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It is estimated that up to 25% of any population in the industrialized world will experience dizziness, with or without vertigo, at some point in their lives (1999 Prof. It is important to understand that all vertigo comes with dizziness, but not all dizziness comes with vertigo. The body senses its different positions and controls it’s balance through organs of equilibrium (balance) that make you feel stable, or normal. The semicircular ducts are arranged roughly at right angles with each other so that they represent all three planes in three-dimensional space. If you could take the upper portion of each inner ear on each side of the head, they would be symmetrical: the front canal on one side of the head is parallel to the rear canal on the other. Messages to the brain as to the head’s changes in position are generated by calcium carbonate crystals that shift on their bed of sensory hairs in the utriculus and the sacculus. The symptoms of true vertigo may include a very strong feeling that you are moving or spinning when you are actually still or that the room is moving about you.
The cause of all vertigo is when the semi-circular canals are not functioning properly, ether due to infection, inflammation, trauma, hormonal imbalances, blood disorders, or scarring.
Meniere’s Disease is an inner ear disorder that brings spontaneous episodes of vertigo that can last minutes to hours.
There are some changes to diet and lifestyle that may help you manage Meniere’s Disease.
Patients who suffer multiple episodes of severe vertigo without hearing loss likely have what is known as recurrent vestibulopathy. There are some changes to diet and lifestyle that may help you manage this type of vertigo. The vestibular system located in and around the ear controls our body’s sense of balance. Benign paroxysmal positional vertigo (BPPV) results from calcium carbonate (CACO3) particles that move freely within fluid in the canals of the inner ear.
Viral Labyrinthitis is a sudden disruption of the messages to the brain from within the inner ear as a result of a sudden viral infection. Vestibular neuronitis is an inflammation of the vestibular nerve that causes a disruption of the message sent by the vestibular nerve to the brain. It is important for people suffering from such symptoms to be examined and diagnosed by an ENT (Ear Nose Throat) specialist since other conditions, such as stroke can present with similar symptoms. Tinnitus may result in some kind of internal whooshing, ringing, hissing, humming, and whistling, roaring, clicking or buzzing sound. You will notice that a person suffering from tinnitus complaints of hearing a ringing or buzzing sound.
A person with tinnitus will notice several mouth related problems, such as chronic toothaches, jaw muscle pain, tongue sores, muscular tension, as well as tooth enamel erosion. In some cases people suffering from tinnitus experience noise while in particular postures.
In a few cases, cysts or tumors in the inner and middle section of the ear may develop that can lead to this hearing problem.
Severe ear pain along with loud noise may result in an ear infection or a partial or complete hearing loss and if the noise is accompanied by dizziness then it may be a sign of some kind of neurological problem. Probably all of us have experienced the symptoms of tinnitus at least once without realising what it is. They experience it all throughout the day and at times night, leaving their lives completely in disarray. Tinnitus occurs when a person has allergic manifestations like cold.
For patients suffering from tinnitus, it is an endless struggle as there is no known cure for treating the condition.
Zinc is an essential mineral for the proper function of the auditory system.  High amounts of zinc are present inside the ears and also in the nerve synapses. Deficiency of magnesium is another common reason that a person could experience tinnitus in the ear. The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.
At Audiology-Hearing Aid Associates of SE Texas, we provide full-service care for our patients' hearing. Have you ever rolled over in bed to kiss your spouse goodnight, turn off the alarm clock, or to toss "Fluffy" the cat, out of bed and then suddenly felt as though the world was spinning out of control?
The calcium carbonate needs to be in sufficient quantities where it becomes heavy enough to be able to push or move the nerve endings. The good news about BPPV is that for many people, the experience will not last more than a few days and it will seem to disappear as quickly as it came.
In 1988, at the Paris Ear Institute, a French physiatrist, Alain Semont, along with a group of French ear, nose and throat physicians wrote a paper and presented a simple treatment, a five-minute physical therapy maneuver, which moved the debris to circulate through the long arm of the posterior canal and drop back into the utricle. Since Semont's article, dozens of studies and methods of varying techniques from balance specialists around the world have been published.
It is possible that other canals, predominantly the side canals (referred to as the horizontal canals) may also contain some trapped debris. It has been customary to ask the patient not to lie flat for at least one or two nights following treatment, and to perhaps avoid lying on the side of the affected ear for several nights.
A word of caution: Although some web or information sites may show you the treatment diagrams, I am not in favor of having patients self-perfonn them. The purpose of these comments if not to unnecessarily frighten anyone, but to further confirm that although BPPV is not a serious, condition and can be treated quite readily with no discomfort or special equipment, there can be a number of other medical conditions, which are far more serious, which may need to be completely differentiate by a trained professional. Tinnitus is noise in the ear that may be heard on and off, continuously or in a pulsation form. These organs of balance are located in the inner ear and are called the semicircular canals.

