Dizziness, tinnitus, hearing loss... Could it be Meniere's disease?


Causes of dizziness and noise in the head

There are several main reasons that lead to dizziness and tinnitus:

1. Discirculatory encephalopathy. The most common cause, which affects a large percentage of the population and is chronic. Gradual, progressive impairment of cerebral circulation leads to persistent chronic hypoxia of the brain. Lack of oxygen provokes the death of nerve fibers in the brain, which is accompanied by pain, tinnitus, dizziness and a disturbance in general well-being.

2. Osteochondrosis. A common disease with varied manifestations. With osteochondrosis, intervertebral discs undergo degenerative changes. In particular, cervical osteochondrosis causes pain along the spine and is combined with pain in the head and dizziness due to displacement and protrusion of the vertebrae.

Kazieva Aminat Ziyavovna

Neurologist

Rostov State Medical University

Experience since 2012

3. Arterial hypertension. High blood pressure is often accompanied by a specific clinical picture, which is familiar to many hypertensive patients: headache, weakness, flashing spots before the eyes, dizziness and tinnitus. Such unpleasant symptoms are associated with increased blood flow in the blood vessels, which causes increased pressure on the vascular walls and irritation of pain receptors.

4. Cerebrovascular accidents. Strokes are always accompanied by a difficult and long period of rehabilitation, during which the patient may suffer from dizziness, ringing and tinnitus, and headaches.

5. Anemia. A condition in which there is a decrease in the level of hemoglobin in the blood and its saturation with oxygen leads to hypoxia of organs and tissues, which is accompanied by pallor of the skin, dizziness, noise in the ears, head and frequent fainting.

6. Overwork, chronic fatigue syndrome, insomnia and lack of sleep. Lack of proper rest and workload lead to depletion of the body's physiological resources. Malfunctions in the functioning of many organs and systems begin, which are expressed in weakness, apathy, rapid breathing, pre-fainting, tension headaches and objects spinning before the eyes, tinnitus when the eyeballs move.

7. Hypoglycemia. A condition in which there is a sharp drop in blood glucose levels. This occurs with diabetes or with prolonged restriction of carbohydrates in food.

8. Diseases of ENT organs. Diseases of the auditory analyzer, in particular the inner ear, such as Menier's disease, in addition to pain, hearing loss and tinnitus, are accompanied by disruption of the vestibular apparatus due to increased intralabyrinthine pressure.

9. Migraine. A complex neurological pathology that includes a wide range of manifestations from severe headaches, photophobia, tinnitus and nausea, to loss of orientation.

10. Neoplasms of the central nervous system, epilepsy. Tumors that affect the spinal cord or brain, compress the roots of the spinal nerves, lead to nonspecific symptoms such as double vision of objects in front of the eyes, weakness, nausea, vomiting, loss of consciousness and spinning of objects.

11. Surgeries on the brain or spinal cord. The recovery period after severe surgical interventions entails disorders of the central nervous system.

Kazieva Aminat Ziyavovna

Neurologist

Rostov State Medical University

Experience since 2012

12. Hormonal changes in women: pregnancy and menopause. Those cases when dizziness is physiological in nature and is associated with hormonal changes in the body.

13. Traumatic lesions. After open or closed craniocerebral injuries, as well as injuries to the spine, long-term consequences occur in the form of dizziness, noise in the ears and head. This is due to the displacement of soft tissues and meninges when damaged. Such manifestations are temporary.

14. Motion sickness while driving, long hunger strikes, smoking.

To accurately establish the cause of pathological symptoms and eliminate them, the attending physician must conduct a thorough diagnosis.

general characteristics

With ear congestion, patients report a feeling of discomfort, fullness in the external auditory canal, and decreased hearing, accompanied by a constant hum or ringing.
Some people compare the sensation to the ear canal filling with water. With short-term physiological congestion, bilateral symptoms are more often detected; inflammation and other pathological causes can cause unilateral manifestations. Congestion can last from several minutes to several weeks. Patients often notice a connection between discomfort in the ear and acute bacterial or viral infections, injuries to the auricle or head in the temporal region. If congestion bothers you constantly or occurs periodically over several days, this is an indication for a visit to a specialist. It is also necessary to visit a doctor when the symptom is combined with other manifestations - headaches or pain in the ear canal, dizziness, increased body temperature.

