HomeAnswersOtolaryngology (E.N.T)acute labyrinthitisI suffer from labyrinthitis and have a pressure build-up in the ear. Why does it happen?

Does labyrinthitis indicate otitis media?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Manu Wilfred

Medically reviewed by

iCliniq medical review team

Published At October 21, 2022
Reviewed AtSeptember 10, 2023

Patient's Query

Hi doctor,

I was diagnosed with labyrinthitis 18 months ago and was bedridden for two months. However, improvements were gradual and prolonged. The worst symptom was strange disorientation which I can compare to the sensation of being on a plane. It has persisted to the present day. I consulted an ENT specialist and had a caloric balance test done. The response was evaluated as borderline caloric but most likely physiological. Throughout the period, I have had various nasty sores here and there in my body. So I started taking the tablet Flucloxacillin for two days. I felt a pressure build up in my right ear last night, so I stayed still for five minutes until a snap sound, and pop or hiss were heard as if the pressure had been released. There was no discharge. My lymph nodes were also enlarged. Is it possible that I have had an ear infection the whole time? What do you suggest?

Answered by Dr. Manu Wilfred

Hello,

Welcome to icliniq.com.

I understand your concern. Dizziness or spinning sensation, ringing in the ears, and hissing or popping sounds in the ears may indicate otitis media with effusion (fluid in ears). This usually occurs after an acute middle ear infection. A viral upper respiratory tract infection causes the majority of ear infections. Typically, this is resolved without complications, though sometimes patients experience vestibular neuronitis and labyrinthitis. This can also manifest as dizziness (vertigo), vomiting, and hearing loss in an acute setting, and most of the symptoms are temporary with brain compensation and drugs. However, giddiness can last for months due to vestibular insufficiency, usually treated with vestibular rehabilitation exercises. A general precaution to prevent recurrent ear infections is to avoid cold drinks and smoking. In addition, take over-the-counter (OTC) medications, seek medical advice early on if you have a common cold, and limit high-altitude sports if you have the illness.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Manu Wilfred
Dr. Manu Wilfred

Otolaryngology (E.N.T)

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