How are vestibular neuritis and migraine related to ear, head and jaw pressure with nauseous feeling?

Question

Hello doctor,

My MRI is normal, but I have pressure in my ears and on my head and jaw right side that causes nausea. Nausea does not subside and worsens with eating. They diagnosed me with vestibular neuritis and migraines. I am on my second week of steroids, and nothing is better. They said they do not know where the head pressure or nausea is coming from.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern and would explain that your symptoms could be related to peripheral vertigo. I recommend taking Dimenhydrinate for nausea and pressure. Another treatment option would be Flunarizine or Verapamil coupled with Dimenhydrinate.

It would be best to discuss the above treatment options with your doctor. I hope you will find this information helpful. I would be glad to assist you again whenever you need me.

Kind regards.

Answer 2

Hello.

Welcome back to icliniq.com.

No, it would not explain the pressure in this region. However, a temporomandibular joint dysfunction could explain such pressure. In such a case, I would suggest Ibuprofen to help reduce the inflammation.

I recommend checking PCR (polymerase chain reaction) and ESR (erythrocyte sedimentation rate) for inflammation. If PCR is elevated, I would recommend treatment with Clindamycin, considering a possible head bone infection. In addition, consult with a dentist to exclude a possible tooth infection or TMJ (temporomandibular joint) dysfunction.

I hope you will find this information helpful. If you have any other questions, please do not hesitate to ask me again.

I wish you all the best.