loud is noise or sound causes loss of hearing acuity/partial deafness. this is permanent and cannot be cured. the effect on those who have sufference a substantial amount of hearing loss is dramatic. they find it difficult to understand what other people are saying. others have to speak loudly or shout to be heard, and this causes frustration embarrassment and annoyance. it means that he TV. has to be turned up loud and this can cause annoyance and arguments with other in family.