Diagnosis of nausea, weakness and noise in the head

When visiting a doctor with complaints of dizziness, headache, nausea, weakness, ringing and tinnitus, the patient first receives a preliminary diagnosis. For this purpose, an examination plan is drawn up, which includes the following studies:

  • Comprehensive examination by a neurologist. The doctor conducts special coordination tests that distinguish benign paroxysmal positional vertigo from its other varieties, as well as a neurological examination, checking the condition of the cranial nerves, conditioned and unconditioned reflexes. The specialist conducts a detailed survey of the patient, identifying the main complaints, their location and time of occurrence, and connections with chronic diseases.
  • General blood test, biochemical blood test, coagulogram. They are carried out to exclude anemia, acute inflammatory and infectious processes in the body, as well as tumor diseases of the blood and lymph. Also, thanks to these studies, the blood lipid profile, the tendency to thrombosis and vascular atherosclerosis are assessed.
  • ECG and blood pressure measurement. Studies reveal a connection between the complaints that have arisen and arterial hypertension.

  • X-ray, CT and MRI of the brain and spinal cord. MRI examination has advantages over other diagnostic options, as it shows a layer-by-layer image of all scanned areas. This allows you to minimize diagnostic errors, accurately determine the location and size of the pathological focus, and also conduct an examination in the shortest possible time. Magnetic resonance imaging is the method of choice for formations that do not originate from bone tissue, as well as the gold standard for examination in dyscirculatory encephalopathy.
  • Ultrasound of cerebral vessels to identify pathological narrowings and blockages by blood clots.
  • An audiogram and examination by an otolaryngologist to rule out problems with the inner ear and vestibular apparatus.
  • Electroencephalography. Helps detect areas of epileptic activity.

Meniere's disease: rare, but accurate

Of course, suspecting and diagnosing any disease is the prerogative of a specialist.

Meniere's disease is considered quite rare. In different countries, according to statistics, it affects from 20 to 200 people per 100,000 population. Women are almost twice as likely as men. The average age of patients is 40 years, and it almost never occurs in children.

But for whom does this make it easier if you are faced with the symptoms described above? In addition to Meniere's disease, they can signal other unhealthy and downright dangerous conditions, for example:

  • benign positional paroxysmal vertigo;
  • vestibular migraine;
  • vestibular neuronitis;
  • bilateral vestibulopathy;
  • functional dizziness;
  • stroke;
  • brain tumors.

Therefore, if there are obvious disturbing symptoms, without delay, you need to make an appointment at the clinic with a therapist, ENT specialist, or directly at a specialized center. Establishing a diagnosis is not difficult for a specialist, but only after a set of diagnostic examinations.

Treatment of dizziness and noise in the head

The main principle of treatment for dizziness and noise in the head is its cause and mechanism of development. Therapy should be aimed at relieving the patient of the symptoms of the disease.

Drug therapy

If the patient has dyscirculatory encephalopathy, drugs are prescribed that normalize cerebral perfusion through an effect on the cardiovascular system. These are diuretics, beta blockers and vascular agents, as well as neurometabolites.

If symptoms occur due to high blood pressure, the doctor will prescribe antihypertensive drugs that control blood pressure levels and keep them within normal ranges. In this case, beta blockers, ACE inhibitors, calcium channel antagonists and diuretics help well.

For cerebrovascular disorders, nootropics, vasodilators, antiplatelet agents and anticoagulants are prescribed.

Kazieva Aminat Ziyavovna

Neurologist

Rostov State Medical University

Experience since 2012

After suffering injuries, to alleviate the condition, patients are recommended to limit physical activity and emotional stress, as well as symptomatic therapy to alleviate the patient’s condition. For this purpose, painkillers and anti-inflammatory drugs from the group of non-steroidal anti-inflammatory drugs are prescribed during periods of deterioration in health.

If the disorder occurs due to a functional cause, such as a tumor, then prompt surgical intervention is necessary.

If a patient has a migraine, the doctor should prescribe preventative treatment to prevent relapses of attacks, as well as medications to stop new episodes of migraine.

To correct anemia and its consequences, a specialist prescribes iron-based antianemic drugs, which can quickly increase the level of hemoglobin in the blood and relieve the symptoms that arise.

