Dizziness, vertigo and balance issues are common symptoms and most of us may have experienced momentary symptoms. It is a sensation of feeling a movement even after the movement has stopped. For example the sensation we feel when we get off a merry-go-round or feeling butterflies in the stomach when we are on a roller coaster ride. Imagine if these symptoms are constant and start affecting our day to day activities. Even a simple task of walking can be bothersome as we may feel like our body is drifted and we cannot balance properly. We may feel a severe spinning sensation when we change position from lying down to sitting or rolling over in bed. It can also cause fear, anxiety and make us limit our movements and activities. These may cause more complications such as neck pain, headaches, body pains and depression. It is therefore very important to find out the root cause of vertigo and treat it immediately.

Dizziness is a sensation of light-headedness or unsteadiness. It can be caused heart disease, brain related causes like stroke, prolong illness, psychological issues, side effect of certain medications, blood pressure fluctuations and many other conditions. Neck stiffness, pain and weakness can also cause dizziness called Cervicogenic dizziness or Cervical Vertigo.
Vertigo is a spinning sensation or a feeling of motion when we are not moving. Its a common symptom in inner ear disorders. Some of the conditions that cause vertigo are: BPPV or Positional Vertigo, Meniere's, Labrynthitis, Vestibular Migraines, Vestibular neuritis, mal de barquement syndrome, perilymph fistula, toxicity of ears due to certain antibiotics, acoustic neuroma etc.
Balance problems or Disequilibrium means unsteadiness, imbalance or loss of equilibrium. It can occur as a primary symptom or with vertigo and dizziness.
You need to consult a Vestibular Therapist or Vertigo specialist who can diagnose your problem correctly. If you have Positional Vertigo known as BPPV then specific tests and manevers can help cure it completely. If there is inner ear disease such as Menieres disease, ear infections, labrynthitis or vestibular neuritis then proper medications prescribed by ENT specilialist and Vestibular Therapy can help you get rid of vertigo. In case the symptoms are related to Central nervous system (Brain) then promt treatment from Neurologist and Vestibular Therapist can help decrease vertigo and improve daily activities. If the symptoms are related to the neck called Cervical Vertigo or Cervicogenic Dizzienss then proper treatment of neck by a Vestibular Physiotherapist can help. Also making sure the posture is good when working on computer/laptops for prolong periods can prevent strain and reduce dizziness related to neck and back muscle tightness.

Vertigo & Dizziness - How You Can Get Rid Of It With Physiotherapy?

For someone suffering from Tinnitus, a perpetual sense of ringing in the ears is the main complaint. It s annoying, to say the least. But more importantly, it is a sign of hearing loss. This is why people need to see an audiologist if he/she has a sense of tinnitus for some time. An audiologist can treat this problem in different ways.

Diagnosis

The first step in treating tinnitus like any other disease involves determining the cause. The doctor may perform different tests such as-Hearing:

Hearing exam

During this test, one needs to sit in a soundproof room and wear earphones. Specific sounds will be played into the ears, one at a time, through these earphones. People have to indicate when they hear different intensities of sound. The results are compared with empirical results for comparable age. This helps the audiologist identify possible or rule out specific causes.

Movement

One may need to clench the jaw, move the eyes or neck, or even move the arms and legs as part of the test. If tinnitus symptoms get better or worse at any of these postures, the audiologist can identify the underlying disorder.

Imaging Tests

The doctor may suggest an MRI or CT depending on his suspicions.

TreatmentRetraining

 Treatment involves identifying an underlying problem, if any. If the tinnitus symptoms are due to some health conditions, the audiologist may take the following steps:

Clearing the Earwax

Impacted earwax can cause a variety of problems, including tinnitus symptoms. An audiologist can remove the ear wax.

Treating Vascular Conditions

Underlying vascular problems that require surgery or any other treatment may treat the condition.

Changing Medication

Tinnitus can also be a side effect of medication. If the doctor suspects that he may recommend reducing or stopping the drug completely. He may also recommend a different medication.

Noise Suppression

If there is no underlying health condition or medication responsible for tinnitus, the doctor may take recourse to noise suppression.  The patient may need to wear an electronic noise suppression device. These devices include:

White Noise Devices

These machines produce simulated sounds such as those of ocean waves, falling rain etc. This is often found to be effective in treating tinnitus. He may also recommend using pillow speakers, fans, dehumidifiers, air conditioners and humidifiers to suppress internal noise at night.

Hearing Aids

If a hearing problem is associated with tinnitus, the audiologist may prescribe hearing aid.

Masking Devices

Such devices mask the internal sounds of tinnitus and are worn in the ear in a similar fashion as hearing aids.

Retraining

This device delivers programmed music to mask the sound of tinnitus. This technique usually helps the patient get accustomed to the sound of tinnitus.

 Depending on diagnosis and findings, audiologists may also recommend medicines. Audiologists use medicines usually for severe tinnitus only, since these may have side effects. It may also help reduce symptoms.



 Tinnitus - How Can Audiologist Treat It?

