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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Vertigo, Middle Ear Infections. Brain MRI, Blood Tests, Heart Tests Normal. Causes?

I am 34 years old and been dizzy/ vertigo for about 2 months. I have been to the cardiologist and all is fine there. I had a brain mri and that too was fine. About two months ago I was told I had a middle ear infections. I have been back and they stated the ear infection is gone and can t find a reason for the dizziness . I am taking meclzine but that is really not helping. All bloodworm has been normal also. Do you have any suggestions on how to get rid of the dizziness?
Mon, 29 Jul 2013
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General & Family Physician 's  Response
Hello Good Evening,

Your middle ear infection has lead to Labyrinthitis, so I am hereby describing it, in brief:

-It is an ailment of the inner ear and a form of unilateral vestibular dysfunction.
-It can cause balance disorders, vertigo, hearing loss and tinnitus.
-It is usually caused by a virus, but it can also arise from bacterial infection, head injury, extreme stress, an allergy or as a reaction to medication.
-Both bacterial and viral labyrinthitis can cause permanent hearing loss.
-It often follows an upper respiratory tract infection (URI).

Recovery from acute labyrinthine inflammation generally takes from one to six weeks, but it is not uncommon for residual symptoms (dysequilibrium and/or dizziness) to last for many months or even years, if permanent damage occurs.

In management, there should be following medications should be used under supervision of your GP:

-Tab. Stemetil
-Tab. Vertin
-Tab Prednisolone
-Tab. Pantoprazole+Domperidone

Apart from medications following Rehabilitation strategies most commonly used are:

Gaze stability exercises - moving the head from side to side while fixated on a stationary object (aimed to restore the Vestibulo-ocular reflex) An advanced progression of this exercise would be walking in a straight line while looking side to side by turning the head.

Habituation exercises - movements designed to provoke symptoms and subsequently reduce the negative vestibular response upon repetition.

Functional retraining - including postural control, relaxation, and balance training.

Regards,

Dr. Naresh Jain.
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Vertigo, Middle Ear Infections. Brain MRI, Blood Tests, Heart Tests Normal. Causes?

Hello Good Evening, Your middle ear infection has lead to Labyrinthitis, so I am hereby describing it, in brief: -It is an ailment of the inner ear and a form of unilateral vestibular dysfunction. -It can cause balance disorders, vertigo, hearing loss and tinnitus. -It is usually caused by a virus, but it can also arise from bacterial infection, head injury, extreme stress, an allergy or as a reaction to medication. -Both bacterial and viral labyrinthitis can cause permanent hearing loss. -It often follows an upper respiratory tract infection (URI). Recovery from acute labyrinthine inflammation generally takes from one to six weeks, but it is not uncommon for residual symptoms (dysequilibrium and/or dizziness) to last for many months or even years, if permanent damage occurs. In management, there should be following medications should be used under supervision of your GP: -Tab. Stemetil -Tab. Vertin -Tab Prednisolone -Tab. Pantoprazole+Domperidone Apart from medications following Rehabilitation strategies most commonly used are: Gaze stability exercises - moving the head from side to side while fixated on a stationary object (aimed to restore the Vestibulo-ocular reflex) An advanced progression of this exercise would be walking in a straight line while looking side to side by turning the head. Habituation exercises - movements designed to provoke symptoms and subsequently reduce the negative vestibular response upon repetition. Functional retraining - including postural control, relaxation, and balance training. Regards, Dr. Naresh Jain.