Ear infections are of three types: outer (otitis externa), middle (otitis media), and inner ear infection. Inner ear infections are most commonly caused by viruses and less commonly by bacteria. The inner ear consists of the cochlea, vestibular nerve, semicircular canals, and auditory nerve. And hence severe or untreated infection can sometimes lead to partial or total hearing loss permanently. But immediate treatment will cure the infection without any damage to the hearing. Symptoms include vertigo, imbalance, a fullness of the ears, nausea, tinnitus, earache, hearing problem, etc.
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What causes dizziness when you stand up from sitting?
Query: Hello doctor, This question is regarding my mother, who is 57 years old. She is getting episodes of dizziness from the last one and a half or two years. Most of the time, they are mild, and they occur for few seconds when she gets up or sits down. Sometimes, they stay long and are associated with n... Read Full »
Answer: Hello, Welcome to icliniq.com. No, it is not something to worry about. Her symptoms and response to Vertin (Betahistine), although incomplete, suggests that these are originating from the internal ear, which is the most common cause of dizziness in old age.This occurs due to age-related changes lead... Read Full »
Query: Hello doctor, I am a 29 year old male, and I have been having slight giddiness kind of feeling. I am not able to tell if it is giddiness since I did not fall or have any balance issues. This has been there for a week. I had the same symptoms two weeks back. It feels like some kind of pulling sensa... Read Full »
Answer: Hi, Welcome to icliniq.com. It could be benign positional vertigo, which is more common. I guess you might experience giddiness when you suddenly turn your head. It is mostly because of imbalance in the middle ear fluid, usually following ear infection, which is responsible for maintaining our postu... Read Full »
I can walk fast but if I slow down I lose balance. Please advice.
Query: Hello doctor, I am 70 years old, male. I was in good health, hiked, exercised, ate right. My weight is 175 lb and I am 5 feet 9 inches tall. A few months ago, I experienced intense vertigo and severe nausea. I was hospitalized for 15+ days where I was tested for meningitis (came back negative), tick... Read Full »
Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that your symptoms could be related to an inner ear disorder. Have you been checked by an ENT (ear-nose-throat) specialist? Have you performed any labyrinthine tests? Coming to this point, I would recommend avoiding a... Read Full »
Is my dizziness related to any heart problem?
Query: Hello doctor, I feel dizzy the whole day. In the last 10 days, I have consulted three doctors, physician, ENT doctor and also checked audio test of the ear. The ENT doctor said that there is no problem in ears, but my dizziness is continuing. It feels like there is no balance in my body. I cannot sl... Read Full »
Answer: Hello, Welcome to icliniq.com. Considering your symptoms and the fact that your symptoms are relieved by taking the tablet Stemetil (Prochlorperazinemaleate) 5 mg, I would conclude that your situation is related to an inner ear disorder. Although the doctor has excluded an inner ear disorder, a vi... Read Full »
What causes sudden dizzy episodes that last few seconds?
Query: Hello doctor, This query is about my mother. She is 57 years old. She has these dizzy episodes since last two to two and a half years. They are very short most of the time, lasting for a maximum of few seconds. It happens most of the time when she gets up from the bed or changes position on bed. She... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your question and would explain that your mother symptoms seem to be related to an inner ear disorder. There is nothing to worry about, as her situation improved with Zevert and Vertin once. For this reason, I would recommend starting again Zevert (Betahistine)... Read Full »
I get dizziness when I look up or get up. What is causing this?
Query: Hello doctor, I have been getting bouts of confusion, dizziness (when looking up and sometimes when getting up), headaches, pulses, and pressure in my head and what I can only explain as brain fog (during these episodes, I find that my problem solving and my cognitive function is diminished). The e... Read Full »
Answer: Hello, Welcome to icliniq.com. I carefully read your question and explained that your symptoms do not seem to be related to intracranial hypertension or any other disorders. An inner ear disorder, vertigo, or epilepsy may lead to such a clinical situation. For this reason, I recommend consulting ... Read Full »
I am suffering from dizziness and headache. What could it be?
Query: Hello doctor, I am 30 years old. I am suffering from dizziness and headache. There is some fluid sensation in my inner head. I have seen a neuro doctor and they said there is nothing to worry. But, there is a fluid leakage sensation which is quite disturbing. I would like to take an MRI. Kindly ... Read Full »
Answer: Hello, Welcome to icliniq.com. You may be having BPPV (benign paroxysmal positional vertigo) which is nothing but an inner ear inflammation. This can be mostly due to a viral infection. An ENT doctor will easily be able to check and examine your ear and this usually does not require any test. I ... Read Full »
What could be the reason for progressive deafness?
Query: Hello doctor,I am a 73 year old male. I have recently become progressively deaf in one ear. It took about six weeks during which it progressed through various stages of tinnitus, a hissing sound, heavily pulsed, becoming almost constant and some degree of loss of balance. The present situation is th... Read Full »
Answer: Hello, Welcome to icliniq.com. A unilateral sudden-onset hearing loss will be the result of exposure to cold weather, viral infection, allergy or autoimmune causes. You mentioned that an audiology test is done. Can I see the report? Your symptoms were progressive deafness with various types o... Read Full »
Why did I get a normal vHIT test months after an asymmetrical caloric test and a rotational chair test?
Query: Hello doctor, I had undergone a medical examination where I got an asymmetrical caloric test and rotational chair test but a normal vHIT months later. How is that possible? I was taking the tablet Aspirin, antihistamines, and caffeine at that time, and I had COVID-19 a few weeks ago. All other tests... Read Full »
Answer: Hello, Welcome to icliniq.com. It is likely that caloric, rotational chair, and vHIT (video head impulse test) test results may differ depending on the site. Patients with vestibular dysfunction symptoms often undergo a detailed diagnostic workup. Caloric testing can assess and quantify the function... Read Full »
What are the ear conditions that might require complete or partial removal of the inner and middle ear?
Query: Hello doctor, I just have a general theoretical question. This is not related to my medical history, I was just wondering in general. How much of the ear is it possible to completely remove? Both inner and outer ear. What kind of conditions requires this kind of an operation? What after effects can... Read Full »
Answer: Hello, Welcome to icliniq.com. In a surgery called radical mastoidectomy, we remove both inner and middle ear and occlude the canal. We do it in cases of malignancies of the ear, where you cannot remove the disease as well as preserve hearing. In earlier days, radical mastoidectomy was done for cho... Read Full »