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Having dizzy spells with popping sound in ear. Have lichen sclerosis. Due to estrogen dominance?

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ENT Specialist
Practicing since : 1991
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Hi my husband and I are having dizzy spells and my ears are popping regularly. Our dog has just been diagnosed with distibular disease. What could this be? We are vegans but we have been so for more then 2 years without these symptoms. The symptoms began late last year. I am wondering why all three of us have these symptoms? Our children do not. I have lichen schlerosis. My husband is overweight and has been so most of his life. I am at the upper end of my healthy weight and trying to loose weight without success. I suspect I am insulin resistant. I am wondering if I have hormonal problems but haven't had this assessed yet. I have low projesterone and I suspect estrogen dominance and maybe some adrenal fatigue but my husband does not have these problems. I am also very tired but my husband is not.
Posted Wed, 20 Feb 2013 in Ear, Nose and Throat Problems
Answered by Dr. Sumit Bhatti 1 hour later

Thank you for your query.

1. Do you both have history of any illness - ear / neck related problems or head injury? Any headaches or migraine? Any hyperacidity or recent cold?

2. I will be able to guide you better about the possible causes if you can provide me more details of your and his dizziness like:
a. The exact moment when it all started,
b. How often and how long do the episodes last? Are they continuous?
c. Any other associated symptoms, such as nausea, vomiting or sweating?
d. I need to know if your hearing levels are normal. Does your hearing fluctuate? Do anyone of you get any sounds (tinnitus) or fullness in the ear?
e. Is the dizziness true vertigo (spinning of the surrounding) or only unsteadiness.
f. Is the dizziness only when there is change of position (such as lie down or sit up)? Can you both walk without support? Do you get dizzy when you turns in bed or look up while climbing stairs?
g. Is your and his vision clear or blurred? Is there any tendency to blackout?

3. It is also important to consult a neurologist to rule out neurological degenerations that can cause such symptoms. (MRI scans may not be enough to pick these conditions).

4. Though it may be a coincidence, here are a few possibilities why all three of you are having vestibular symptoms:
a. Viral
b. Zoonotic disease, atypical bacteria or parasitic disease such as Cysticercosis
c. Pet allergy
d. Diet related. Such as excessive salt intake or Genetically Modified food (may also cause hormonal imbalance).
e. Some kind of electromagnetic field or disturbance in your room.

5. It would take a great detail of effort and patience to get to the bottom of this unique situation. At present the weight issues and fatigue do not seem to be related.

Awaiting your reply.

Above answer was peer-reviewed by
Follow-up: Having dizzy spells with popping sound in ear. Have lichen sclerosis. Due to estrogen dominance? 4 hours later
Hi Dr Bhatti,
Our dog is 14 and mostly deaf and mostly blind. My husband has struggled with migranes and headaches in the past. He still gets headaches after a long or stressful day at work. I do not have a history of headaches or migranes though I have been having some menstral headaches lately and occaisionally one after work. No recent colds, no hyperactivity.
I first noticed the dizzyness when after 2 days of adopting an alkaline diet I got my period. I am always low in stored iron and generally forget to take supplements. I was slow organising my new meals and put it down to low blood sugar levels (the alkaline diet is low in sugar and it does involve using mineral salts , I use himalayan rock salt). My husband had not adopted this diet until this week. He reports having dizzyness since December last year. My episodes last less than one minute are usually when I am standing up doing something like washing dishes, cooking etc or when I get up out of bed in the morning. I am noticing it especially in the mornings. Sometimes I get a slight amount of sweating like you might get if you were going to feint. Sometimes I have felt nauseas as well but not always. I thought this might have been diet related as the alkaline diet is supposed to help you release toxins from your body. This happened more when I first adopted this diet. Now the dizzyness is often free of nausea. The room does not spin for me (I can't speak for Douglas). I just feel dizzy and usually try to sit down. My hearing goes in and out when my ears are popping and this happens sometimes when I feel dizzy and other times on its own. The ear popping happens maybe 10 times each day. I have no history of hearing problems. Doug has one very small eardrum in his right ear and so has never heard through this ear. Other than this he has no other hearing problems. Doug does not have the ear popping problem. Other than these ear popping times my hearing does not fluctuate. We can both walk without support and I doubt either of us would actually fall over when dizzy. It is just an awful feeling and we want to sit down. I often get it when I move position like getting up but also when I am up and walking around. I also get it when I have been standing for extended periods. My vision is blurred when I feel dizzy but not when my ears are popping and neither of us have actually blacked out.
I hope this answers your questions. Thank you XXXXXXX
Answered by Dr. Sumit Bhatti 10 hours later

Thank you for writing back.

1. Your dog's vestibular problems seems to be related to advanced age.

2. Migraine associated vertigo should be rule out for you husband.

3. Your vertigo is not positional at all times. Though ear related vertigo is true spinning time and of short duration, at times you seem to have unsteadiness without change in position and blurring of vision.

4. In such cases, there may be more than one condition involved. Get a Tympanometry (Impedance Audiomety) done . If it is normal, no treatment for the ear popping is necessary. If there is an abnormal test, further treatment options are available.

5. Get a neurologist's / neurotologist's opinion. Many tests such as observing nystagmus (abnormal eye movements), videonystagmography, head impulse test and gait testing can only be done during direct examination.

6. Do not medicate before the tests. The adaptation of the brain is very quick (within six to eight weeks) and hence the time elapsed since the onset of vertigo is important while testing.

I hope I have answered your query. Please reply back with the answers and I will be able to help you further.

Above answer was peer-reviewed by
Follow-up: Having dizzy spells with popping sound in ear. Have lichen sclerosis. Due to estrogen dominance? 43 hours later
If it does turn out that I have vertigo, what are the treatment options and how long can I expect to suffer from this condition? I thought that the symptoms of vertigo were generally much worse than what I am experiencing. Do they get worse over time? Is vertigo made worse by any other factors like tiredness or fatigue? You have not mentioned low blood sugar levels or low iron levels. Does this mean they are not a factor in this condition?
Thanks Dr Bhatti.
regards XXXXXXX
Answered by Dr. Sumit Bhatti 5 hours later

Thank you for writing back.

1. Your symptoms do not seem to be due to ear disease. The only doubt that I have is the possibility of middle ear pressure changes which are easily picked up on an Impedance Audiogram (Tympanogram). If all the ear tests are normal, it is time to look elsewhere.

2. Low Hemoglobin, Blood Pressure Problems and Blood Sugar Problems are common causes for dizziness and are usually ruled out in the initial evaluation of any dizzy patient.

3. The problem in diagnosing dizziness often arises when the Neurologist also gives a clean chit. In that case the vertigo or dizziness does not fit into any pattern, and then possibly multiple causes co-exist.

4. Vertigo is a subjective symptom which varies from mild to extremely incapacitating. Tiredness and fatigue worsens the condition.

5. To avoid this getting any worse, you have return to a normal diet and to get a check-up and do the investigation mentioned above.

6. One your results are in, further treatment options may be discussed.

I hope I have answered your query. Please reply back with the answers and I will be able to help you further.

Above answer was peer-reviewed by
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