Do you snore too much while you sleep? Does your snoring give others a hard time? Snoring is caused because of the vibration of soft tissues and muscles that make up your upper airways. Working out these muscles help in the management of snoring. These soft tissues and muscles stay floppy when you are snoring. The tightening of these muscles helps in reducing the level of floppiness, which results in reduced snoring. There are several simple mouth exercises that are considered to be effective in dealing with snoring. Several researches and experiments have been carried out in order to prove the effectiveness of these exercises in controlling snoring.

The most important and common mouth exercises that help stop your snoring are as follows:

The tongue slide
You have to push the tip of your tongue against the roof of your mouth, or the hard palate.
After this, you simply should slide your tongue backwards. You should repeat this around 20 times.
The roof smash
In order to practice this exercise, you need to turn your tongue in the upwards directions, and press the whole tongue against flush with the hard palate.
This should be repeated 20 times.
Tongue carpet
You have to force the underside of your tongue against the floor of your mouth.
Along with this, you need to keep the tip of your tongue in contact with the bottom part of your front teeth.
Say aah!
You need to lift your soft palate, at the back of your mouth s roof and uvula, similar to how you open your mouth during a throat inspection.
The cheek push
You need to insert your right index finger into the mouth, while pressing the inside of your finger against your left cheek s length.
You should engage your cheek muscle and try to return the pressure back on your finger.
This should be repeated 10 times on each side.
Even chewing
It is important for you to chew evenly even you eat any form of food.
You should alternate both sides of your mouth while chewing and swallowing food.
Similar to any form of exercise, you need to practice these mouth exercises on a regular basis to gain benefits and observe positive results. Unless you practice them strictly and continuously, you may not experience any change in your snoring patterns and intensity. You should try incorporating these exercises into your daily schedule. You may do a set after brushing your teeth, or during evening commutes.

Snoring - Easy Mouth Exercises That Can Help Control It!

Vertigo is that sensation when a person feels that the world is spinning around him. It is a feeling of off balance.

While having a Vertigo, people often complain about feeling dizzy, basic daily activities like walking or moving becomes really intense for them. These episodes can impact everyday life.

Is Vertigo common?

Experiencing Vertigo at least once during a lifetime is quite common. It is often seen in older people, but it can happen to anyone at any age. Women are a little more prone to experience an episode of Vertigo than men.

Types of Vertigo:

There are two major types of Vertigo:

Central Vertigo: Central Vertigo occurs when there is a sudden and temporary malfunction in the brain, precisely in an area called the cerebellum.

Peripheral Vertigo: Peripheral Vertigo occurs due to a problem in areas of vestibular nerve or the inner ear. This area connects the inner ear and the brain. Peripheral Vertigo is the most common type of Vertigo.

According to the American Institute of Balance, Peripheral Vertigo is generally a more serious and dangerous problem compared to Central Vertigo.

Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus:

Recently, researchers discovered a new type of Vertigo called  Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus  or (RSV-HNS).

To diagnose RSV-HNS, the patients need to sit in a room without lights. The examiner changes the position of their heads, first in forward direction, then in side to side direction for about 15 seconds. The camera records the patient s eye motions. It results in those who have RSV-HSN making an eye movement which lasts longer than the others. This movement is known as  nystagmus .

Compared to other types of Vertigo, RSV-HSN shows a more severe sensation of motion sickness. People with RSV-HSN experience things like nausea, headaches, vomiting, and an unwillingness to head motions. These symptoms can be experienced anywhere from a couple of times a week to once a year.

The reason behind RSV-HSN is still unknown. Doctors recommend that proper medication helps to improve the condition.

Treatment for Vertigo:

A major part of the treatment of Vertigo depends on the cause of the Vertigo. Often, Vertigo goes away without any treatment. The reason behind Vertigo curing itself is that people adapting to the inner ear changes and finding different mechanisms to maintain balance.

Why a neurologist is the right choice to consult for vertigo?

The patient of vertigo should not visit an ENT doctor and must consult a good neurologist as basically it's either a problem of brain or of abnormal signals from the vestibular nerve from the ear. In no way it is a problem of ear per se. A neurologist has the training and expertise to deal with it, not an ENT doc. Also, it's important to consult urgently as sometimes it can be a sign of brain stroke (specially if associated with imbalance). Importantly, to rule out brain lesions like cyst, tumor, clots and nerve infections, consulting a neurologist is the best option available.

Apart from this, these are a few treatments:

Medicines: Medication tends to give relief to symptoms like motion sickness associated with Vertigo.

Vestibular Rehabilitation: Under this treatment, doctors try to aim at the patient s vestibular strengths which send the signals to the body movement and head related to  gravity.

Canalith Repositioning Manoeuvres: In this treatment, a physical therapist suggests different head and body movements, which help to release the deposit out of the canal and into an inner ear which can be absorbed by the body. This treatment is quite effective to treat Vertigo.

Surgery: If the reason behind causing Vertigo is some serious internal problem like tumor or a head injury, then, in such circumstances, surgery is highly recommended.

