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According to the Ministry of Health, Singapore, more than 4,500 patients were admitted into hospitals nationwide over the period of 1st October 2012 to 30th September 2013 for dizziness. The inner ear or labyrinth comprises the organ for hearing (cochlea) as well as the organ for balance (vestibular organ). Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo affecting all age groups. Dr Thong Jiun Fong is an Associate Consultant at the Department of Otolaryngology, Singapore General Hospital.
For those of you unfamiliar with Meniere’s, it is a disease of the inner ear which affects the auditory and balance systems of the body.
I walked home, mulling over everything that had happened, searching for anything I might have missed. Today my hearing has returned and the tinnitus which plagued me all those months has ebbed to an often inaudible hum. Since January 2013 I’ve been searching and floating around on the net for answers to my problem. Many people find relief through homeopathic remedies and I’m so glad it helped you, too. Unfortunately I did not go to the ER so I do not know if I had a concussion, but the headache felt like I might.
Hello Lisa, I would be very grateful to know the e-mail and the telephone number of your homeopathic.
Hi Christy, I read your story and I was moved by the suffering that you experienced and I was diagnosed of Meniere 2 weeks ago, after a horrible vertigo that lasted 2 days. I have had MD for almost 20 years and after reading your story, I remembered the pain, frustration, helplessness, fear and anxiety that I felt when I first started dealing with the disease. This evening as I was telling my wife I couldn’t ear her banana bread because the sodium would be too high, I decided to see if there were any low salt versions on-line and then I stumbled across your incredible site.
PPS: After I started having symptoms in my left ear, I went back to my ear doc, who is an expert in MD at Mass Eye and Ear Infirmary in Boston. I am so relieved to hear other peoples stories as this disease can be so isolating at times. I’d love to know of the product made specifically to massage the back ear if someone can email it to me. You have given me hope and it is so nice to know I am not the only one suffering from these spells. I feel I’ve struck gold this morning, thank you for your wonderful website and all those wonderful looking recipes fit for us MD sufferers.
This represents only a small proportion of patients suffering from dizziness, as most are often treated as outpatients by the doctors in Polyclinics, General Practice, Accident and Emergency or Specialist Outpatient clinics. Peripheral vestibular attacks are characterised by strong rotatory vertigo associated with symptoms of nausea and vomiting, and signs of spontaneous or positional nystagmus (rhythmical oscillation of the eyes) to one direction.
It is characterised by repeated episodes of rotatory vertigo, with each episode lasting seconds.
In this condition, calcium crystals (otoconia or otoliths) normally found in the utricle (part of the vestibular organ) are dislodged and migrate into one of the three semicircular canals (anterior, posterior and lateral) of the inner ear. Diagnosis can be suspected from the patient’s account of symptoms and can be confirmed by performing the Dix-Hallpike manoeuvre or the supine roll test. Treatment for BPPV includes manoeuvres to reposition the dislodged crystals (‘canalith repositioning procedures’, e.g.
It is characterised by sudden-onset incapacitating rotatory vertigo associated with nausea and vomiting.
Symptomatic treatment with drugs (vestibular sedatives) to reduce dizziness, nausea and vomiting is often needed in the acute setting. It is characterised by attacks of episodic vertigo with fluctuating hearing loss and sensation of pressure in the ear (aural fullness) that may last hours. Excess inner ear fluid (endolymphatic hydrops) is believed to be the cause of Meniere’s disease. Diagnosis is frequently made from the patient’s account of symptoms, and clinical examination may detect weakness in the affected vestibular organ. An abnormal connection between the fluid of the inner ear and air-filled middle ear exists. Thinning or dehiscence of bone overlying the superior semicircular canal of the inner ear is present.
Vertigo that is accompanied by a characteristic nystagmus can be brought on by sudden loud sounds or sudden transient increase in pressure in the ear.
It is characterized by dizziness, hearing loss, tinnitus (ringing in the ear or ear noise), and a feeling of aural fullness. I’d been resting in an armchair, and when I stood to get up it seemed as though my legs were an extra foot longer than normal.
It is also the medication of choice for Meniere’s patients who are plagued by episodic spells of vertigo. Over the next few months, I occasionally heard the same crackling noises and felt fluid sloshing around inside my head.
