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Benign positional vertigo (BPV) is a relatively common condition which is characterized by episodes of severe spinning (vertigo) associated with turning the head. The treatment for this type of dizziness is a physical maneuver which can easily be done in the office.
The balance system in the ear is called the vestibular system and it consists of the semicircular canals which have the nerve endings of the nerve of balance.
Meniere's Disease (MD) is characterized by hearing loss, ringing in the ear, and episodes of severe dizziness often with nausea and vomiting. Treatment of MD is directed primarily at controlling the episodes of dizziness which can be debilitating.
Treatment includes antibiotics to treat the infection and in some cases allergy treatment to reduce Eustachian Tube swelling and help with drainage.
In some cases the bacteria can be eliminated but the fluid remains causing a persistent hearing loss. In some situations the acute infection may resolve, but continue to recur despite medical therapy. In some cases these infections are recurrent or chronic and require other treatments and medications.
The medical diagnosis of 'SUDDEN HEARING LOSS' is a hearing loss due to inflammation of the nerve of hearing (viral infection is the most accepted theory).
Sudden changes in pressure, as from an explosion, blow to the head, flying, scuba diving, falling while water skiing, or being slapped on the head or ear.
If the object is sticking out and easy to remove, gently remove it by hand or with tweezers.
If you think a small object may be lodged within the ear, but you cannot see it, DO NOT reach inside the ear canal with tweezers. Turn the person's head so that the affected side is up, and wait to see if the insect flies or crawls out.
Cover the injury with a sterile dressing shaped to the contour of the ear, and tape it loosely in place. Cover the outside of the ear with a sterile dressing shaped to the contour of the ear, and tape it loosely in place.
If you tend to feel pain and pressure when flying, drink a lot of fluid before and during the flight. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.
During diving and flight elevation or landing, the pressure is changing To adapt to it, pressure of middle ear should be changed accordingly by opening up the eustachian tube. Pure tone audiogram is necessary as it usually shows conductive hearing loss.  However if inner ear is involved, sensorineural hearing loss may be seen. For blood or fluid in the middle ear, observation is suggested.  But it can be drained by myringotomy if it is not subsided after a period of time. If there is inner ear injury, conservative management such as bed rest and drugs is recommended.  But if hearing deteriorates progressively, surgical exploration and operation would be suggested. Acute otitis media is acute infection of the middle ear which is either due to viral or bacterial infection. After AOM, some fluid may accumulate in the middle ear resulting in conductive hearing loss. While the majority of eardrum perforation heals spontaneously, some perforations persist due to unresolved infection or Eustachian tube dysfunction.
Normally the middle ear and external ear canal is separated by the thin membrane called tympanic membrane or ear drum.
It is different from the usual CSOM (chronic suppurative otitis media) that skin "grows" inside the middle ear and mastoid process and forms a "tumour-like" plague. It is usually presented as sudden onset of sustained vertigo and dys-equilibrium accompanied by a spontaneous wobbling of eyeballs lasting from 3 to 7 days followed by gradual resolution.


