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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Ringing In Ears With Weakness And Dizziness?

Yesterday I felt a little shaky while taking my son to the park, after maybe 15 minutes of being there I felt a severe pain in both ears, internally, then we walked a little more and I started cold sweating, severe dizziness, my nose went runny I felt like I was going to fall I couldn t speak well as if I was very drunk, my face mainly my upper lip felt numb and I stayed feeling like that for like maybe 20 minutes but if I count in the earache until I felt better it could be an hour... My brother picked me up because before I got worse I called him and gave me a soda... I felt better and later went home feeling weak... Then I felt my forehead very warm but not like in fever, I felt it as if all my blood went there as I lied down... Today I stayed home and didn t went to work I feel weak and when I get up my ears ring but not hurt... And I saw the aura of my migraine coming so I took two pills of acetilic acid, caffeine and paracetamol combined... No headache now but still ear ringing and weakness and dizzy if I stand un or walk...
Thu, 15 Oct 2015
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ENT Specialist 's  Response
Hello dear,
After going through your history, I believe you have some genuine concern and I will try to help you out of this situation.

Dizziness has got many underlying cause, but acute onset dizzinesss, ringing in the ear and fullness in the ear ( Which you have not mentioned) are the classical triad of Meniere's disease.

Our inner ear has got vestibular system ( which are resposible for balancing our body), in which there are two types of fluid separated by a thin membrane like a balloon filled with fluid (ENDOLYMPH) resting inside another fluid ( PERILYMPH). When the pressure inside the endolymph increased to a certain level, the balloon burst leading to mixing of both fluids and brings an attack.

THE EXACT CAUSE FOR THIS IS NOT ESTABLISHED TILL NOW, but various factors like autoimmune process, some viral infection, stress, hypothyroidism has been postulated.

This disease usually results in hearing loss which gets some correction when the burst membrane heals in time. But with the underlying cause not treated, the attack MAY arise in future. But Relax for the time being. We have to exclude the disease first.

In my clinic in patient like you I advice for some audiometric tests to assess the status of hearing. If needed another test called electrocochleography is done.

For the time being you have to follow following advice:
1.Rest for a couple of days
2.Have a salt restricted diet
3. Stop smoking
4.Avoid excess intake of water
5.Avoid excess coffee, tea and alcohol
6.Avoid stress following some good music or other

If symptoms still persisting, you can have Prochlorperazine pills ( Stemetil 5mg twice daily for 3 days.

I hope I could solve your query. Please do not hesitate to clarify more doubts for the same situation.

Thank you for the way you are in my life.
Dr Ipsit Panda
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What Causes Ringing In Ears With Weakness And Dizziness?

Hello dear, After going through your history, I believe you have some genuine concern and I will try to help you out of this situation. Dizziness has got many underlying cause, but acute onset dizzinesss, ringing in the ear and fullness in the ear ( Which you have not mentioned) are the classical triad of Meniere s disease. Our inner ear has got vestibular system ( which are resposible for balancing our body), in which there are two types of fluid separated by a thin membrane like a balloon filled with fluid (ENDOLYMPH) resting inside another fluid ( PERILYMPH). When the pressure inside the endolymph increased to a certain level, the balloon burst leading to mixing of both fluids and brings an attack. THE EXACT CAUSE FOR THIS IS NOT ESTABLISHED TILL NOW, but various factors like autoimmune process, some viral infection, stress, hypothyroidism has been postulated. This disease usually results in hearing loss which gets some correction when the burst membrane heals in time. But with the underlying cause not treated, the attack MAY arise in future. But Relax for the time being. We have to exclude the disease first. In my clinic in patient like you I advice for some audiometric tests to assess the status of hearing. If needed another test called electrocochleography is done. For the time being you have to follow following advice: 1.Rest for a couple of days 2.Have a salt restricted diet 3. Stop smoking 4.Avoid excess intake of water 5.Avoid excess coffee, tea and alcohol 6.Avoid stress following some good music or other If symptoms still persisting, you can have Prochlorperazine pills ( Stemetil 5mg twice daily for 3 days. I hope I could solve your query. Please do not hesitate to clarify more doubts for the same situation. Thank you for the way you are in my life. Dr Ipsit Panda