Other factors can cause a normal hearing child to fail a screening. Speaking loudly can strain the person's heart leading to hypertension, irregular heartbeat and other disorders related to heart. The vital senses of touch, vision, hearing, taste and smell are essential for a healthy life.
Those of us who have been in the military, or grew up hunting and shooting guns for practice and not wearing ear protection, are now dealing with that kind of this loss. This could allow less oxygen to reach the inner ear, or other portions of the hearing organs and without oxygen the cells die out, no longer functioning as they should. This categorization is based on the location of the cause of the hearing impairment. This usually results in little to no pain or fever for the child, but does cause slight serenity prime.
The conductive type of loss is when sound is not conducted (guided through) the outer ear canal to the eardrum and ossicles of the middle ear efficiently. The good news is that the serenity prime that is experienced by a large number of individuals can be prevented. Otherwise, home care with a wax removal kit can give relief.
A sudden very loud noise can also cause temporary loss of hearing, as can swimming. A puncture can be caused by for example miss-use of a cotton bud. These bones are commonly called the hammer (malleus), anvil (incus), and stirrup (stapes).
https://malefitness.org/serenity-prime/