Within days of our arrival, my hearing was so bad I was having difficulty distinguishing speech. When I arrived at the crowded doctor’s office, I was ushered into a soundproof booth for a series of hearing tests.
Hanson re-explained the test results and stated that he had three working hypotheses as to what was wrong. The tinnitus was worse than ever, droning on in a steady amplified SHHHHH, and my ear felt inflated like a balloon. I modified my diet to meet the sodium restriction and began noticing an immediate difference in my symptoms.  It was like a balloon was slowly deflating inside my head.
I am a believer and I’m scheduled to see onr soon The appointment however is still 2 months away. Being this happened at work I have been fighting with Workman’s Comp to send me for tests and doctors visits, but because I have had tinnitus for 20 years they claim the Vertigo, Meneires, balance issues, etc. For the past month I have had similar symptoms, including a fullness in my right ear, rattling or distortion when I hear louder sounds or even when I talk loudly or yell, some pain, and the inability to equalize the pressure in my middle ear.
I am very excited to say, after researching constantly for nearly a week finding many (some dangerous and ludicrous) theories and home remedies for illnesses related to clogged ears, I found something that has so far been very beneficial for me.
In some conditions, only the balance organ is affected; in these cases, only vertigo without the hearing loss is experienced.
The vertigo is triggered by rapid changes in head position and includes typical triggers as lying down or sitting up in bed, rolling over in bed, bending over or looking up. The semicircular canals give sensory input to the brain with regard to rotatory movements of the head.
Epley’s and Semont’s manoeuvre), and exercises to get the patient accustomed to the vertigo (‘habituation exercises’, e.g. Vertigo typically lasts for hours after which non-vertiginous giddiness and imbalance persist for days to weeks. Inflammation of the nerve of balance (vestibular nerve) is believed to occur in vestibular neuronitis, and inflammation of the labyrinth (cochlea and vestibular organ) in acute labyrinthitis. As the patient recovers, weakness of one of the vestibular organs can be detected clinically by observing for abnormal tilting of the head or by performing the ‘head-shake’ or ‘head-thrust’ test.


Fluctuations in inner ear fluid with accumulation and subsequent release of pressure within the inner ear system explain the intermittent nature of the vertigo and fluctuation of hearing loss.
Standard audiometric tests demonstrate the characteristic hearing loss when patients are experiencing symptoms.
Preventive treatment aims to reduce the frequency and severity of attacks and includes dietary advice, such as reducing intake of salt, caffeine, alcohol and tobacco. Fluid within the middle ear or abnormal skin debris may be seen accumulating within the middle ear. Sometimes surgery may be needed to repair the ruptured oval or round window to stop the leak of inner ear fluid into the middle ear. Autophony, whereby patients are able to hear their own speech as well as other self-generated noises such as chewing or even their own eyeballs moving within the eye socket, is a classic symptom. The fluid within the superior semicircular canal is, therefore, more easily displaced by sound and pressure stimuli.
I have Meniere’s Disease, and although it does not define me, it is my constant companion.
Meclizine is intended to act as an abortive drug; that is, when a patient feels an attack of vertigo coming on, the individual takes it to try to stop the attack.
I noticed that my hearing seemed a little off but wasn’t alarmed by it, assuming I still had residual fluid that would clear itself out.
The noise had grown even perceptibly louder, and it felt as though half my head was trapped in a paper bag. Once again, I called my doctor’s office back in Philadelphia and asked for a referral to see a specialist when I returned home. I asked the technician several questions, and although pleasant, she was distinctly noncommittal. He described a patient who’d come to him complaining of tinnitus, who was eventually driven insane by the noise and began wearing tin foil on his head. My deafness seemed to grow with the days and the tinnitus was nearly intolerable.  After a short wait I was shown to an exam room and spoke briefly with a student doctor. One: A past infection could have caused my hearing damage, in which case the deafness would be permanent, but the tinnitus would likely fade over time. My hearing was improving and the tinnitus seemed slightly less noticeable.  Soon I was going for the MRI.
Just now and then I feel somewhat unstable Oh my goodness this full sensation in my head is ridiculous!
Your website is helping me on my journey to become not only a cook–but a low sodium cook. I tripped while holding things in my arms, landing solely on my chin with all of my weight. I was diagnose with meniere’s disease two weeks ago, after a horrible vertigo that put me into an emergency room. Since then, I have nausea, dizziness, and total exhaustion, plus the hearing in my ear blurt vision. Over 3 weeks ago I went to bed fine, woke up the next morning deaf in my right ear with occasional ringing and unable to stand or sit due to my world spinning out of control around me.
