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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for nausea and vertigo

Hi I have symptoms of mineres. I don t get full vertigo ever but I get the fullness, pressure and ringing. Sometimes I get terrible sharp stabbing pains in my ears as well. These sometimes last for DAYS. I have not had any problems for about three years and just had a flare up yesterday. I have some nausea although I don t feel dizzy. I know I should be eating to counter some of these effects but now it s hard with the nausea. Is it normal for my symptoms to last for three/four days at a time? I ve heard mineres attacks can only last up to x24 hours( but that s with vertigo which I ve never had)?? I ve also noticed the pains are now in both ears as opposed to four years ago it was only in my left!
Mon, 23 Feb 2015
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ENT Specialist 's  Response
first it is very important to differentiate between vertigo and dysequilibrium. first one is a rotatory sensation whereas second one is a kind of imbalance. two of them should not be confused. i am saying this because pain in ear is not a typical faeture of meniere's. if you are sure, you have vertigo, hearing loss also forms an important symptom which i could not find in your description. fullness pressure and ringing sensation are very common and non specific symptoms.
i would suggest that first get a pure tone audiometry done, if we get sensory neural loss, we may think of meniere's. else meet a neurologist, vertigenous migraine should be ruled out.
If meniere,s diagnosis becomes confirmed, low salt diet should be the first step, a diuretic can be started, apart from symptomatic treatment like betahistine
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