[56F] Experiencing vertigo with associated ear symptoms

Patient Description

A 56-year-old female reports experiencing daily episodes of vertigo for approximately 10 months, described as a spinning sensation rated 7 out of 10 in severity. The vertigo is exacerbated by turning her head to the left, laying down, or looking down, and is relieved by moving her head up or to the right. Episodes last from 30 seconds to a few minutes and can occur spontaneously. Additionally, the patient has experienced ringing in the ears, temporary deafness for a minute at a time occurring three times over a few weeks, an earache, and a muffled feeling as if a hand is covering the ear, starting about 5 months ago. No recent ear injuries or exposure to loud noises have been reported, and there is no known fever or chills. No sudden severe headaches, neurological changes, or other symptoms have been mentioned.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Benign Paroxysmal Positional Vertigo (BPPV): This is a common cause of vertigo and is characterized by brief episodes of mild to intense dizziness. It is usually triggered by specific changes in the position of your head, such as tipping your head up or down, lying down, or turning over. This condition occurs when tiny calcium particles clump up in the inner ear.

    • Treatment typically involves a series of movements known as the Epley maneuver, which can help dislodge the calcium deposits in your ear.
  • Meniere's disease: This is an inner ear disorder thought to be caused by a buildup of fluid and changing pressure in the ear that can cause episodes of vertigo along with tinnitus (ringing in the ear) and hearing loss.

    • Treatment usually involves a combination of medications, lifestyle changes, and sometimes surgery.
  • Vestibular neuritis or labyrinthitis: Both are inflammations of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance.

    • Treatment typically involves medications to reduce inflammation and relieve symptoms, such as corticosteroids and anti-nausea drugs.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Rest and avoid sudden head movements.
  2. Drink plenty of fluids to stay hydrated, especially if your vertigo is being caused by a viral infection.
  3. Over-the-counter antihistamines can temporarily relieve vertigo, but they can also cause drowsiness.

What you should look out for

Reasons to see a doctor more urgently:

  • If your vertigo is accompanied by a severe headache, difficulty speaking, or weakness in your arms or legs.
  • If your symptoms persist or worsen despite resting and avoiding sudden head movements.
  • If you develop a fever or severe neck stiffness.

Remember, while I strive to provide accurate information, I'm not a doctor. Always seek the advice of a healthcare professional for any medical concerns.

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11 mo ago

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People Also Ask


What is Benign Paroxysmal Positional Vertigo (BPPV) and how is it treated?

Benign Paroxysmal Positional Vertigo (BPPV) is a common cause of vertigo characterized by brief episodes of dizziness triggered by specific head movements. It occurs when tiny calcium particles clump up in the inner ear. Treatment often involves the Epley maneuver, a series of head movements to dislodge these particles.


What are the symptoms and treatment options for Meniere's disease?

Meniere's disease is an inner ear disorder that can cause episodes of vertigo, tinnitus, and hearing loss, thought to be due to fluid buildup and pressure changes in the ear. Treatment typically includes medications, lifestyle changes, and sometimes surgery to manage symptoms.


How can vestibular neuritis or labyrinthitis affect me, and what are the treatment options?

Vestibular neuritis or labyrinthitis are inflammations of the inner ear, usually due to a viral infection, causing dizziness and balance issues. Treatment involves medications to reduce inflammation and relieve symptoms, such as corticosteroids and anti-nausea drugs.


When should I seek urgent medical attention for vertigo symptoms?

You should seek urgent medical attention if your vertigo is accompanied by a severe headache, difficulty speaking, weakness in your arms or legs, or if symptoms persist or worsen despite resting. Additionally, if you develop a fever or severe neck stiffness, it's important to see a doctor.


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