing aids, including fitting, adjustments, and long-term follow-up care.
This collaboration means you get a complete picture of your ear health and hearing function. Instead of wondering if you’re seeing the right specialist or if you need another opinion, you have a full team working together on your behalf.
Whether your hearing loss is sudden or gradual, caused by infection or age-related changes, South Bend Clinic’s ENT and audiology specialists are here to help. Clear hearing improves not just how you communicate, but your overall quality of life, and getting there starts with a simple evaluation.
Ready to take the next step?
Call 574−232−4800 to schedule your appointment with an Otolaryngology provider in South Bend or Elkhart.
Call 574−204−6184 to schedule your appointment with an Audiology provider in South Bend.