The balance organ together with the nerve of balance (vestibular nerve) is collectively called the peripheral vestibular system. There is no associated hearing loss, and majority of patients improve spontaneously within two months even without treatment.
With specific movements of the head, the gravity-dependent calcium crystals move within the affected canal and result in abnormal displacement of inner ear fluid (endolymph), giving the sensation of rotation even when the head has stopped moving. Caloric testing, whereby warm and cool water or air is introduced into the ear to stimulate the vestibular organ, may show poor functioning of that vestibular organ. Drugs should be stopped after the first few days once vomiting is controlled, as prolonged use can delay recovery. Sensorineural hearing loss in the low frequency range that improves after each attack of vertigo is classical. Diuretics to regulate the pressure of the inner ear fluids, and medicines to enhance the microcirculation of the inner ear, may be prescribed. Barotrauma from diving, for example, can result in perilymph fistula by causing rupture of the oval window or round window that normally separates the inner and middle ear. The presence of a perilymph fistula can often be diagnosed by performing the ‘fistula test’.
If the cause is from a previous ear surgery, it is often necessary to explore the middle ear.
Cause of this condition is unknown, although it is believed that there may be a genetic predisposition.
Special tests such as vestibular-evoked myogenic potentials (VEMPs) may be done and will show typical results.
Occasionally when I would blow my nose, my ear would pop and stay popped for days at a time. I tried walking, and with each subsequent step it seemed I might fall over, though I was planted firmly on the ground. One evening as I was getting into bed, I noticed a loud humming noise, like a truck idling in front of our house. I called my physician, who told me it was probably just fluid but advised that I seek medical attention if I was really concerned. He grabbed a sheet of paper and drew a picture of my inner ear, describing what he believed had happened to me over the course of the past months.
After the hearing tests, I was taken to an exam room and within minutes a nurse entered and began talking to me. After going for all sorts of tests and finding nothing wrong I finally went to a homeopathic doctor. He was sent to every specialist in town, had MRIs and EKGs ..even sinus surgery that nearly killed him! Vertigo is my most problematic symptom – my last acute attack was five months ago and I am now back on my feet but have had consistent dizziness since in varying degrees – I have had no relief!
I went to my family doctor who said everything looks normal but prescribed me Nasonex which I have been using (even after reading all the horrible reviews of the drug).
By applying vibration to the mastoid bone which is right behind the ear, I found that it has opened and helped drain my eustachian tubes.
The crystals settle within seconds due to the effects of gravity and hence symptoms typically last seconds. Surgical treatment for BPPV is very rarely indicated but may be necessary in some patients with recalcitrant and incapacitating symptoms.
In contrast, hearing loss usually occurs in one ear and tinnitus (ringing sound in the ear) is present in acute labyrinthitis. The resultant inflammation results in a hypofunctioning vestibular system on the same side.
Standard audiometric tests (hearing tests) are routinely done to detect any associated hearing loss. Corticosteroids are often given within few days of vertigo onset, especially if there is associated hearing loss, as they have been shown to improve peripheral vestibular function and hearing results.
Symptomatic management of the nausea and vomiting with vestibular sedatives are often needed during an attack.


Middle ear diseases, such as cholesteatoma whereby abnormal skin debris accumulate within the middle ear and become infected, can expand and erode into the inner ear, resulting in an abnormal connection or fistula with the inner ear fluids.
Sudden transient increase in ear canal pressure reproduces the vertigo and elicits nystagmus.
Perilymph fistula from erosion of the inner ear by cholesteatoma requires surgery (mastoidectomy) to remove the disease and to patch up the abnormal connection. All of this seemed odd and was mildly annoying, but at the time my family was suffering through cold season. The hypothesis was that fluid in my inner ear was throwing off my balance, and the problem would quickly rectify itself.
I took it as prescribed and I sat on the couch, half comatose, trying my best to care for my infant daughter. I went immediately to the local ER and was sitting in front of a nurse practitioner within an hour. He explained that the only way I could unclog it was to first take a nasal spray, like Afrin, which would open up my sinuses, and then take a second medicated spray to liquefy the gluey substance and get it moving again. I poured out my story to her, what I had been experiencing all the months before, what had happened in Vermont, everything up to the present. One night, a month or two earlier, I’d gone to bed and noticed the room spinning as though I was drunk, though I was completely sober. A tremendous wave of relief flooded over me as the technician told me that my test results looked normal!  I was back at Temple within a week.
I’m pretty devastated by the diagnosis as I live thousands of miles away from my family and the thought of not being able to fly makes me so very sad. I am living far away from my loving family, I feel frightened since I realized that doctors wouldn’t help me since I have MCS a condition of deliver that allows me to take only natural products. The symptoms have become worse, so I went to a walk in clinic today and the doctor said she can see a dullness in my right ear, which would mean there is fluid behind the tympanic membrane.
Magnetic resonance imaging (MRI) of the brain may be arranged to exclude a stroke or rare brain tumour.
Graduated exercises to train balance control and gaze stabilisation are encouraged, if necessary with the assistance of a physiotherapist.
Blood test for syphilis is often done, as symptoms from syphilis infection may mimic that of Meniere’s disease. Hearing test may show presence of sensorineural hearing loss or mixed (sensorineural and conductive) hearing loss. Vertigo may be triggered by loud sounds (Tullio’s phenomenon), sneezing, coughing or straining. My older daughter had just started preschool, and we were sick with something new nearly every week. That night I lay in bed wondering whether I’d be able to get up by myself when I woke. I was given a prescription for Meclizine and instructed to take it for the next few days until I felt better. By the end of May, I was having difficulty hearing out of my right ear and the noise had grown to a steady SHHHHH. The nurse listened to my complaints, looked in both of my ears and then administered a hearing test. She was very attentive, and after I finished she said she’d heard stories of women having ear problems following pregnancy. He seemed shaken by the visit I’d had with the previous doctor and asked me to proceed upstairs for a full array of hearing tests. When I told my family about it the next day, we all thought it was strange, but I hadn’t thought more of it. I will appreciate it very much any advice that you will give me, or a homeopathic that I can contact. Im finding there is not a lot of info about MD where I live (Australia) which has been very frustrating so thank God for the internet and I’m glad I stumbled upon your website.
Attacks often ‘burn out’ after eight to 10 years, after which patients are left with residual imbalance and variable degrees of hearing loss. In patients whereby medical treatments have failed to control the vertigo, injection of an antibiotic (aminoglycoside) into the middle ear may be performed. Unlike cancer or AIDS, Meniere’s Disease is a chronic illness and receives very little media or popular attention. I assumed the ear symptoms were part of one of the colds, and there was never any accompanying pain.
He said that Benadryl might help, but a super-strong oral decongestant like Drixoral would be even better. I appreciate your story so much because it was so helpful in getting family members to understand what is happening to me.
We got lucky, when I insisted on starting over with the primary care who happened to be out of town.
She suggested Sudafed which I am tentative to take in conjunction with the Nasonex, and I have also read that Sudafed rarely makes any improvement.
There is a product designed specifically for this, but I won’t advertise it here without your consent. The world-at-large knows little of our affliction, and although doctors continue studying the syndrome and have thankfully discovered means by which many can control their symptoms, there is no known cure. She told me to stop taking the Meclizine immediately and instead take Sudafed every four to six hours.
He pulled the tube out, immediately threaded it into the other nostril and pushed until it was hanging down the back of my throat.
She assured me she would look into it and soon called with the name of an ENT at Temple University. He still battles it 7 years later, but thanks to a wonderful Otologist we found, he is managing. Music is my life, I play drums, mix and record as my profession, and I have never been more concerned or distraught about a health condition. Although people learn how to improve their symptoms it doesn’t seem as if anyone has found a cure for this. No, the humming was definitely there, but this time it seemed to be coming from somewhere inside the house. He is currently going through another pretty severe episode and has lost 21 pounds in about 3 weeks. I went through the entire house, attic to basement, turning off every computer, electrical appliance, toy – you name it, every single object that could even remotely hum, buzz or hiss. Most mornings I would wake feeling dizzy and off-balance, but the dizziness seemed to pass after a little while.  Terri explained the test results and said I would have to wait for Dr. She returned a minute later saying the doctor was going to give me nasal spray and a prescription for a 5-day steroid pack.



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