Question

A child is experiencing severe low-frequency hearing loss, such as discomfort from the sound of a metal scraper on ceramic tiles. Recent hearing tests show a decrease in the low-frequency part, while other frequencies are normal. When others rub a metal stool, the child’s reaction to the piercing sound intensifies. How should one handle such a severe low-frequency hearing problem?

Answer

This kind of situation is relatively common in children. It usually occurs during childhood or adolescence and may be accompanied by mild or no anemia, as well as mild or no enlargement of the liver and spleen. Infections and/or oxidative drugs may trigger or exacerbate hemolytic jaundice, even leading to a “hemolytic crisis,” whose clinical manifestations are similar to G6PD deficiency in red blood cells, and attention should be paid to differential diagnosis. Thalassemia is a genetic disease associated with gene problems, and there is currently no cure. However, early screening can detect such issues.