Vertigo:dizziness 
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 Vertigo:dizziness

I'm wondering if anyone knows anything about "vertigo" and what it's
primary causes might be.  I understand that an inner ear infection
might cause this dizziness and also extremities in {*filter*} pressure.  

Are there other causes?  I can't seem to get a reasonable explanation
from a doctor.  

Also...do you know how long a spell of vertigo can last?  1 week? 2wks?

If anyone has any suggestions about poss. causes, I'd very much
appreciate a response.




Sun, 11 Jan 1998 03:00:00 GMT
 Vertigo:dizziness

Quote:
>I'm wondering if anyone knows anything about "vertigo" and what it's
>primary causes might be.  I understand that an inner ear infection
>might cause this dizziness and also extremities in {*filter*} pressure.  

Vertigo can be cause by allergies, head injuries, genetics, diet such
as high salt and {*filter*} and caffein intake. Infections may also be
the cause. I must stress that you see an otolaryngologist that
understands these problems and can treat them or you will be in for a
long haul probably.
Quote:
>Are there other causes?  I can't seem to get a reasonable explanation
>from a doctor.  

If your not getting  an answer from your doctors, and help, get
another one and keep looking. I had dizzy spells for 4 years off and
on until I found an  otolaryngologist that could treat it succesfully.

Quote:
>Also...do you know how long a spell of vertigo can last?  1 week? 2wks?

Each spell can last from minutes to hours. Off and on for years or
life.

Quote:
>If anyone has any suggestions about poss. causes, I'd very much
>appreciate a response.


This may also be helpful.

7) What is Meniere's Disease?

Meniere's is a very serious disease of the inner ear, resulting in
extended
vertigo attacks, major hearing loss, and frequently tinnitus. Here is
one
sufferer's story:

What are the symptoms?

     In my case it started with a constant fullness in my right ear
and
     the constant ringing. I also noticed I wasn't hearing very well
and I
     was having some vertigo attacks.

     Originally I had my Allergist treat me. She thought it might just
be
     an inner ear infection or a sinus infection. It manifested itself
in
     the fall which is one of my worst allergy seasons.

     By Spring she referred me to an ENT.

What tests would a physician do to diagnose it?

     First was a hearing test. This was followed by an MRI to ensure
there
     wasn't a tumor to deal with. There was also the physical to
ensure
     there was no other underlying cause, including Diabetes. Then
being
     referred to a surgeon who specializes in this kind of thing. He
did
     further hearing tests and another test which I will have to get
the
     name for you. It consists of lights on the wall that you follow
with
     your eyes. They also insert warm and cold water into each ear
(ENG/AU
     test) to measure the response; a short vertigo spell is the
result
     for healthy ears. There is also a special set of hearing tests
that
     they do.

Are there any known environmental causes, or is it one of those things
that
"just happens" to people?

     One possible cause is Diabetes. Other than that no one that I
have
     spoken with knows. It may also be hereditary. Usually doesn't
show up
     until later in life 40 and beyond, and can burn itself out in 3 -
5
     years. Some have it earlier in life (me at 35) and could have it
the
     rest of our lives.

What are the common treatments? Anti-vertigo {*filter*}? Surgical
operations on the
inner ear balance mechanisms?

     The most common treatment for mild episodic Meniere's I guess
would
     be to rule out Diabetes and allergies. For the vertigo attacks
     usually the prescription drug Antivert is used or the over the
     counter drug Meclizine . Both tend to relive the vertigo. For
more
     chronic cases a low dosage of Valium can help. When things get
bad
     enough the next procedure is an Endolymphatic Transmastoid Shunt.
     This helps to keep some of the pressure of the inner ear. Changes
in
     diet can help. Removal of sodium, caffeine and {*filter*} can help.
     Usually a mild diuretic is prescribed.

     I know of several folks who keep it under control with allergy
shots
     and restricting their sodium intake.

     If it progresses to a point where the patient can no longer
'live'
     with it an Eighth Nerve Section can be done. But according to my
     surgeon this is an absolute last resort. It guarantees deafness
in
     the ear and some patients report balance problems at night. He
also
     claims the risks are high with this procedure including partial
face
     paralysis. [Ed. note: new surgical techniques access the nerve
via
     the posterior fossa, preserving hearing and reducing the risk of
     {*filter*} paralysis]

In general, imagine yourself back when you first encountered
Meniere's. What
kind of summary info would have been helpful to you?

     Knowing that it can be treated with medication and there is the
hope
     that it will burn itself out keeps me going. There does seem to
be a
     connection with the tinnitus and the Meniere's. I have noticed
over
     the last two years that the tinnitus gets worse and my hearing
     decreases prior to a vertigo episode or series of vertigo
episodes.
     25mg of Meclizine usually has the vertigo under control in 20 -
30
     minutes for a mild attack. A severe attack can leave you
completely
     disoriented such that there is no real up or down. An attack this
     severe usually has bouts of nausea and vomiting with it. I find
lying
     down in a quiet dark room helps while the medicine kicks in.
     Anti-nausea {*filter*} can help. In my case when I have had a severe
     episode I usually feel 'out-of-sorts' for a couple of days.

     If you experience pretty intense tinnitus coupled with vertigo
and
     the inability of hold your eyes steady on an object I would
suggest
     seeing an ENT who knows about Meniere's. I have found that it is
not
     well known or understood.

Endolymphatic hydrops is a condition similar to Meniere's that
involves vertigo
without hearing loss, as described by another contributor:

     I have a problem with one ear that is called endolymphatic
hydrops,
     which is something like Meniere's without a severe hearing loss.
     Apparently the fluid in the semicircular canals responds to
changes
     in body fluid levels - which it isn't supposed to do- and sends
     messages to say you are dizzy. I have spontaneous vertigo attacks
and
     motion induced dizziness - all lasting only a short time. Well,
what
     does this have to do with tinnitus? I also have tinnitus in that
ear,
     which is helped by some things I have been taught to do for
     dizziness. Eating small meals several times a day keeps your body
     fluid levels fairly consistent. Also avoid salt. That really
makes a
     difference with tinnitus and avoid too much sugar as well. Other
     things to be careful of are fatigue and dehydration. All these
things
     have been helpful for me.

This is similar also to Endolymphatic Fluid pressure in the ear that
can cause dizziness. "alt.support.tinnitus" group also has much info.
If you need any more info let me know.
--

"A fortunate one"



Thu, 22 Jan 1998 03:00:00 GMT
 
 [ 2 post ] 

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