The horizontal duct lies in a plane pitched up approximately 30 degrees from the horizontal plane of the earth-erect head.
The changes as to which hairs are being stimulated by the presence of crystals are reported to the cerebellum (a part of the brain) which in turn, translates the information into knowledge of the position of the head relative to gravity.
The subsequent inability of the middle ear to equalize air pressure in the middle ear chamber, causes undue pressure on the inner ear, and subsequently the semicircular canals where balance is registered. Along with the vertigo, there may be some hearing loss in the affected ear that comes and goes, as well as an increase in tinnitus and a sense of fullness in the Meniere’s affected ear. Meniere’s Disease is felt to be due to an abnormality in the fluid balance of the inner ear.
These include a low-salt diet to help reduce fluid retention as well as taking a medication that encourages urination (diuretics). These may include an anti-vertigo medication and anti-nausea agent to combat the sick feeling that comes with vertigo. When your head moves, the vestibular system sends information to the organs inside the ear, and these organs then pass the information on to the brain. The cochlear nerve carries information about noise and hearing; the vestibular nerve carries information about balance and body position.
As a result of this virus, you may experience severe vertigo that usually comes on suddenly and can last from days to weeks, depending on the length of time the body builds up anti-bodies to the virus. The first attack of vertigo is usually severe, and is associated with nausea and vomiting, lasting days to weeks. There are several medications that your physician may recommend if they feel that the vertigo associated with the vestibular neuronitis or viral labyrinthitis requires treatment. The disease can arise either in the outer section of the ear, the inner section of the ear, middle section of the ear or in the brain. For example an affected person may hear sounds while lying on the bed or while sitting or sometimes even while turning the head. Even though, this type of cyst is very rare and only occurs in only some cases, but it is better to consult the doctor as soon as you develop such things. The person because of the noise cannot concentrate on any work and as a result goes into a depression.
If a person experiences such kind of symptoms must rush immediately to a doctor before it’s too late. You accept that you are following any advice at your own risk and will properly research or consult healthcare professional. Tinnitus appears when we are suddenly startled by a loud noise; way too loud that it causes a ringing sound inside our ears. Infections of the ear, high pitch voices, too much wax accumulation in the ear and sometimes misalignment of the jaw bones too can cause tinnitus. However, natural remedies come as a breath of fresh air as they can control the symptoms greatly. In such cases, taking vitamin supplements and including food that is rich in vitamin B will put an end to tinnitus. When a person has zinc deficiency, he could get a constant ringing in the ear.  Check your mineral levels in the body if you suspect a deficiency. If your tinnitus is due to magnesium deficiency, include plenty of food that contains great amounts of magnesium and also supplements can be taken along with the food to put an end to the symptoms of tinnitus. Herbs like ginkgo biloba can help in increasing the blood circulation, especially towards the brain which improves the response of the brain towards the messages sent by the nerves.
We maintain qualified doctors on staff specializing in diagnosis and treatment of virtually any hearing-related difficulty, from audiological testing to hearing-aid fitting and more. Well, you may have experienced the most common fonn of vertigo, known as Benign Paroxysmal Positional Vertigo.
By age seventy, fifty percent of all individuals will experience this frightening sense of falling, tumbling, or spinning at least once in their lives, In younger individuals, it may occur following medical conditions such as Meniere's disease, vestibular neuronitis, labyrinthitis, migraine, or after even a mild head trauma. It can be strong-feeling like you're being pushed off a bridge, or being pulled down by a giant magnet. Any nonnal degeneration of these calcium carbonate crystals, also called otoconia, fall into the back semicircular canal, aptly named the posterior canal. Once the debris entered the utricle, ifthe patient did not return to the problem position for a day or two, the symptoms would resolve.
The treatments may be referred to a Semont Liberatory Maneuver, Epley Repositioning Maneuver, Gans Repositioning Maneuver, or simply Canalith Repositioning Maneuver. These canals require other fonns of treatment, which also have been written about for many years, and may include treatments known as Appiani, Casani, or Bar-b-que. Sometimes patients have been provided with a soft cervical collar as a friendly reminder to help them to keep their head from tipping or moving. The reason being, it is very important that a proper diagnosis be made before treatment starts!
The front canals are located in vertical planes that project forward and outward by approximately 45 degrees. This feeling may become worse when you move your head, and it may make you feel nauseated or even make you vomit. However, for vertigo that lasts off and on or continuously for a few days, the following are some probable causes.
Often an anti-nausea agent is necessary to combat the sick feeling that comes with vertigo. Certain medications are effective in reducing the frequency and severity of vertigo attacks.
This inner ear disorder is therefore similar to Meniere’s Disease, but without any hearing loss or noise in the ear.

