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19.05.2014

Ring in ear and dizziness, what causes loud noises in ears - Reviews

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Meniere’s disease, also called endolymphatic hydrops, is a disorder of the fluid balance in the inner ear. The classical symptoms of Meniere’s disease are episodic rotational vertigo (attacks of a spinning sensation), hearing loss, tinnitus (a roaring, buzzing, or ringing sound in the ear), and a sensation of fullness in the affected ear. If the hearing loss becomes permanent, patients are often debilitated by the attendant tinnitus or head noise, which can be constant and unremitting. Your doctor will take a history of the frequency, duration, severity, and character of your attacks, the duration of hearing loss or whether it has been changing, and whether you have had tinnitus or fullness in either or both ears.
When the history has been completed, diagnostic tests will check your hearing and balance functions. A low salt diet and a diuretic (water pill) is usually the first line treatment and will reduce the frequency and severity of attacks of Meniere’s disease in many patients. If vertigo attacks are not controlled by conservative measures and are disabling, one of the following surgical or interventional procedures might be recommended: Intratympanic treatment, also known as chemical labyrinthotomy, is an office procedure in which a medicine, such as steroid or gentamicin, is injected into the middle ear. Its cause is unknown, but it is one of the most common reasons for dizziness originating in the inner ear.
Tinnitus and fullness of the ear in Meniere’s disease may come and go with changes in hearing, occur during or just before attacks, or be constant. You may be asked whether there is history of Meniere’s disease or migraines in your family, or personal history of syphilis, mumps, or other serious infections in the past, inflammations of the eye, an autoimmune disorder or allergy, or ear surgery in the past.


They may include hearing tests (audiograms, otoacoustic emission tests (OAE), auditory brainstem response tests (ABR)) as well as special tests of inner ear balance and fluid function (Electronystagmography (ENG), electrocochleography (ECoG), and vestibular evoked myogenic potential (VEMP)). In order to receive the full benefit of the diuretic, it is important that you restrict your intake of salt and take the medication regularly as directed.
Gentamicin is an antibiotic that causes a partial loss of balance function in the treated ear, controlling vertigo in about three fourths of cases and usually preserving hearing. Often, only one ear is involved, but both ears may be affected in from 15 to 50 percent of patients.
There may also be an intermittent hearing loss early in the disease, especially in the low pitches, but a fixed hearing loss involving tones of all pitches can develop in time.
During vertigo attacks, patients are usually incapacitated and unable to perform activities normal to their work or home life. Dysequilibrium or imbalance and generalized tiredness may follow for several hours and even days. The symptoms of Meniere’s disease may be only a minor nuisance, or can become disabling, especially if the attacks of vertigo are severe, frequent, and occur without warning. The endolymphatic sac shunt procedure is an ear operation that is usually preserves hearing. In cases of bilateral Meniere’s disease, you will be advised to undergo detailed evaluation for food and other environmental allergies.


Selective vestibular neurectomy is a procedure in which the balance nerve is cut as it leaves the inner ear and goes to the brain.
If you have vertigo without warning, you should not drive, because failure to control the vehicle may be hazardous to yourself and others.
Vertigo attacks are permanently cured in a high percentage of cases, and hearing is preserved in most cases. As such, you may have to forego ladders, scaffolds, and use of heavy machinery until your Meniere’s disease is under better control. Eighty to 85% of patients’ symptoms are controlled for long periods of time with dietary modifications and medication. Labryrinthectomy and eighth nerve section are procedures in which the balance and hearing mechanism in the inner ear are destroyed on one side. This is considered when the patient with Meniere’s disease has poor hearing in the affected ear. Labryrinthectomy and eighth nerve section result in the highest rates for control of vertigo attacks.



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