My doc had a hard time believing that keeping from falling over into your dinner plate and washing of hair had anything to do with muscle weakness - and that problems swallowing could not possibly be related. So coming to the office with a pair of dysfunctional ears on top everything was not going to help my already dwindling credibility!

wild-cat & bny806….I have that exact same thing going on as well. Some of mine is due to noise exposure:

http://www.agius.com/hew/resource/nihl.htm

According to one ENT specialist I have hyperacusis AND recruitment which seems like two contradicting conditions.

Hyperacusis started (very memorably so) in pregnancy. It fluctuates. I can sometimes hear when a TV is just on standby in another room. I´m not able to separate the conversation from the background noise either, Steph. And wild_cat, I´m the same, protective reaction time to sudden loud spontaneous sounds is way too slow and so I reach the threshold of pain way too early.......