CACO3 crystals sometimes break away from the walls of the canals and circulate in the fluid. Viruses can affect either or both nerves and the symptoms will vary according to which nerve has been affected. The sound can be either perceived in one of the ears or in both the ears or even sometimes in the head. The ear cyst or tumor creates pressure and affects the blood flow creating a strange sound. Vitamin B12 deficiency is mostly the cause of tinnitus that occurs when a person hears very high pitch noises. If tinnitus is due to zinc deficiency, zinc supplements have to be taken in adequate quantities to get rid of the problem.
This will prevent tinnitus of the ears and provide great improvement and relief to the patient. Intake of fruits like almonds and apples which contain salicylate too must be avoided as they are known to make the symptoms worse. The semicircular canals (the three balance canals), are designed to be velocity sensors and not gravity sensors.
The biochemistry of the human body is such that our bodies should normally absorb this calcium within hours, or certainly days, and it never gets to a point where it is heavy enough to cause dizziness symptoms. The theory was that the biochemistry of the utricle, because it is a larger space, is different from that of the posterior canal~ and this allows the calcium carbonate to readily dissolve in the larger space, while it could not do so when in the smaller area of the posterior canal. These treatments, all basically achieve the same thing, but require the patient to be moved into slightly different head or body positions.
Recent studies suggest, however, that some of these restrictions may not be necessary, but the jury is still out on this, In the meantime, it is likely that if you find you have BPPV and seek treatment, your clinician will ask you to restrict some of your daily activities or your head positions. There is a number of other rather serious medical conditions that share some of the same symptoms and may mimic BPPV.
Dizziness in the form of light-headedness may result from a cardiovascular problem such as an irregular heart beat (arrhythmia) or if your blood pressure drops when you change positions (postural hypotension).
It often goes with many ear disorders, including Meniere’s Disease (see below), infections such as an inflammation of the middle ear (otitis media), or inflammation of the internal ear (labrynthitis), eustachian tube obstruction or noise-induced hearing loss.
Their connections on one side are to the cochlea where they receive sounds, and to the aural nerves going to the brain.
The rear canals are located in vertical planes that project backward and outward by approximately 45 degrees. The vertigo associated with Meniere’s Disease may happen suddenly, or may build in intensity over several hours and you may begin to experience nausea or vomiting. During and following a vertigo attack, the affected patient should avoid movements as they may increase the severity of the symptoms.
There is no evidence of brain dysfunction with recurrent vestibulopathy, and it usually goes away over time. When this situation occurs, a change in the head position i.e lying down, getting up, turning over in bed may cause the crystals that are freely floating to brush up against the hairs on the wall lining giving false messages as to the position of the head.
However, the consequences of being acutely dizzy with such strong sensations of being out of control is what can really get you in trouble. So, when the additional weight of the otoconia enters into these canals, it converts this velocity sensor into a gravity sensor. There are now some theories that the reason some individuals become symptomatic with BPPV their body's biochemistry is having difficulty with calcium absorption. Anti-motion medication such as mec1izine or Antivert may minimize the dizziness or accompanying nausea, but will not treat the problem itself. Research has not shown that one treatment is better than the other, but are decided upon by the individual clinician or therapist based on the nature of the problem, as well as any physical imitations or restrictions such as the range of motion of your neck, and any back or shoulder problems.
There are a number of excellent web sites that provide additional infonnation concerning the diagnosis and treatment of BPPV. Positional vertigo can be caused by such other disorders as Arnold Chiari malfonnations, vascular loop, subdural hematoma, or posterior fossa cyst. Some recurrent vestibulopathy may turn into Meniere’s Disease or benign paroxysmal positional vertigo (BPPV). The vertigo associated with BPPV comes on suddenly and usually only lasts for seconds to minutes.
The undennost portion, referred to as the otolith system, is actually a gravity sensor, which tells our brain about the pull of gravity. While our head is erect, seated, or standing, it may not cause difficulty when we look up however, or when we lie flat with our head completely back or rolled to one side, the debris, which is now in the back balance canal (the posterior canal), causes the nerve endings to be misdirected. This, of course, only a theory and is not intended to discourage the use of calcium, a critically important element in all organ functions, as well as necessary for our nervous system.
The treatment is very simple, and may range anywhere from three to ten minutes to perform, depending upon the variation. Likewise, if a patient has cervico-spinal problems where there is compression of blood flow through the vertebral artery, it is possible that if they are not properly screened and were to hyper-extend and rotate their neck improperly, a stroke could result.
Problems with chemical changes within your body (metabolic problems) may also cause dizziness, such as if your blood sugar drops too low (hypoglycemia) or hormonal imbalances. This is made up of both the utricle and the saccule, an within these two structures are calcium carbonate crystals whose weight responds to the pull of gravity by resting on nerve endings that sends a signal to the brain about the force or pull of gravity. During this instance, if our eyes are open, our vision may seem blurred or the world around us may appear to be in a spin.

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