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Buzzing in ear, dizziness, benign paroxysmal positional vertigo, labyrinthitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor :   Hi.
Doctor :   How can I help you?
User :   You are an actual doctor? I am having problems with balance related to my inner ear.
Doctor :   Ok.
Doctor :   I am a General Practitioner
Doctor :   Since when are you having this problem?
User :   Since June 21st 2008
Doctor :   Ok.
Doctor :   Are you having any ringing in your ears?
User :   Since June 21st (2008) I have been getting headaches and that first day, if I would lie down I would see the room spinning in circles. I also spit up, but it was clear. It felt/sounded like I was going to vomit and I had just had breakfast. I went to my pediatrician on June 23rd and my blood pressure was high, so the doctor said to come back in a week. She said there was fluid in my left ear and my right ear was normal. I saw a different pediatrician in the same office for my blood pressure and it had gone down a little. She referred me to a cardiologist and after getting a chest x-ray, my blood pressure checked, and an EKG, everything was normal. The second pediatrician on June 30th also referred me to my ear, nose, throat doctor. He looked at my adnoids and said the right one was growing back a little and my tonsils hadn't grown back since they were removed in Feb. '05. I went to a balance specialist at the ENT office who ran tests and blew cold and warm air into my ears. They told me that my right ear was 30% worse than what it should be, or something about 30% in my right ear. I had a cold for two weeks at the beginning of this, and then I got another one in the beginning of August. I rarely get sick, but I had been around kids this summer. What can I do? Also, can you give me a list of possible disorders it could be so that I can research it?
User :   Occasionally, I will hear a buzzing noise for a few seconds.
User :   There is my story in a nutshell
Doctor :   Ok
Doctor :   Please give me a moment to read through this.
User :   Sure
Doctor :   For Administrative and health purposes, Please provide these details Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   Age: 17Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   Age: 17 Gender: Female Occupation: None Location: California Marital Status: Single Weight and Height: 155, 5'4 Dependents: Yes/ No. --I don't know what this meand
User :   means*
Doctor :   Have you recently been at high place or a hilly area or in a plane?
User :   Yes. I went to the mountains twice this summer. I get car sick and sometimes vomit when I go to the mountains. I got a really bad headache when I got out of the car one time in the mountains.
Doctor :   Ok.
User :   I've gotten car sick for as long as I can remember
Doctor :   You could have a condition called Labyrinthitis.
Doctor :   It could cause most of your symptoms
User :   What is it
User :   ?
Doctor :   That is inflammation of the balance organs present in your inner ear.
Doctor :   It is characterised by dizziness, buzzing in ears and hearing loss to an extent.
Doctor :   You need to take adequate rest and take plenty of oral fluids.
Doctor :   You may need stronger medicines like steroids or antivirals.
User :   Okay. I just started reading about it and it does sound like what I'm experiencing because of the colds I've had.
Doctor :   That are given only after confirming labyrinthitis.
Doctor :   Yes.
User :   Are there any tests for it?
Doctor :   What medicines are you on now?
User :   I am on generic Zoloft 100mg
Doctor :   Can you write down its composition?
User :   Composition?
Doctor :   yes
Doctor :   what the drug is
User :   I don't know what that means
Doctor :   As the brand names vary
Doctor :   thats ok
Doctor :   I suggest that you consult your ENT surgeon
User :   Sertraline HCL?
Doctor :   And get this thoroughly evaluated
Doctor :   Ok
Doctor :   Yes
User :   What tests are done?
User :   I had blood work done.
Doctor :   Ok.
Doctor :   The ear tests and the balance tests.
Doctor :   Once labyrinthitis is confirmed
Doctor :   then the treatment can be started
Doctor :   Anything else?
User :   I did have those tests done.
Doctor :   Ok.
Doctor :   What was the diagnosis of the ENT surgeon?
User :   He just gave me a sheet of balance exercises to do and he said I would come back in 3 weeks if it didn't get better and I would go to physical therapy.
