• question-icon

    Vertigo, rapid heart rate, Labyrinthitis. Doctor say's labryinthitis, but could it be meiniere's?

default
Posted on Fri, 25 May 2012 in Ear, Nose and Throat Problems
Question: Doctor say's labryinthitis, but could it be meiniere's?
============
Tuesday night I was taken to the hospital via EMS due to a violent case of vertigo, nausea, and rapid heart rate. These attacks happened in waves and lasted around an hour or so. I was discharged from the ER that night.

It’s been two days and I still have a generally disoriented feeling along with very mild fatigue. I went to see my neurologist who diagnosed me with Labyrinthitis. When I saw the doctor I had no hearing loss, or tinnitus. I explained that I do not remember any ringing but wasn’t sure. He mentioned that if I had tinnitus, due to Meniere’s, I’d remember it, because it's pronounced. The attack came in waves and inbetween them I was able to seek advice from my mom (a nurse) on the phone, as well as talk to a professor, security, EMS, and the ER staff. I remember hearing them fine and being responsive enough to answer questions. The doctor said this was evidence it was Labyrinthitis and not Meniere’s. He checked my ears and eyes, saying they looked perfect.
My questions are: 1) Does his diagnosis sound like Labyrinthitis, and not Meneire’s? 2) I have to fly to California (from NYC) in a week-the doctor said it will not be an issue. Does this seem correct? 3) Last night I started getting a strange feeling in my left ear. Almost like a mild form of when you're in an airplane & the ear needs to "pop." Maybe a fullness. When I woke up the next morning It felt as though there was an odd pulsation going on in my ears. However, the sound is not pronounced at all. I can only hear it if the room is ultra quiet. Once the tv, radio, or background noise is present the feeling is gone. Sometimes I think I cannot even hear it anymore, like I forget about it. Would this be tinnitus or is it an actual ringing like a bell? I am so paranoid over meneire's, I might be amplifying normal noise. This is all coming about 2.5 days after my attack. Would these symptoms and earache occur after the attack or mostly preceding and during one?

The last sentence should read, "Would these symptoms and earache occur after the attack or mostly preceding and during one-if it were meniere's?"
doctor
Answered by Dr. Sumit Bhatti 9 hours later
Hi,

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. Labyrinthitis involves both the cochlea and the vestibular labyrinth. Since you do not have hearing loss, your diagnosis cannot be labyrinthitis. It may be vestibular neuritis alone. 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. If this Impedance Audiogram is normal, it may be Meniere's as it does not affect the middle ear. A normal tympanogram also means that flying is not a problem.

4. The symptoms of Meniere's preceed the vertigo.

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

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2593 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Labyrinthitis

doctor1 MD

I am a 27 year old woman that was diagnosed with an inner ear infection (Labyrinthitis) last Wednesday and I have been trying to get over it for...

doctor1 MD

after an attack of extreme vertigo, I have pretty constant dizziness. my doctor diagnosed inner ear infection and said time would make it better....

doctor1 MD

I had surgery oct 18 general ansethesia was used. I been feeling dizziness. The room is not spinning . But I feel like I am moving inside . What...

doctor1 MD

Recently, I have been suffering from almost constant dizziness/head spinning, to the point where I fall over. I went to the doctors a couple times...

doctor1 MD

I was in XXXXXXX and suffered a bout of dehydration (on top of lack of sleep and food) last Wednesday evening. I had a massive shooting headache ,...

doctor1 MD

Hello Doctor, I have had dizziness for more than a week now, as well as weakness and quasi- numbness in my left hand. I have A-fib. My concern is...

doctor1 MD

I have had vertigo for many years and am on meds for it but today it showed up as I was getting out of bed to go to the bathroom and get dressed...

Get personalised answers from verified doctor in minutes across 80+ specialties

154 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Sumit Bhatti
  • Q - Can an energy drink prior to blood test increase RBC levels ?

  • Q - Unstable,unable to walk independently and properly,on Vertinal and...

  • Q - Flu symptoms,throat and roof of mouth sore,coughed bright red blood,any...

  • Q - Tingling sensation along right side face,3-4 times daily,sensation when...

  • Q - Pain,stiffness,swelling in knees,X-ray,arthritis developing,knee...

  • Q - Amoebriz dosage for adults and children

  • Q - Eustachian tube dysfunction, ear virus, sick on planes, scopolamine,...

  • Q - Pea sized nodule in tongue, painful, affecting speech, tooth pain, jaw...

  • Q - What causes jawline lumps?

  • Q - Double bypass, respiratory failure, nose bleeds, selective embolization

backtotop2