[20M] With ear pressure, hot flashes, and vision instability

What might be happening

Based on the symptoms and your medical history, here are some possible explanations:

Ear Pressure and Ringing

• Eustachian Tube Dysfunction: This can cause a feeling of fullness or pressure in the ears, similar to what you experience when your ears won't pop. It can be relieved by changes in air pressure, such as opening a freezer.
• Chronic Ear Infections: Given your history of ear infections, it's possible that chronic inflammation or fluid buildup is contributing to your symptoms.
• Tinnitus: The ringing in your ears, which you've had for years, is known as tinnitus. This can be exacerbated by exposure to loud noises.

Dizziness and Vision Issues

• Vestibular Issues: Problems with the inner ear can affect your balance and cause dizziness. This could be related to your history of ear infections.
• Blood Pressure Fluctuations: Given your history of stroke and diabetes, fluctuations in blood pressure could contribute to dizziness and vision instability.

Hot Flashes

• Medication Side Effects: Warfarin and insulin can sometimes cause side effects, including hot flashes.
• Blood Sugar Levels: Fluctuations in blood sugar levels, common in diabetes, can also cause hot flashes.

What you can do

Ear Pressure and Ringing

• Eustachian Tube Dysfunction: Try yawning, swallowing, or chewing gum to help open the Eustachian tubes. Over-the-counter decongestants or antihistamines may also help.
• Chronic Ear Infections: Keep your ears dry and avoid inserting objects into them. Consult your doctor for appropriate treatment, which may include antibiotics or ear drops.
• Tinnitus: Avoid exposure to loud noises and consider using white noise machines to help mask the ringing.

Dizziness and Vision Issues

• Vestibular Issues: Avoid sudden movements and try to sit or lie down if you feel dizzy. Consult your doctor for a thorough evaluation.
• Blood Pressure Fluctuations: Monitor your blood pressure regularly and ensure you are taking your medications as prescribed. Consult your doctor if you notice significant fluctuations.

Hot Flashes

• Medication Side Effects: Discuss with your doctor if you suspect your medications are causing hot flashes. They may adjust your dosage or switch medications.
• Blood Sugar Levels: Monitor your blood sugar levels closely and follow your diabetes management plan. Consult your doctor if you notice significant fluctuations.

What you should look out for

Given your medical history and current symptoms, you should seek medical care if you experience any of the following:

• Severe or sudden hearing loss
• Persistent or worsening dizziness
• Severe headaches or vision changes
• Uncontrolled blood sugar levels
• Signs of infection, such as fever or discharge from the ear

Remember, while I can provide some guidance, it's essential to consult with a healthcare professional for a formal diagnosis and treatment plan. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.