Ear Pain, Dizziness, and Cold Sweats: When to Seek Help - Otolaryngology

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Ear pain, dizziness, and cold sweats?


Doctor, I woke up this morning with a sharp pain around my ear and numbness in the same side of my thigh.
By noon, I started feeling dizzy, sweating cold, and felt like I was about to faint.
Which specialist should I see for an examination?

chi, 50~59 year old female. Ask Date: 2016/03/20

Dr. Zheng Jueyi reply Otolaryngology


Hello! It is recommended to first visit a neurologist for an examination.
Wishing you health and happiness! Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/20

More Info


Experiencing ear pain, dizziness, and cold sweats can be concerning and may indicate a range of underlying health issues. Given your symptoms, it is essential to approach this situation methodically to determine the appropriate course of action.

Firstly, the combination of ear pain and dizziness can suggest several potential causes. One possibility is an inner ear disorder, such as vestibular neuritis or labyrinthitis, which can lead to dizziness and balance issues. The inner ear plays a crucial role in maintaining balance, and any inflammation or infection can disrupt this function. Additionally, conditions like Meniere's disease, characterized by episodes of vertigo, tinnitus (ringing in the ears), and hearing loss, could also be considered.

The sensation of cold sweats and feeling faint could indicate a more systemic issue, such as a cardiovascular problem or a response to anxiety. For instance, if your body is reacting to pain or stress, it may trigger a fight-or-flight response, leading to symptoms like cold sweats and dizziness. Alternatively, these symptoms could be related to a drop in blood pressure, which can occur for various reasons, including dehydration or a sudden change in position.

Given the complexity of your symptoms, it is advisable to start by consulting a primary care physician or a family doctor. They can perform an initial evaluation, including a physical examination and a review of your medical history. They may check your blood pressure, heart rate, and perform a neurological examination to assess your balance and coordination.

If your primary care physician suspects an ear-related issue, they may refer you to an otolaryngologist (ENT specialist) for further evaluation. The ENT specialist can conduct a thorough examination of your ears, nose, and throat, and may perform additional tests such as audiometry (hearing tests) or imaging studies like a CT scan or MRI if necessary.

If your symptoms are more indicative of a cardiovascular issue, your doctor may refer you to a cardiologist for further assessment. This could involve an electrocardiogram (ECG), echocardiogram, or other cardiac evaluations to rule out any heart-related conditions.

In summary, the best course of action is to start with a visit to your primary care physician. They can help determine the most appropriate specialist based on their findings. It is crucial to address these symptoms promptly, especially if they persist or worsen, as they could indicate a more serious underlying condition. Remember to provide your doctor with a detailed account of your symptoms, including when they occur, their duration, and any other accompanying symptoms, as this information will be vital for an accurate diagnosis and treatment plan.

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