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What Causes Vertigo Followed By Upper Respiratory Tract Infection?

Posted on Thu, 25 Sep 2014

Question: Past 10 days suffering form vertigo then vestibular neuritis.. Just felt a sharp severebpain 2-3 times then stops in my left ear. I had asked the doctor if there was fluid in the ear he said no fluid in the ear. The severe dizziness is caused by an imbalance or inflammation in the ear. I asked about antibiotics and he had said no there is no reason for antibiotic. Now I have the severe pain that comes and goes. Not tmj , but i am now concerned if i do have something going on and thats why i got sever dizzy the last 10'days . I have no medical history I have migraines not often, i'm wondering if I should just take antibiotics? And if it is an adult earache and it's injured due to pressure how can I fix it so I can return to work and be normal. Should I get it ear candle?

Answered by Dr. Dr. Naveen Kumar Nanjasetty (56 minutes later)

Brief Answer:
Vestibular Neuritis or Ménière's disease...

Detailed Answer:
Hi

Thanks for posting the query. I will try my best to help you with this problem.

Acute incapacitating vertigo following an upper respiratory tract infection goes in favour of vestibular neuritis. If the vertigo is intermittent in nature, it could be Meneiere's disease.

Intermittent sharp earache could be related to the Eustachian tube (the tube connecting nose and the ear) dysfunction.

Dizziness has to be treated with either Cinnarizine or Betahistine while the Eustachian tube dysfunction requires treatment with steroid and saline nasal spray followed by steam inhalation.

If the symptoms do not subside with the above measures, a High Resolution CT scan of the temporal bone or brain is required to look for any other lesions causing dizziness. Also, audiological evaluation aids in identifying the cause of earache.

Hope I have answered your. Revert back to me if you have any further queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Naveen Kumar Nanjasetty (2 hours later)

Oh I did not have an upper respiratory infection, that's why I was nervous but I took antibiotics this morning because it wanted to see if that helped but somewhere I read that that's not a good idea to take in my going to be okay should I just stop the antibiotics

Answered by Dr. Dr. Naveen Kumar Nanjasetty (5 hours later)

Brief Answer:
Do not take antibiotics...

Detailed Answer:
Hi

Thanks for writing back

If you did not have an upper respiratory tract infection before the onset of the dizziness, then you don't require antibiotics.

Secondly, you need to get back to your doctor to rule out BPPV and Ménière's disease.

I wish you good health and good luck.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad