[29M] With chronic ear issues and recent vertigo
Patient Description
A 29-year-old male reports chronic ear issues, including frequent diarrhea, slow-moving ear wax when laying down, vertigo, tinnitus, and sinus problems with drainage issues. The patient experienced frequent ear infections as a child and had tubes placed in the ears. The most bothersome symptom is ear pain, which occurs often and is exacerbated by laying on the ear at night, but improves when laying on the back. The patient describes recent vertigo as a pulsing and tilting sensation, which has led to balance issues and nearly falling over. No fluid discharge is noted, although it feels like there might be. There is no history of ear or head injuries.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
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Eustachian Tube Dysfunction: This occurs when the tube connecting your middle ear to the back of your nose becomes blocked or doesn't function properly. It can cause ear pain, a feeling of fullness, tinnitus, and balance issues.
- Treatment may include decongestants, nasal steroids, or antihistamines to reduce inflammation and improve drainage.
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Meniere's Disease: This inner ear disorder can cause vertigo, tinnitus, and a feeling of fullness in the ear. It often involves episodes of spinning dizziness.
- Treatment typically involves dietary changes, medications to reduce fluid retention, and sometimes physical therapy.
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Chronic Sinusitis: Ongoing sinus issues can lead to ear problems due to pressure and drainage issues.
- Treatment may include nasal sprays, saline rinses, or antibiotics if an infection is present.
What you can do
- Stay Upright: Try to avoid lying on the affected ear. Sleeping with your head elevated may help reduce pressure.
- Hydration and Humidity: Keep hydrated and consider using a humidifier to help with sinus drainage.
- Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
What you should look out for
- Seek Medical Attention: If your symptoms worsen, or if you experience severe vertigo, hearing loss, or persistent drainage, consult a healthcare professional.
- Balance Issues: Be cautious with activities that require balance to prevent falls.
Remember, it's important to consult a healthcare provider for a formal diagnosis and treatment plan.
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3 mo ago