[48M] Experiencing pressure behind ear with intermittent hearing loss and dizziness

Patient Description

A 48-year-old male reports a sensation of pressure on the right side behind the ear associated with intermittent hearing loss rated at times as severe as 7 out of 10. These symptoms have been ongoing for approximately 8 months. The patient also experiences dizziness, described as a combination of spinning and lightheadedness, which is not influenced by the time of day but is exacerbated by all movements. Additionally, the patient suffers from blurred and double vision, depression, constant heat and sweating, and fatigue. No recent head injuries or exposure to loud noises have been reported. The patient has not found any measures or devices helpful in alleviating the hearing loss.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Meniere's Disease: This condition affects the inner ear and can lead to vertigo (a spinning sensation), tinnitus (ringing in the ear), pressure in the ear, and fluctuating hearing loss. The cause of Meniere's disease is unknown, but it's thought to be related to the fluid levels or the pressure of the fluid in your inner ear.

    • Treatment typically involves a combination of medications, lifestyle changes, and sometimes surgery.
  • Vestibular Neuritis or Labyrinthitis: These are inflammations of the inner ear usually caused by viral infections, resulting in dizziness and loss of balance. Labyrinthitis also causes hearing loss.

    • Treatment usually involves medications to control the inflammation and to manage symptoms.
  • Acoustic Neuroma: This is a benign growth on the nerve that connects the inner ear to the brain. Symptoms can include hearing loss, tinnitus, and balance problems, although it usually only affects one ear.

    • Treatment options include monitoring, radiation, and surgical removal of the tumor.

What you can do

You should seek medical attention to get a proper diagnosis and treatment. In the meantime, here are a few things you can do:

  1. Try to avoid sudden movements or changes in position that might worsen your dizziness.
  2. Stay hydrated and maintain a healthy diet. Dehydration and low blood sugar can sometimes contribute to dizziness.
  3. Limit your intake of caffeine and alcohol, as these can sometimes worsen dizziness.
  4. Try to manage your stress levels, as stress can sometimes exacerbate symptoms.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Sudden, severe hearing loss or dizziness
  • Dizziness accompanied by a high fever, severe headache, chest pain, or difficulty breathing
  • Fainting or loss of consciousness
  • Symptoms that are rapidly getting worse

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of Meniere's Disease?

Common symptoms of Meniere's Disease include vertigo, tinnitus, a feeling of fullness or pressure in the ear, and fluctuating hearing loss. These symptoms can vary in intensity and duration.


How is vestibular neuritis different from labyrinthitis?

Vestibular neuritis involves inflammation of the vestibular nerve, leading to dizziness and balance issues, but typically does not affect hearing. Labyrinthitis, on the other hand, affects both the vestibular nerve and the cochlea, causing both dizziness and hearing loss.


What are the treatment options for an acoustic neuroma?

Treatment options for an acoustic neuroma include regular monitoring if the tumor is small and not causing significant symptoms, radiation therapy to stop the growth of the tumor, and surgical removal if the tumor is large or causing significant symptoms.


What lifestyle changes can help manage dizziness and hearing loss?

Lifestyle changes that can help manage dizziness and hearing loss include avoiding sudden movements, staying hydrated, maintaining a healthy diet, limiting caffeine and alcohol intake, and managing stress levels. These changes can help reduce the frequency and severity of symptoms.


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