Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
186 Doctors are Online

Feeling of blocking in ears, fluid, continuous ringing, dizzy spells. Any ideas or help?

Hi I have been having problems with my left ear for about a month now. I ve seen an ENT and had my ear cleaned, a 5 day course of antibiotics and now I m trying SERC. I ve also been taking Sudafed for Decongestion. The ear always feels blocked, kinda filled with fluid and continually echos. It s like this all day except for when I m lying on my left side or if i tip my head upside down. I don t think I m having any dizzy spells although the echo makes me feel a little uneasy on my feet . My mum also has meniere s disease. I ve also been doing all the regular earblocking techniques. Any ideas or help would be greatly appreciated.
Asked On : Sat, 15 Dec 2012
Answers:  1 Views:  227
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics
ENT Specialist 's  Response

Thank you for your query.

1. Meniere's disease is diagnosed on the following criteria:
a. Vertigo
b. Fluctuating hearing loss
c. Tinnitus
d. Fullness in the ear
There is usually nausea and vomiting, the hearing usually worsens during an attack and the tinnitus also worsens. Earache is not a usual symptom.

2. You should get a PTA (Pure Tone Audiogram) to document any hearing loss. Meniere's disease usually causes low frequency hearing loss initially ( Audiogram sloping to left).

3. Get a Tympanogram done to check middle ear pressures and Eustachian Tube function. If this Impedance Audiogram is normal, it may be Meniere's as it does not affect the middle ear.

4. If this Impedance Audiogram is abnormal, then a trial of medication should be taken for three to four weeks. If this does not work, a myringotomy with a grommet insertion may help. Steroid drops can e given for a longer duration through this ventilation tube.

5. An MRI Scan is usually advised in a patient of vertigo so as not to miss any major cause, one of which is an Acoustic Neuroma. I must emphasize that Acoustic Neuromas are rare and almost 99% of MRIs are normal. Acoustic Neuromas also have other symptoms depending upon their size. They are benign and extremely slow growing.

6. MRI Scans display anatomy and form, not function. The Eustachian tube is normally in a collapsed state. It can be voluntarily opened by yawning, swallowing, chewing gum, blowing your nose or performing the Valsalva maneuver. A Tympanogram and eardrum examination is more important.

7. Meniere's disease should normally respond to a salt restricted diet, acetazolamide (diamox) and betahistine (Vertin).

8. If you do go in for an MRI, try a 3 Tesla Scan. It may pick up the subtle changes due to Meniere's Disease in the inner ear.

9. If steroids have not controlled your Tinnitus and your middle ear is normal (no eustachian dysfunction), then you may try Caroverine (Tinnex) injectable or capsules.

10. Serc (Betahistine) is an anti-vertigo medication which aslo increases blood flow to the inner ear. The echoing of sounds may also be diplacusis or due to a Patulous Eustachian Tube. Have you lost a lot of weight suddenly?

I hope that I have answered your queries. If you have any further questions, I will be available to answer them.

Answered: Sun, 23 Dec 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor