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Vertigo is the sensation that either your body or your environment is moving (usually spinning). Benign paroxysmal positional vertigo — In this condition, a change in head position causes a sudden sensation of spinning. Acute labyrinthitis, also called vestibular neuritis — This is an inflammation of the balance apparatus of the inner ear, probably caused by a viral infection. Meniere's disease — This causes repeat episodes of dizziness, usually with ringing in the ear and progressive low-frequency hearing loss.
Vertigo can feel like the room is spinning or like you are spinning in the room, or it can be just a sense of imbalance.
Peripheral vertigo, which is much more common, includes benign positional vertigo, labyrinthitis and Meniere's disease. Central vertigo is a more serious problem in the cerebellum (back part of the brain) or brain stem. For benign paroxysmal positional vertigo, your doctor may move your head and body through a series of positions. For more persistent vertigo, your doctor may recommend other types of vestibular rehabilitation, also called balance rehabilitation.
Call your doctor if you have a new episode of vertigo, especially if it is associated with headache and significant coordination problems. Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional.
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What causes hearing loss?Losing your hearing is a normal and inevitable part of the ageing process.
Action on Hearing Loss: Enjoy the sparks but avoid the ringing in your ears this bonfire night. Michael Rothschild, MD, director, pediatric otolaryngology, Mount Sinai Medical Center, New York. National Institute on Deafness and Other Communication Disorders, National Institutes of Health. To provide even greater transparency and choice, we are working on a number of other cookie-related enhancements. Noise is unwanted sound and has become a part of urban life and industrial centres in this century. Noise level of 80 decibels or more for more than 8 hours a day increases tension and changes in breathing patterns. Prolonged exposure to noise can lead to a gradual deterioration of the inner ear and subsequent deafness. A 20 foot wide plantation inside the compound protects the house from the noise of vehicular traffic.
Decibel metres should be installed along highways and in factories to check and control the intensity of noise pollution.
Specific legislation and regulations should be proposed for designing and operation of machines to include vibration control, sound-proof cabins and sound-absorbing materials. In metropolitan areas a green belt of vegetation and open spaces in general may have a great value in noise control as in air purification. Loud speakers, which have become a part of festivals, weddings and prayers are banned in most places. The most likely cause is small crystals that break loose in the canals of the inner ear and touch the sensitive nerve endings inside.
Positional vertigo is diagnosed when moving the head causes the vertigo and returning the head to a neutral position relieves symptoms.
The pattern of your eye movements may help to determine if the problem is peripheral or central. Because vertigo can be associated with an intense sense of imbalance, it is important to avoid situations in which a fall could cause significant harm, like climbing a ladder or working on a slanted roof.
The types of exercises prescribed depend upon the underlying cause of dizziness and what movements provoke the symptoms.


This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Action on Hearing Loss (formerly RNID) says more than 70% of people over the age of 70 have some degree of hearing loss. It is intended for general information purposes only and does not address individual circumstances. Noise, by definition, is over-loud or disturbing sound.Sound levels are measured in decibels (dB). Noise pollution may come from loudspeakers, factories, aeroplanes, moving trains, construction activity or even a radio. Numerous examples can be cited where old buildings and even new constructions have developed cracks under the stress of explosive sounds. It has been seen that plants are efficient absorbers of noise, especially noise of higher frequency.
Although the reason for this change is unknown, scientists suspect that it may be linked to loud noise, to a viral infection or to biologic factors inside the ear itself.
Labyrinthitis and Meniere's attacks usually come on abruptly and last from a few hours to a couple of days. Usually, no further testing is needed unless your doctor suspects you have central vertigo. However, while many of us will experience gradual loss of hearing over the years, noise exposure at home, work or leisure can also cause impairment. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. High intensity sounds emitted by many industries and supersonic aircraft, when continued for long periods of time not only disturb but also permanently damage hearing. Plants can also absorb aeroplane noise, so a green belt should be planted around airports. If central vertigo is suspected, your doctor will order a computed tomography (CT) scan or magnetic resonance imaging (MRI) of your brain. It's estimated that 10 million people in the UK – that's one in six - have some level of hearing loss. Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. Loud noise at workExposure to continuous loud noise during your working day can make you permanently hard of hearing in the long term. Cholesterol levels in the blood and white cell counts increase, besides causing hypertension. Jobs that are hazardous to hearing include construction, the military, mining, manufacturing, farming or transportation.
The Health and Safety Executive says employers have a duty to protect employees from hearing loss. Injury damage or pressure changesTrauma to the head can impact the ear and cause permament hearing loss.
Sudden pressure changes, like scuba diving or flying, can also harm the eardrum, middle ear or inner ear. While eardrums may take a few weeks to get better, serious inner ear damage may require an operation. These are called ototoxic drugs, which may cause damage to the inner ear, resulting in hearing loss, balance problems and tinnitus.
Antibiotics linked to possible permanant hearing loss include: gentamicin, streptomycin and neomycin. Chronic diseaseSome chronic diseases that are not directly linked to ear issues may trigger hearing loss.
Some types of hearing loss are also linked to autoimmune diseases like rheumatoid arthritis. How you hear – anatomy of the earSound causes the eardrum and its tiny attached bones in the middle part of the ear to vibrate. The spiral-shaped cochlea in the inner ear transforms sound into nerve impulses that travel to the brain.


The fluid-filled semicircular canals attach to the cochlea and nerves in the inner ear and send information on balance and head position to the brain.
Growths and tumoursHearing loss can be caused by benign, non-cancerous growths, such as osteomas, exostoses or polyps that block the ear canal. A large neuroma can cause headaches, facial pain or numbness, lack of limb coordination and tinnitus. Loud bangs!Remember, remember the 5th of November – but also remember to take care of your ears on Bonfire Night! Exposure to loud noise over 85 decibels can cause permanent hearing loss and while fireworks are lovely to watch, some can break that sound limit with a searing 155 decibels. Gunshots and other explosive noises also pack a punch to your ear, in some cases rupturing eardrums or causing damage to the inner ear. Loud concerts and tinnitusThat loud buzzing sound in the ears after a loud concert is called tinnitus.
The average rock concert exposes you to sound as loud as 110 decibles which can do permamant damage after just 15 minutes. Other noises that break the 85 decibel range and risk permanent hearing loss include power tools, chain saws and leaf blowers.
Prevent tinnitus and potential hearing loss, which can last days, months or years by using earplugs and limiting noise exposure. Personal music playersIf other people can hear the music you're listening to through your earphones, you may be at risk of permanent hearing loss.
A recent survey revealed that over 92% of young people listen to music on a personal player or mobile phone. Recent EU standards limited the sound on these devices to 85 decibels, but many listeners plan to override the new default volume – saying they want to wipe out background noise. Action for Hearing Loss suggests using noise-cancelling headphones rather than pressing override and risking lifelong damage to your hearing.
EarwaxIt may be yucky and unsightly but earwax does serve a useful purpose, protecting the ear canal from dirt and bacteria.
However, if earwax builds up and hardens, it can dull your hearing and give you an earache. If you feel your ears are clogged, see your GP or nurse who may suggest olive oil drops to soften and disperse the wax. Don't be tempted to do it yourself with a cotton bud – or any other implement - which only risks damage to the ear. Childhood illnessChildren are susceptible to ear infections, which are among many childhood illnesses that can cause hearing loss. Usually, infections that fill the middle ear with fluid cause only temporary hearing loss but some may cause harm to the middle or inner ear and lead to permanent hearing loss. Illnesses linked to hearing loss in children include chickenpox, influenza, measles, meningitis, encephalitis and mumps. Born with hearing lossIn the UK, one or two babies in every thousand are born with significant hearing loss. Although congenital hearing loss often runs in families, it can also be triggered by an infection in the mother during pregnancy. Hearing loss can also develop after lack of oxygen or trauma at birth, or if a newborn is premature. AgeRegardless of how you protect your ears, getting older reduces your hearing as you gradually lose inner ear hair cells. If you are struggling to hear and it is affecting your quality of life, go to your GP or NHS clinic to arrange a hearing test.



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