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Started with vertigo. Suggested middle ear infection. Developed sore throat and running nose. Feeling tired. What to do?

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ENT Specialist
Practicing since : 2006
Answered : 1110 Questions
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Dear dr,

It all started with a sudden vertigo that lasted few seconds that send to a state of panic. Went to the dr and was told I had some middle year infection. Off with some medications. One day later developed sore throat and runny nose. Went to the dr again and was told to running flu. Off with medications and no antibiotics.
I'm feeling very tired all the time these 2 days . I had been sleeping for more than 12 hours only to take extra nap of additional 3hours in the noon. I got difficulty concentrating . Like I can only stay focus at the tv for a short period of time. I will begin to feel drowsy thereafter and felt like laying down to sleep again .
Symptoms:
Heavy headed
Stuffy nose
Slight ear blocked
Slight fever on off ard 37.2 degrees
Very tense neck n shoulder muscles.
Cannot concentrate for long
Sore throat
Cough seemed to be on the way.
I'm concerned cos I hadn had flu like this before . I'm worried about the sudden spinning vertigo that comes abruptly . Followed by these flu symptom..there isn't green phlegm . I'm drained off now.., its been the 4th day aldy.

Pls advise.
Posted Fri, 11 Oct 2013 in Ear, Nose and Throat Problems
 
 
Answered by Dr. Hariom Sharma 9 hours later
Brief Answer:
vestibular neuronitis

Detailed Answer:
Hi,
Thank you for your query
I had gone through your query, it suggests that you are suffering from vestibular neuronitis.
It is the self limiting disease and caused due to the viral infection of the vestibular nerve.
Vertigo disappears in a few days, and usually does not recur. It usually follows upper like prochlorperazine or dimenhydrinate should be continue during active phase of disease.
Smoking and alcohol should be discontinued.

If you have any doubt, I will be available for your query.

Wish you good health
Above answer was peer-reviewed by
 
Follow-up: Started with vertigo. Suggested middle ear infection. Developed sore throat and running nose. Feeling tired. What to do? 7 hours later
Dear dr
Can u tell me more about this disease? What is this and what type of medication is needed? What is it caused by?
 
 
Answered by Dr. Hariom Sharma 20 minutes later
Brief Answer:
Detail about Vestibualr Neuronitis

Detailed Answer:
Hi Sir
Thanks for follow up query
Definition - Vestibular neuronitis( Vestibular neuritis) is a paroxysmal, single attack of vertigo, a series of attacks, or a persistent condition that diminishes over three to six weeks.
It is a type of unilateral vestibular dysfunction and may be associated with nausea, vomiting, and previous upper respiratory tract infections.

Sign and symptoms-The main symptom is vertigo, which appears suddenly, often with nausea and vomiting. Vertigo usually lasts for several days or weeks.

Causes-Some patients have an upper respiratory infection (common cold) or a flu prior to the onset of the symptoms of this disease, others will have no viral symptoms prior to the vertigo attack.

Treatment - are often prescribed to control vertigo during the acute phase. Examples include Benadryl (diphenhydramine), Antivert (meclizine), Phenergen (promethazine hydrochloride),

If you have Any doubt, I will be available for your query.

Wish you good health
Above answer was peer-reviewed by
 
Follow-up: Started with vertigo. Suggested middle ear infection. Developed sore throat and running nose. Feeling tired. What to do? 19 minutes later
Dear dr,
My previous dr gave me levofloxacin ear drops ( I XXXXXXX know if I spelt correctly) it is ok to use? Will it help??
Ur diagnosis is fast and accurate. N really fit into my current condition . I swam for a few days n devolved this suddenly. The water isn't too clean I'm sure.

Wil antibiotics help? Should I ask the dr to prescribe ??
How long will it take to recover? What should I do ?
I'm pretty worried bout this

Thks
 
 
Answered by Dr. Hariom Sharma 36 minutes later
Brief Answer:
No need to use ear drop

Detailed Answer:
Hi Sir,

In this situation, there is no need to use any type of ear drop.

Best management is to rest and avoid head movement.

You should not worry so much because it is self limiting disease.

Maximum duration of this disease is not more than 6 weeks.

If you have any doubt, I will be available for your query

Get well soon.
Above answer was peer-reviewed by
 
Follow-up: Started with vertigo. Suggested middle ear infection. Developed sore throat and running nose. Feeling tired. What to do? 24 minutes later
Thks again

What about the flu I'm having now. Should I begin some antibiotics or other medicine ??

Or is it that u should jux let it resolve itself ?
 
 
Answered by Dr. Hariom Sharma 1 hour later
Brief Answer:
Flu viral disease

Detailed Answer:
Hi Sir
Thanks again for follow up query
Influenza, commonly known as "the flu", is an infectious disease caused by RNA viruses.
The most common symptoms are chills, fever, runny nose, sore throat, muscle pains, headache (often severe), coughing, weakness/fatigue and general discomfort.
Effective ways to reduce the transmission of influenza include good personal health and hygiene habits.