Doctor :   Ok.
User :   I haven't really been doing them
Doctor :   There is another condition called Benign Paroxysmal Positional Vertigo.
User :   So I should go to him with this name?
Doctor :   That has dizziness attacks too.
User :   Okay
Doctor :   I suggest that you continue doing the exercises he gave you.
User :   Alright
Doctor :   If these do not show any improvement then you can go back to him.
User :   Okay
Doctor :   Please fill the feedback form say done when done
Doctor :   Are you there?
Doctor :   I have to close this chat window as you have moved out of the chat. Please log in again if you need further medical advice.
Doctor :   hI
User :   Hi
Doctor :   How can i help you
User :   Are you the same doctor I talked to about my balance problem?
User :   I wanted to see if I could get a second opinion.
Doctor :   No i am not but i do have the details that youhave had a chat regarding
User :   Can I get a second opinion from you?\
Doctor :   Please wait by when i shall go through the history that you have provided
User :   Alright
Doctor :   Have you had any Examinations for the Same by the ENT surgeon
User :   Examintaions for the Same?
Doctor :   ok
Doctor :   What was the diagnosis by the doctor then
User :   He said to do the balance exercises and come back in weeks for physical therapy if it doesn't get better.
User :   For a PT referral
Doctor :   How long back was this and did he not get any investigations done
User :   Probably five weeks ago. He sent me for blood work
Doctor :   Vertigo is the sudden sensation that you are unsteady or that your surroundings are moving.
User :   I had that
User :   The first day.
Doctor :   several simple and slow maneuvers for positioning your head are the once that your doctor would have performed to reestablish the same sensation that you might have felt
User :   I would lay down and the room would spin
User :   The balance specialist did move me around and have my head go back to see if I felt anything
Doctor :   At night, you should elevate your head on a few pillows when you sleep.
Doctor :   Did you get the same sensation that you felt earlier
User :   I do sleep in two pillows. Is that good?
User :   No, I did not. He just had me tilt my head while moving my head in each direction.
Doctor :   Below your Head you mean
Doctor :   ok
User :   My symptoms started when I would lay down
User :   Oh, okay
Doctor :   That is ok if you do not have any sprain in the neck
User :   I meant to say "on"
User :   :)
Doctor :   that is when your lying flat on the ground your having these symptoms is it
User :   I would lay down on a beanbag and it would start
Doctor :   ok
Doctor :   Inside your ear is a tiny organ called the vestibular labyrinth.
Doctor :   It contain fluid and fine, hair-like sensors that monitor the rotation of your head.
User :   Okay
Doctor :   These otolith organs contain crystals that make you sensitive to movement. For a variety of reasons, these crystals can become dislodged. When they become dislodged, they can move into one of the semicircular canals
Doctor :   causing the semicircular canal to become sensitive to head position a result, you feel dizzy
User :   How do you get them back in place?
Doctor :   Well that will only need life style modifications or surgical procedure to be performed
Doctor :   bone plug is used to block the portion of your inner ear that's causing dizziness.
Doctor :   plug prevents the semicircular canal in your ear canal from being able to respond to particle movements or head movements in general
User :   What would the surgery accomplish?
Doctor :   Few lifestyle modifications that you might need to follow are
Doctor :   Prevent any movement that is occurring and hence the cause for Dizziness is averted
Doctor :   Move slowly when making movements
Doctor :   Be aware of the possibility of losing your balance, which can lead to falling and serious injury.
User :   So, I have to get up slowly from laying down?
Doctor :   Yes
Doctor :   And avoid any motions that can trigger the Vertigo in your
User :   Also, why did this start suddenly? Because I was sick?
Doctor :   Well that will need detailed examination and History that needs to be taken which may not be possible over the chat
Doctor :   Trying to find out the cause for the same
Doctor :   Please fill the feedback form say done when done
User :   Thank you
User :   Done
User :   Thank you.
Doctor :   You are Welcome
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
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