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Author: admin, 25.11.2014
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). Dizziness includes feeling light-headed or off-balance, whilst the term vertigo refers to a particular kind of dizziness in which you have the sensation that the world is spinning around you or that you yourself are spinning. Conventional treatment for dizziness or vertigo depends on what is thought to be the cause of the problem; this can be a problem in the inner ear, as in Benign Positional Vertigo (BPV) and Meniere’s disease, stress or anxiety, cervical spine problems, low blood sugar levels (as in diabetes), or a number of other causes. In the former case, it is a matter of determining what is lacking; dizziness in women, for instance, is often a sign of Blood deficiency, which in TCM is a broader category than anaemia. Another factor often involved in excess type dizziness is Phlegm, the accumulation in the ear or sinuses for instance, of mucus-type fluids which obstruct the free flow of Qi through the head.
A systematic review of 27 studies of acupuncture in the treatment of Meniere’s syndrome1 suggests benefits from treatment both in the acute phase of the illness and when it is more chronic.
Balance disorders can affect anyone at any age, although the older you get, the more likely it is that you will experience some type of balance problem. There is no pain, such as with an earache, but you may have initially experienced some vertigo and nausea lasting hours. In one study, when patients were seen in the emergency room for “unexplained falls”, once evaluated, 80% of the patients had symptoms indicating that the inner ear was partially to blame. Symptoms are provoked with quick head movements and the actual dizziness symptoms last less than a minute and are triggered by rolling over in bed, looking up, or laying down at night. BPPV does not respond to anti-motion medications such as Antivert, Meclizine, Valium, or patches. 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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The most common cause of vertigo is the problem inside your ear known as benign paroxysmal positional vertigo. Vertigo it is not a serious illness that can make you die but it is very disturbing your activity.
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 symptoms may be mild, such as the slight light-headedness some people experience on standing up quickly, or they may be severe; severe vertigo may be accompanied by nausea and vomiting.
As well as dizziness, Blood deficiency can cause symptoms such as blurred vision, tiredness and a pale complexion. Qi is a Chinese term difficult to translate, but here it may be thought of as the energy which is moving through any living being.
In this case treatment may use acupuncture and dietary adjustments to resolve the congestion. Heikkila H et al Effects of acupuncture, cervical manipulation and NSAID therapy on dizziness and impaired head repositioning of suspected cervical origin: a pilot study .
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.
Moreover, you can fall from dangerous place such as lift or street if the dizziness attacks you and it can endanger you especially for elders. 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. Its treatment partly depends on understanding why the deficiency has arisen; if it is due to a weakness in the digestive system, for instance, such that nutrients are not absorbed so well, acupuncture will be used to strengthen the digestion, and advice may be given on adjustments to the diet to help nourish the Blood. Qi should flow smoothly and evenly around the body, but in some situations, for example when we are particularly tense or uptight, the Qi becomes stuck or blocked and eventually escapes upwards, throwing us quite literally off balance.
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.
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. This kind of dizziness or vertigo is usually severe, and treatment usually relies on acupuncture’s ability to promote the free flow of Qi and thus prevent this upward explosion. If central vertigo is suspected, your doctor will order a computed tomography (CT) scan or magnetic resonance imaging (MRI) of your brain. When one nerve has a viral inflammation it begins to send signals to the brain out of sync with the other ear. The doctor may give you antibiotics or other medicines to cure the vertigo but you can also need to do surgery to repair the imbalance in your ear. These signals tell the brain you are moving when you are not actually moving, resulting in the sensation of spinning known as vertigo.

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