Conclusion:

There are many treatments and medicines available for Vertigo. They are totally dependent upon the cause, symptoms, and condition of the patient. This is why it is important to consult a doctor or specialist for the best treatment option.

Vertigo - Know The Types & Treatment Of Them!

Dizziness or vertigo is a feeling of being off centre, which makes a patient feel like there is lack of balance. This is especially apparent when one is at a height or while wearing footwear with high heels. It may be caused due to a variety of causes, and ear problems are one of the primary causes of this kind of dizziness. Let us take a look at the various ear problems and how they can cause dizziness or vertigo.


1. Infection: the bacteria or virus that causes cold and loose motions can also cause an ear infection. This can give rise to temporary vertigo which may last up to six weeks or more. Dizziness or vertigo happens in such cases because the viral effect spreads to the inner ear which causes a ringing and off balance sensation. The general physician or ent specialist will usually prescribe a round of medicines only if the condition becomes too severe to handle.


2. Benign paroxysmal positional vertigo: this kind of dizziness is also known as bppv and may be caused due to the motion of a calcium particle known as otolith, in the ear. This can cause a fluttering movement that gives the sensation of falling down or losing balance. This usually takes place in the part of the ear that catches the sensation of gravity. The movement of the otolith can make the patient feel as if his or her head is turning or swaying, while in reality the patient may be stationery. This problem can be fixed with the help of a two minute therapy known as epley manoeuvre, which can be conducted easily in the ent specialist's clinic.


3. Meniere's disease: there is actually a specific condition that is characterised primarily by dizzy spells and vertigo. The other symptoms of this ear bone condition include ringing of the ears, loss of hearing, and the feeling of fullness or pressure build up in the ears. This can be fixed with therapy and drugs as well as hearing loss aids.


4. Dandy's syndrome: this is an ear condition where the patient constantly feels like he or she is bouncing up and down. This condition hits patients who are on antibiotic medication for any kind of infection, and it subsides once the medication is done with. It occurs in such cases because certain kinds of antibiotics may be toxic for the ear. One may also see natural improvement in the condition over the passage of time.


5. Tumours: other reasons like tumours and strokes can also cause vertigo on a temporary or permanent basis.


Dizziness due to ear problems can be due to a number of mild to severe reasons. It is best to get these causes checked.

How Ear Problems Can Cause Dizziness

Have you been sneezing frequently? Have you been feeling congestion in the chest or have a stuffy, itchy or a runny nose? If yes, it is possible that you may be suffering from nasal allergy. It is an inflammatory reaction caused due to dust mites, animal hair, pollens, and pollutants. Individuals who suffer from nasal allergies experience symptoms like nasal congestion and sneezing which tend to last for the whole day. To get a relief from the symptoms of nasal allergy, you must observe the signs of allergy and consult with an ENT or Ear-Nose-Throat specialist for effective results.

If the nasal allergy symptoms are left untreated in the early stage, then it might gradually worsen over time. So, the best way to prevent other complications is by paying attention or recognizing the allergy signs instead of ignoring them. For your convenience, here you will get to know about some of the basic symptoms which might assist you in this regard.

Three primary symptoms which you must not ignore:

The first and foremost symptom which is quite common is a stuffy or a runny nose. One of the best methods of treating congestion is by treating the allergy behind it. You must start avoiding allergy triggers. But, if you want to identify your allergy triggers, then you may seek the assistance of an allergist or an ENT specialist. If it is not impossible to avoid the trigger, then you must try to minimise your exposure to it.
The next sign of nasal allergy which one must not leave untreated is sinus pressure. Sinuses are tiny cavities just behind a person's eyes, cheeks, and forehead. Due to allergy, mucus builds up in such areas, and the affected person feels pain and pressure. Over-the-counter nasal sprays or applying warm and moist cloth on the face might help reduce the pain. But, if the pain or pressure stays for nearly 5-7 days, then it will be a wise decision to visit a doctor.
Another common symptom is itchy eyes. Though it is quite annoying, severe vision problems do not occur because of this symptom hence no need to worry. To relieve this symptom, one may try applying a cold wash cloth over both the eyes, consume prescribed or OTC allergy medications. Eye drops containing antihistamine also prove beneficial in this matter. Before administering any medicines or drops, it is best to consult with your physician.
Foods that might help prevent nasal allergy:
Warm fluids like hot tea or warm chicken soup or any other fluids assist in treating congestion. Studies suggest the fact that fish containing healthy omega- 3 fatty acids might prove beneficial in decreasing the risk of allergies. So, sufferers of nasal allergy might intake fish like salmon, mackerel, and tuna. According to some research, healthy bacteria termed probiotics which are present in yogurt may help slightly lower the symptoms of pollen allergy in kids.

So, the best way to deal with nasal allergies is by identifying the common symptoms and visiting an ENT specialist as soon as possible. The specialist may prescribe you the best treatment depensing on your condition.

How Do You Know It Is A Nasal Allergy?

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