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Suggest treatment for minor defect in semicircular canals located in inner ear

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Posted on Mon, 18 May 2015
Question: hi i'm 63 y/o female.. i have ear pain and pressure in right ear. no ear drainage or redness and swelling around ear. I have sever vertigo like symptoms when laying flat and turn head. also when sitting up, if i lean over and hang my head down it's really is bad. i have bad tooth that doesn.t hurt anymore. i have no fever or nausea. just a little pain pressure in right ear. when i was a child, i had bad ear infections all the time. they thought i was going to go deaf. before the time of tubes. but earaches stopped at 10years old. i had a few twinges in my ear through the years but thats it. 20 years ago i was diagnosed with occipital nueralgia and fibromyalgia for dizziness, dropping things, ect. no m.s ect .
. these symptoms lasted 2 years. but i've never experienced anything like this. thanks for your time. XXXXXXX
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Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
Suggestive of BPPV.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your symptoms and they are suggestive of benign paroxysmal positional vertigo (BPPV).

In this condition, there is a minor defect in semicircular canals located in inner ear (crystals are formed, where normally only fluid is present).

Symptoms are vertigo/dizziness, which are made worse on head or neck movements. In the initial period, nausea, vomiting or imbalance may also be present.

It is a self limiting condition and improves on own in most people within 1-2 weeks.

For relief of symptoms, you may take betahistine tablets. An opinion from ENT may be needed, if symptoms persist.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

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Practicing since :1994

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Suggest treatment for minor defect in semicircular canals located in inner ear

Brief Answer: Suggestive of BPPV. Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms and they are suggestive of benign paroxysmal positional vertigo (BPPV). In this condition, there is a minor defect in semicircular canals located in inner ear (crystals are formed, where normally only fluid is present). Symptoms are vertigo/dizziness, which are made worse on head or neck movements. In the initial period, nausea, vomiting or imbalance may also be present. It is a self limiting condition and improves on own in most people within 1-2 weeks. For relief of symptoms, you may take betahistine tablets. An opinion from ENT may be needed, if symptoms persist. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in