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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?
Asked On : Thu, 10 Jan 2013
Answers:  1 Views:  50
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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.


Dr. Naresh Jain.
Answered: Sun, 28 Jul 2013
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