Flu patients are advised to get plenty of rest, drink plenty of liquids, avoid using alcohol and tobacco and, if necessary, take medications such as acetaminophen (paracetamol) and Vitamin C to relieve the fever and muscle aches associated with the flu.
Antiviral drug are advised only when it does not subside by above treatments.

If you have any doubt, I will be available for your query.

Wish you good health
Above answer was peer-reviewed by
 
Follow-up: Started with vertigo. Suggested middle ear infection. Developed sore throat and running nose. Feeling tired. What to do? 18 hours later
Dear dr
Thks for yr detailed answer. Some back tracking. I was swimming for few days n it all started with a terrible itch In my left ear.the water in the pool was pretty murky although assured that there was disinfectant applied every morning .. After the vertigo attack . I'm feeling some mild dizziness. I can stil walk normally though ..
There is some itch in my left ear that Im so afraid to even touch them .
I seemed to use alot energy to concentrate on one object .. Felt dizzy after changing the focus ..
I'm so worried that it wouldn go away
 
 
Answered by Dr. Hariom Sharma 23 minutes later
Brief Answer:
Possibility of otomycosis

Detailed Answer:
Hi Sir,
Thanks for your follow up query
I had gone through your query and it suggests that you may suffering from Otomycosis (fungal infection ) of the left ear.
But to exclude the other disease which are also responsible for the itching of the ear such as otitis externa and media, you may need to consult the ENT specialist for otoscopy / Examination under microscope .
In otomycosis in our patient , I advised to prevent ear from ear bud, Oil and water and use antifungal ear drop.
But Otomycosis is not related with vestibular Neuronitis.

If you have any doubt, I will be available for your query.

Wish you good health
Above answer was peer-reviewed by
 
Follow-up: Started with vertigo. Suggested middle ear infection. Developed sore throat and running nose. Feeling tired. What to do? 39 minutes later
Meaning I had suspected to have both fungal infection and vestibular neuronitis? Or the infection had lead to vn?

I had consulted an ent before . She examined my ear n said there was middle ear infection. She said the sudden few second vertigo is sometimes related to insufficient blood to the brain . Not due to ear because my hearing is normal. I added I had a flu there after she said I had flu .. Probably she doesn't wanna explain much cos she assume patient won't know anyway..

I googled on nv and realized it fit exactly the symptoms I'm having so I accept your professionality.

Do I continued with ear drops ? Levofloxacin hydrochloride given .. And wat about possible antibiotics like cefprozil?

Are the 2 conditions related? And if yes pls suggest me the possible options

Jux a little to add on I'm currently working in china and don't quite trust the drs here.. So I'm searching for more answers and options to help me in recovery .

I'm sort of hypochondria , cos I'm not quite comfortable with some of the medical services here.

Thks for your kind patience
 
 
Answered by Dr. Hariom Sharma 29 minutes later
Brief Answer:
Both Vestibular neuronitis and Otomycosis

Detailed Answer:
Hi Sir
Thanks for faith on me and follow up query
I had gone through your query and for your Ear, I personally advised the ear drop containing the combination of the antibiotics , antifungal and steroid drugs with antihistamines tablets.
If you have the otomycosis and Otitis externa , it may worsen after putting the levofloxacin hydrochloride ear drop.

Not so much worry and hesitate to me.

If You have any doubt, I will be available for your query.

Wish you good health
Above answer was peer-reviewed by
 
Follow-up: Started with vertigo. Suggested middle ear infection. Developed sore throat and running nose. Feeling tired. What to do? 46 minutes later
Thks again. Could u recommend the ear drops to use? The names? I try to see if I can get it from local pharmacies ..

Thk u lots
 
 
Answered by Dr. Hariom Sharma 7 minutes later
Brief Answer:
Consult your ENT Specialist

Detailed Answer:
Hi Sir,
Thanks for followup
In our patient , I advised Otocin-O ear drop 2 drops three times a day and Tablet Allegra 120 mg once a day.
Avoid water, oil and ear bud in the ear.
But before using these drug , please consult your ENT specialist for better management and diagnosis.

If you have any doubt, I will be available for your query.

Wish You Good Health
Above answer was peer-reviewed by
 
Follow-up: Started with vertigo. Suggested middle ear infection. Developed sore throat and running nose. Feeling tired. What to do? 27 hours later
dear dr
I only manage to find ofloxacin (correct spelling ) ear drop in the local pharmacy .

Can u review my case and suggest if this ear drop is suitably for me?
Thks
 
 
Answered by Dr. Hariom Sharma 39 minutes later
Brief Answer:
Ofloxacin is not suitable

Detailed Answer:
Hi Sir,
Thank for your follow up query
Only ofloxacin is not a suitable ear drop in your case. You need to use clotrimazole containing ear drop 2 drops three times a day.
If itching is not present then there is no need of ear drop.

Thanks

Wish you good health
Above answer was peer-reviewed by
 
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