During menopause in women, the symptoms of menopause are corrected by menopausal hormone therapy.

Before a long trip in transport, you need to take special anti-motion sickness medications.

Physiotherapy

Physiotherapeutic procedures help, in addition to drug treatment, to get rid of the disease. The most common in treatment:

  • Magnetotherapy.
  • Laser therapy.
  • Massage and physical therapy.
  • Healthy swimming.
  • Acupuncture.

With systematic, course use of these therapeutic methods, there is a decrease in the symptoms of the disease and their complete disappearance.

Nutrition

An important aspect in monitoring your health and well-being is your diet. A balanced diet rich in vitamins, micro and macroelements allows you to maintain normal blood counts, weight and nutrient levels in the body. Excluding easily digestible carbohydrates, sugar, fatty and fried foods from your daily diet will help avoid cardiovascular diseases, which lead to a systematic increase in blood pressure, as well as type II diabetes and surges in sugar levels.

Kazieva Aminat Ziyavovna

Neurologist

Rostov State Medical University

Experience since 2012

It is equally important to comply with the daily calorie intake, as well as proteins, fats and carbohydrates in the diet. Daily caloric intake is calculated based on a person’s weight and energy expenditure. With a calorie deficit and abuse of fasting and diets, the body experiences stress, which is accompanied by poor health.

How to treat?

After making a diagnosis, the doctor is obliged to prescribe effective treatment to his patient. Of course, it is selected individually and depends entirely on the type of disease that led to the unpleasant sensations. This may include taking special medications, using multivitamin complexes, physical therapy, etc. In any case, the patient must strictly follow all the doctor’s instructions. After all, this is the only way you can get rid of dizziness, nausea and stuffy ears.

What to do if your ears are blocked after ear cleaning

There is a common belief that you can use a cotton swab to remove accumulated wax. The key word is “cotton”: cotton wool is soft, delicate, and therefore a cotton swab is suitable for the cleaning procedure.

But not everyone knows that excess wax accumulates at the beginning of the ear canal and can be removed with an ordinary soft cotton swab. To do this, you do not need to penetrate far into the ear. A cotton swab, on the contrary, moves the wax into the ear canal, where a plug of wax can form.

A similar situation can happen if you use a match, a hairpin, or a stick for cleaning, which is often done. All these objects can injure the skin of the ear canal, and later an inflammatory process will begin at the site of the injury.

If after the cleaning procedure your hearing has decreased, you have become partially deaf, or you have an unpleasant feeling of congestion, then perhaps there is a blockage and you need to see a doctor for advice. The plug is removed quickly and painlessly.

Increased secretion of sulfur glands can also cause a plug in the ear.

Earwax can be removed at home if you know how to do it correctly without aggravating the situation.

What to do if your ear is stuffy but doesn’t hurt

It happens that the ears become blocked after flying on an airplane, or when quickly ascending to a height in an elevator, but there is no more pain or discomfort, the person is basically healthy, then the following actions will help:

  • pinch your nose with your fingers, hold your breath, exhale (do not unclench your fingers);
  • yawn with your mouth wide open;
  • Drink a glass of water slowly, in small sips;
  • chew chewing candy, gum, or perform active (wide) chewing movements with the jaws;
  • inflate a rubber ball or blow into a narrow tube.

These simple steps will help you cope with ear congestion in the mountains, on an airplane (difference in atmospheric pressure) and in other similar situations.

Whether your left ear or right is blocked, it doesn’t matter for subsequent actions.

Removing wax plug at home

Cork differs from simply excess sulfur in that it becomes a thick viscous mass, or even solid in consistency.

  • to soften wax, drip hydrogen peroxide (2-3 drops) into the ear, cover the ear with cotton wool or a cloth for several minutes;
  • dissolve potassium permanganate in water that is warm to the touch (slightly pink), draw into a large syringe without a needle (sterile);
  • inject the solution, trying to direct the stream in different directions of the ear canal, wait for the water to flow out;
  • repeat the procedure 2-3 times, but if the cork is old, then washing it out will require many times more manipulations - 20-30.

The sulfur should come out if everything is done carefully and correctly. You can notice this by improving your hearing.

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