Hearing everything, and inability to filter background noise

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Central auditory processing disorder
It's when the information isn't reaching the same place at the same time so your brain cannot filter through it.
If you can afford it, I highly recommend this if this is your main sensory issue:
https://www.ablekidsfoundation.org/

They make a filter that goes in your faster ear and slows it down to the same speed as the other one, I have one and it nearly completely negates my sensitivity to sound, and helps me understand speech and hear myself.

I was diagnosed with hyperacusis (brain processes sound as pain) and pulsatile tinnitus (hear pulse in ear) just before being diagnosed AS earlier this year.
I wear/use white noise generators which are designed to desensitize the brain and help it process sound correctly.
I also have extremely good hearing for my age, esp high frequencies.
All in all, it's quite hard going, I just hear too much and it hurts!

This is a common problem for Aspies.

If you look at a persons mouth while they are talking (similar to lip reading) it will significantly improve your ability to understand what they are saying in a crowded environment.

There are noise canceling headsets that block out certain frequencies of sound. Wearing them can help you concentrate better and minimize non verbal frequencies. Also listening to music when you are working alone can help you block out background noise.

On many televisions, you can alter the base and treble sound levels in presets, this will make listening to television programs more legible.

Add me to the list. If a roomfull of people are talking, it takes a great (and obvious) effort for me to focus on what my conversation partner is saying. Same if the TV is on, there's traffic noise, etc.

I was also diagnosed with hyperacusis and I've had tinnitus since I was a child. In the U.S., white noise generators are definitely not covered by insurance. The audiologist who tested and diagnosed me recommend the generators or a tinnitus masker (which from what I could tell was an mp3 player with a proprietary masking program). $2,000-$3,000 from what I recall for the mp3 player. I didn't get either.

The testing also showed that, like you, I can pick up high frequencies like a child which is very unusual for a male close to 50.

That's a lot of money! I am fortunate that in the UK i was offered mine under our NHS for free. I wear it in my worse ear for 6+ hours a day, but I do use non in-ear white noise as well. I have tracks downloaded on my phone and an mp3 player from the mynoise website. I finds "speech blocker" the one closest to my in ear one and the best for me.

https://mynoise.net/NoiseMachines/whiteNoiseGenerator.php

Yes, It's not easy for me to purposely block out certain sounds, as often demomstrated whenever I've been to my local coffee shop and, literally have to raise my voice due to the loud background sounds coming from all over the place. Mind you it's problematic when your trying to hear someone whom is asking you what you would like..