Basically it only needs supportive treatment with relief of dizziness during the acute episode. The patient with BPPV (Benign Paroxysmal Positional Vertigo) experiences severe spinning associated with a change of head position. A test called Dix-Hallipike maneuver is done for eliciting nystamus (wobbling of eyeballs) and vertigo caused by posterior canal BPPV. In general, the theory of canalithiasis, which is well accepted as the explanation of BPPV (Benign Paroxysmal Positional Vertigo)?
It is a condition where a benign tumor is arising from the eighth cranial nerve which is called vestibulocochlear nerve (mostly involves the vestibular nerve rather than the cochlear nerve). The classic presentation of acoustic neuroma would be unilateral progressive sensorineural hearing loss. We can either treat it with hearing aids or operative treatment which is called stapedectomy. Systemic steroid is the evidence based treatment of choice as it can suppress the inflammation caused by the viral infection.
The Yard was sonamed following the murder of the 17th Century society beauty, Lady Elizabeth Hatton. THE BLEEDING HEART RESTAURANT opened in the cellars below the Yard in 1983 THE BLEEDING HEART BISTRO in 1996. The 12th Century Crypt, which seats up to 150 in Medieval splendour, is situated in Ely Place next door to Bleeding Heart Yard. This magical, Medieval 12th Century Crypt where Henry VIII married Catherine of Aragon in 1531 is available for private lunches and dinners for up to 150 people. Calcium crystals floating in the inner ear fluid stimulate the nerve of balance and stimulate dizziness. In some cases the pattern of symptoms suggests a specific cause and this provides a starting point for the evaluation. MD is a chronic condition which is managed like other chronic conditions such as asthma or arthritis.
People can have one episode every few years or frequent episodes several times a week or month. Bacterial or viral infection sometimes in association with allergy leads to an accumulation of fluid in the middle ear space behind the ear drum (see ear diagram). In these cases the fluid is drained by placing a ventilation tube (or pressure equalization tube, PE tube) through the ear drum with a brief surgical procedure. This is an emergency requiring immediate treatment in order to maximize the chance of regaining hearing. The dizziness can be controlled with medications until the virus has passed through the system. These objects can be difficult to remove because the ear canal is a tube of solid bone that is lined with thin, sensitive skin.
As you pour the oil, pull the ear lobe gently backward and upward for an adult, or backward and downward for a child.
Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. For otitis externa (ear canal infection), ear toilet, topical antibiotic eardrops with or without oral antibiotic is the standard treatment. Except paediatric cases with bilateral OME and hearing impairment, we may observe for any resolution of OME with time.
The most frequently cited occurrence of this symptom follows rolling over in bed or getting into bed and assuming a lying-on-back position. When we turn or move our head or change our positions, the stone-like substances in the ampulla ( the organ for sense of balance)moves and irritate the said organ.


Normally, the lesions are removed by excision and the specimen is then checked by pathologist.
THE BLEEDING HEART TAVERN, on the corner of the Yard, which first traded in 1746 was restored in 1998. It was the setting for the wedding celebrations of Henry VIII and Catherine of Aragon in 1531 which lasted for three full days and nights. The entire premises are available for private functions on Saturdays and Sundays for up to 125 people. This triggers both the nerve of hearing and the nerve of balance leading to the typical symptoms. There are medications or treatments taken on a regular maintenance basis and there are other medications or treatments for acute flare ups.
Normally this fluid would drain through the Eustachian Tube into the nose but with an infection the drainage tube may be blocked. Placement of a ventilation tube creates an alternative pathway and helps control the infections.
If that hole is plugged by water or shifting wax, the patient experiences a 'sudden hearing loss'. The noises range from infrequent and inconsequential to continuous and disruptive during the day and night.
Those of you who are in London should do yourselves a favour and make a point of visiting the Bleeding Heart Restaurant, Bistro, Tavern & Crypt. He was one of the founding members of the Natal Folk Music Association, participating in & helping produce a number of those legendary Annual Folk Festivals. On January 26, 1626, she invited Bishop of Ely, the beaumonde of London, to a ball in Hatton House. The sense of balance is also affected by vision, special sensory nerves in the muscles and joints, blood pressure and circulation, and some hormones in the blood. In some instances the heart, blood vessels, and brain may also need evaluation by the appropriate specialists. If pressure builds up in the middle ear because of Eustachian tube dysfunction or infected fluid that can also cause a 'sudden hearing loss'. The vestibular system is based on symmetry; the input from each nerve of balance has to be coordinated with the other. In many cases, a doctor will need to use special instruments to examine the ear and safely remove the object. AVOID using oil to remove any object other than an insect, since oil can cause other kinds of objects to swell.
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Charles Dickens, whose Plornish family lived within the Yard, speaks of the yard's gory history in his novel Little Dorritt. When one nerve has a viral inflammation it begins to send signals to the brain out of sync with the other ear. He grasped Lady Hatton by the hand, danced once around the ballroom, then together they disappeared into the night.
These signals tell the brain you are moving when you are not actually moving, resulting in the sensation of spinning known as vertigo. Any duplication or distribution of the information contained herein is strictly prohibited.
He married New Zealander Robyn - also a journalist - in 1972 & left for London soon after that.




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